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- Title
Transcondylar approach for resection of lateral medullary cavernous malformation.
- Authors
Sweiss, Fadi; Jean, Walter C.
- Abstract
Background: Resection of a medullary cavernous malformation requires aggressive exposure, but there is controversy on how much occipital condyle can be safely removed during the transcondylar approach. Method: We describe and demonstrate the use of the transcondylar approach to a medullary cavernous malformation, with emphasis on adequate surgical exposure while preserving the atlanto-occipital joint. Conclusions: Despite conservative handling of the occipital condyle, craniocervical stability may vary in patients after transcondylar surgery. A 'dynamic' computer tomography, with views of the atlanto-occipital joint at each end-rotational extreme, may be the best postoperative assessment tool to evaluate the stability of the craniocervical junction.
- Subjects
JAW surgery; MANDIBULAR condyle; JAW fixation techniques; ORAL surgery; CAVERNOUS sinus; DISEASES
- Publication
Acta Neurochirurgica, 2018, Vol 160, Issue 2, p291
- ISSN
0001-6268
- Publication type
Article
- DOI
10.1007/s00701-017-3372-0