经口内镜下切除儿童上颈椎脊索瘤。
Endoscopic transoral resection for an upper cervical chordoma in a pediatric patient.
机构信息
Department of Neurosurgery, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan.
Department of Otorhinolaryngology, Head and Neck Surgery, Dokkyo Medical University School of Medicine, Tochigi, Japan.
出版信息
Acta Neurochir (Wien). 2023 Dec;165(12):4293-4296. doi: 10.1007/s00701-023-05548-z. Epub 2023 Mar 14.
BACKGROUND
Upper cervical chordoma (UCC) is a rare disease, and although transoral approaches are the methods of choice, minimally invasive techniques have not been established.
METHOD
We report the successful use of endoscopic transoral surgery for upper cervical chordoma at the C1-3 levels in the midline epidural space in an 8-year-old girl who presented with neck pain and quadriplegia. Three months after occipitocervical posterior fixation, endoscopic transoral surgery was performed and the tumor was nearly totally removed.
CONCLUSION
Endoscopic transoral surgery in pediatric patients with UCCs is a minimally invasive and safe technique.
背景
上颈椎脊索瘤（UCC）是一种罕见疾病，尽管经口入路是首选方法，但微创技术尚未确立。
方法
我们报告了一例 8 岁女孩在颈椎 1-3 水平的中线上硬膜外间隙成功使用内镜经口手术治疗上颈椎脊索瘤的病例，该患者表现为颈部疼痛和四肢瘫痪。在枕颈后路固定 3 个月后，进行了内镜经口手术，肿瘤几乎被完全切除。
结论
对于患有 UCC 的儿科患者，内镜经口手术是一种微创且安全的技术。
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