Endoscopic anterior approach to the upper cervical spine:An anatomical study
- VernacularTitle:内镜下上颈椎前方咽后入路的应用解剖学研究
- Author:
Sheng WANG
;
Hua-Zi XU
;
Yong-Long CHI
;
Yan LIN
;
Qi-Shan HUANG
;
Fang-Min MAO
;
Xiang-Yang WANG
;
Wen-Fei NI
;
- Publication Type:Journal Article
- Keywords:
Cervical vertebral;
Endoscopy;
Surgical approach;
Anatomy
- From:
Chinese Journal of Microsurgery
2006;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish the feasibility of performing an endoscopic anterior approach for upper cervical spine in a clinical setting.Methods Application of this method on 13 Chinese cadavers was conducted to verify the practicability of this technique.Anatomic data were obtained by measuring the anterior cervical specimens,and anatomic observation was conducted in the neighboring structure through below the su- perior thyroid artery.Results The superior thyroid vascular-nerve plexus was neighbor to the puncture can- nula.But there has a quite large distance between the hypoglossal,the glossopharyngeal,the lingual artery, the external branch of the superior laryngeal nerve and the puncture cannula.There has enough space between the posterior wall of the pharynx and the prevertebral fascia to put the MDE canuula.Conclusion This ca- daver and clinical study demonstrates that an endoscopic anterior approach to the upper cervical spine is safe and feasible,and can be a valid alternative to the conventional transoral approach.
