Simplified four-step retropharyngeal approach for the upper cervical spine: technical note View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-07-09

AUTHORS

Pasquale De Bonis, Antonio Musio, Giorgio Mantovani, Angelo Pompucci, Jacopo Visani, Giorgio Lofrese, Alba Scerrati

ABSTRACT

PurposeIn this paper, we propose a simplified four-step retropharyngeal approach, whose aim is getting straight to the upper cervical spine minimizing complications.MethodsWhile the classical retropharyngeal approach includes about 11 steps, ours is a four-step approach: patient positioning, skin-platysma incision, hyoid bone superolateral dissection and retropharyngeal blunt exposure. We avoid several steps of the classical anterior retropharyngeal approach, particularly dissection of submandibular gland, facial veins, external carotid artery and thyroid artery, bellies of the digastric muscle, hypoglossal nerve, thyrohyoid membrane and the internal branch of superior laryngeal nerve.ResultsWe have adopted this technique for five patients: two patients had a C2–C3 herniated disk with myelopathy, two patients had unstable Hangman fracture with no bone fusion after 2-month treatment with rigid collar, and one patient had a C2–C3 osteophyte with dysphagia. The intraoperative time needed for reaching the retropharyngeal space was 15 (first case), 9 (second case), 7 min (third case—illustrative case—and fourth case), 8 min (fifth case). No complications occurred.ConclusionOur simplification, avoiding several steps, is simple, effective, safe, and rapid and requires a simple learning curve. More... »

PAGES

2752-2757

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00586-020-06521-5

DOI

http://dx.doi.org/10.1007/s00586-020-06521-5

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https://app.dimensions.ai/details/publication/pub.1129126964

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32648083


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