{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T11:50:33Z","timestamp":1752666633827},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"S 01","license":[{"start":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T00:00:00Z","timestamp":1606867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B Skull Base"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003The endoscopic endonasal odontoidectomy (EEO) is emerging as a feasible surgical alternative to conventional microscopic transoral approach. In this article, we show EEO in the basilar invagination (BI) and describe in detail the technical aspects, advantages, and disadvantages of this approach (Fig. 1).<\/jats:p><jats:p>\n          Methods\u2003We describe EEO using audiovisual material from the neurosurgical department of Hospital Universitari i Polit\u00e8cnic La Fe Valencia database.<\/jats:p><jats:p>\n          Results\u2003We present the case of a 61-year-old male patient with BI. Initially, we performed suboccipital decompression and occipitocervical fusion. Subsequently, after a no significant neurological improvement and persistent anterior compression, EEO was performed. The postoperative evolution was uneventful and the preoperative neurological deficits were recovered rapidly after surgery<\/jats:p><jats:p>\n          Discussion\u2003EEO technique enables complete odontoid resection, preventing invasion of aggressive oral bacterial flora, and it is not limited by the mouth opening. As well, it avoids manipulation of the soft palate, therefore evades the risk of velopalatal insufficiency, facilitates immediate oral tolerance, and early extubation. The rostral position of C1\u2013C2 complex in BI could suppose a great advantage in favor the endonasal approaches. Mucoperichondrial vascularized flaps could be obtained to avoid a postoperative cerebrospinal fluid (CSF) leak and facilitate the reepithelization process of the surgical bed.<\/jats:p><jats:p>\n          Conclusion\u2003EEO may provide a significant anatomic and technical advantage over the trans-oral approach.<\/jats:p><jats:p>The link to the video can be found at: https:\/\/youtu.be\/Td6MDcjCNKk.<\/jats:p>","DOI":"10.1055\/s-0040-1714406","type":"journal-article","created":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T19:07:38Z","timestamp":1606936058000},"page":"S14-S15","source":"Crossref","is-referenced-by-count":3,"special_numbering":"S","title":["Endonasal Odontoidectomy in Basilar Invagination"],"prefix":"10.1055","volume":"82","author":[{"given":"Juan A.","family":"Simal-Juli\u00e1n","sequence":"additional","affiliation":[{"name":"Neurosurgery Service, Hospital Universitari i Polit\u00e8cnic La Fe Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"Miranda-Lloret","sequence":"additional","affiliation":[{"name":"Neurosurgery Service, Hospital Universitari i Polit\u00e8cnic La Fe Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria R.","family":"Sanchis-Mart\u00edn","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, H General Universitario de Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnold","family":"Quiroz","sequence":"additional","affiliation":[{"name":"Neurosurgery Service, Hospital Universitari i Polit\u00e8cnic La Fe Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Botella-Asunci\u00f3n","sequence":"additional","affiliation":[{"name":"Neurosurgery Service, Hospital Universitari i Polit\u00e8cnic La Fe Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amin B.","family":"Kassam","sequence":"additional","affiliation":[{"name":"Aurora Neuroscience Innovation Institute, Aurora St. Luke's Medical Center, Milwaukee, Wisconsin, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,12,2]]},"container-title":["Journal of Neurological Surgery Part B: Skull Base"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1714406.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T06:40:43Z","timestamp":1615185643000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1714406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,2]]},"references-count":0,"journal-issue":{"issue":"S 01","published-online":{"date-parts":[[2021,3,5]]},"published-print":{"date-parts":[[2021,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1714406","relation":{},"ISSN":["2193-6331","2193-634X"],"issn-type":[{"value":"2193-6331","type":"print"},{"value":"2193-634X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,2]]}}}