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Case Report

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Da Vinci Robot-Assisted Transoral Odontoidectomy for Basilar Invagination

Lee J.Y.K.a · Lega B.a · Bhowmick D.a · Newman J.G.b · O’Malley, Jr. B.W.b · Weinstein G.S.a, b · Grady M.S.a · Welch W.C.a

Author affiliations

Departments of aNeurosurgery and bOtolaryngology, University of Pennsylvania, Philadelphia, Pa., USA

Corresponding Author

John Y.K. Lee, MD

Department of Neurosurgery, 3 Silverstein

3400 Spruce Street

Philadelphia, PA 19104 (USA)

E-Mail leejohn@uphs.upenn.edu

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ORL 2010;72:91–95

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Abstract

The transoral approach is an effective way to decompress the craniocervical junction due to basilar invagination. This approach has been described and refined, but significant limitations and technical challenges remain. Specifically, should the transoral route be used for intradural pathology, such as a meningioma, or should an inadvertent durotomy occur during extradural dissection, achieving a watertight closure of the dura in such a deep and narrow working channel is limited with the current microscopic and endoscopic techniques. Even closure of the posterior pharyngeal mucosa can be challenging, and problems with wound dehiscence encountered in some case series may be attributable to this difficulty. These problems, and the corollary aversion to the procedure felt by many neurosurgeons, led our group to investigate an alternative approach.

© 2010 S. Karger AG, Basel


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    External Resources
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Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: December 22, 2009
Accepted: January 18, 2010
Published online: May 01, 2010
Issue release date: June 2010

Number of Print Pages: 5
Number of Figures: 4
Number of Tables: 0

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: https://www.karger.com/ORL


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