Transtubular transoral surgery for excision of a dystrophic os odontoideum

A case report

Mohd Hisam Muhamad Ariffin, M. M. Ashfaq, E. Kang

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)50-52
Number of pages3
JournalMalaysian Orthopaedic Journal
Volume10
Issue number1
DOIs
Publication statusPublished - 1 Mar 2016

Fingerprint

Morbidity
Soft Palate
Quadriplegia
Decompression
Mouth

Keywords

  • Os odontoideum
  • Transoral
  • Transtubular

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Orthopedics and Sports Medicine

Cite this

Transtubular transoral surgery for excision of a dystrophic os odontoideum : A case report. / Muhamad Ariffin, Mohd Hisam; Ashfaq, M. M.; Kang, E.

In: Malaysian Orthopaedic Journal, Vol. 10, No. 1, 01.03.2016, p. 50-52.

Research output: Contribution to journalArticle

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