Complications of transoral and transnasal odontoidectomy: a comprehensive review

R. Shane Tubbs, Amin Demerdash, Elias Rizk, Jens R. Chapman, Rod J. Oskouian

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Background: Odontoidectomy has been considered an effective way to treat anterior cervicomedullary compression in patients presenting with craniocervical joint anomalies. The transoral and transnasal routes have been described for anterior decompression surgery. However, to date, a comprehensive review of the complications from this procedure is lacking in the extant medical literature. Therefore, herein, we review this specific literature as a resource for surgeons. Methods: A comprehensive review of the literature via online search engines was performed. Conclusion: The most reported complications for odontoidectomy are CSF leakage, postoperative craniocervical instability, velopharyngeal insufficiency, wound dehiscence, pulmonary issues, meningitis, and death. To our knowledge, this is the first comprehensive review of complications of odontoidectomy. Increased awareness of the more common complications associated with this procedure may help in the care of patients in the future.

Original languageEnglish (US)
Pages (from-to)55-59
Number of pages5
JournalChild's Nervous System
Volume32
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Velopharyngeal Insufficiency
Search Engine
Decompression
Meningitis
Patient Care
Joints
Lung
Wounds and Injuries
Surgeons

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Tubbs, R. Shane ; Demerdash, Amin ; Rizk, Elias ; Chapman, Jens R. ; Oskouian, Rod J. / Complications of transoral and transnasal odontoidectomy : a comprehensive review. In: Child's Nervous System. 2016 ; Vol. 32, No. 1. pp. 55-59.
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Complications of transoral and transnasal odontoidectomy : a comprehensive review. / Tubbs, R. Shane; Demerdash, Amin; Rizk, Elias; Chapman, Jens R.; Oskouian, Rod J.

In: Child's Nervous System, Vol. 32, No. 1, 01.01.2016, p. 55-59.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Complications of transoral and transnasal odontoidectomy

T2 - a comprehensive review

AU - Tubbs, R. Shane

AU - Demerdash, Amin

AU - Rizk, Elias

AU - Chapman, Jens R.

AU - Oskouian, Rod J.

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Background: Odontoidectomy has been considered an effective way to treat anterior cervicomedullary compression in patients presenting with craniocervical joint anomalies. The transoral and transnasal routes have been described for anterior decompression surgery. However, to date, a comprehensive review of the complications from this procedure is lacking in the extant medical literature. Therefore, herein, we review this specific literature as a resource for surgeons. Methods: A comprehensive review of the literature via online search engines was performed. Conclusion: The most reported complications for odontoidectomy are CSF leakage, postoperative craniocervical instability, velopharyngeal insufficiency, wound dehiscence, pulmonary issues, meningitis, and death. To our knowledge, this is the first comprehensive review of complications of odontoidectomy. Increased awareness of the more common complications associated with this procedure may help in the care of patients in the future.

AB - Background: Odontoidectomy has been considered an effective way to treat anterior cervicomedullary compression in patients presenting with craniocervical joint anomalies. The transoral and transnasal routes have been described for anterior decompression surgery. However, to date, a comprehensive review of the complications from this procedure is lacking in the extant medical literature. Therefore, herein, we review this specific literature as a resource for surgeons. Methods: A comprehensive review of the literature via online search engines was performed. Conclusion: The most reported complications for odontoidectomy are CSF leakage, postoperative craniocervical instability, velopharyngeal insufficiency, wound dehiscence, pulmonary issues, meningitis, and death. To our knowledge, this is the first comprehensive review of complications of odontoidectomy. Increased awareness of the more common complications associated with this procedure may help in the care of patients in the future.

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