Comparative analysis of endoscopic transnasal and microsurgical transoral odontoidectomy: Literature review and own experience

BACKGROUND: Odontoidectomy is indicated in the case of anterior compression brainstem structures by an invaginated dentoid process, and it currently possible to perform both transoral microsurgical transnasal endoscopic access.
 OBJECTIVE: To conduct a comparative analysis odontoidectomy performed first author.
 MATERIALS AND METHODS: The treatment results 29 patients with pathological conditions, including stem were analyzed. Of patients, 5 (17%) underwent surgery transnasally endoscopically, 24 (83%) transorally microsurgically.
 RESULTS: Decompression was achieved all cases. absence need install tracheostomy before smaller volume oropharyngeal trauma allow undergo removal process endure postoperative period easier faster.
 CONCLUSION: Currently, access gradually replacing certain who are for odontoidectomy. Moreover, literature shows ever deeper development this technique; however, unambiguous indications use or have not been formed at present.