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 articlepeer-review

12 Scopus citations

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

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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