Transtubular Transoral Surgery for Excision of a Dystrophic Os Odontoideum: A Case Report
- Author:
MH Ariffin
;
MM Ashfaq
;
E Kang,
- Publication Type:Case Reports
- Keywords:
Transtubular;
Transoral;
Os Odontoideum
- From:Malaysian Orthopaedic Journal
2016;10(1):50-52
- CountryMalaysia
- Language:English
-
Abstract:
Transoral approach to the cervico-medullary junction is a
well-established procedure. However oropharyngeal
complications in the form of soft tissue morbidity postoperatively
do occur. We report a case of a teenage boy with
traumatic quadriparesis secondary to compression of the
cervico-medullary junction by an os odontoideum.
Decompression was done via transoral approach through a
tubular retractor system, hence obviating the need for the
splitting or separate retraction of the soft palate and
minimised the damage and violation of surrounding soft
tissues. His neurological status improved and he was able to
ambulate with support on fourth post-operative day with no
soft tissue morbidity in the oral cavity. To our knowledge this
is the first case reported using this technique. We conclude
that adoption of this method would improve the traditional
transoral approach and reduce the oropharyngeal
complications.
- Full text:P020160713327544533626.pdf
