Decompression of the brain stem and superior cervical spine for congenital/acquired craniovertebral invagination: an interdisciplinary approach.
A transoropharyngeal/transpalatal approach to the clivus and anterior cervical spine in association with a midline labiomandibular glossotomy has proved successful in the treatment of craniovertebral instability. Nine cases at this institution between 1978 and 1986 were retrospectively reviewed. A head-and-neck surgeon, along with a neurosurgeon and/or orthopedic surgeon collaborated on these procedures. The indications, methods, operative techniques, results and postoperative complications are presented.
Department of Otolaryngology & Communicative Disorders, Cleveland Clinic Foundation, Ohio 44195-5034.
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Wood
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Good
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Hahn
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Bumphrey
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Bell
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Wood
D000293:Adolescent; D000328:Adult; D002574:Cervical Vertebrae / Q000002:abnormalities; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008046:Lip / Q000601:surgery; D008297:Male; D008334:Mandible / Q000601:surgery; D008722:Methods; D008875:Middle Aged; D010159:Palate / Q000601:surgery; D011182:Postoperative Care; D011183:Postoperative Complications; D013122:Spinal Diseases / Q000601:surgery*; D013131:Spine / Q000002:abnormalities; D014059:Tongue / Q000601:surgery