Transoral surgery: some lessons learned.
The experience gained over the last decade has provided some further understanding of the rare, but potentially fatal problems associated with pathology at the craniovertebral junction. Some original concepts of the disease in the area have been challenged; new evidence has been provided to explain our alternative theories. The transoral procedure as a surgical tool is now well established. It is, however, technically demanding, and requires careful anatomical study and 'hands-on' workshop training before the novice will be competent.
Crockard
H A
HA
Department of Surgical Neurology, National Hospital for Neurology and Neurosurgery, London, UK.
D001139:Arnold-Chiari Malformation / Q000601:surgery; D001172:Arthritis, Rheumatoid / Q000601:surgery; D001268:Atlanto-Axial Joint; D001284:Atrophy; D016063:Blood Loss, Surgical; D002574:Cervical Vertebrae / Q000033:anatomy & histology / Q000601:surgery; D002817:Chordoma / Q000601:surgery; D004388:Dura Mater / Q000601:surgery; D004487:Edema / Q000517:prevention & control; D006801:Humans; D009493:Neurosurgery / Q000295:instrumentation / Q000379:methods*; D009809:Odontoid Process / Q000293:injuries; D010614:Pharynx / Q000503:physiopathology; D011183:Postoperative Complications / Q000517:prevention & control; D013116:Spinal Cord / Q000473:pathology; D016103:Spinal Fractures / Q000601:surgery; D013125:Spinal Neoplasms / Q000601:surgery; D013530:Surgical Wound Infection / Q000517:prevention & control; D014945:Wound Healing