Abordaje transmandibuloglosopalatino para base de cráneo: Reporte de caso

Abstract

Lesions of the clivus, upper cervical vertebrae, and the cervicomedullary junction often present difficulties to the neurologic surgeon. Currently available surgical approaches often provide less than optimal exposure, for both removal of the primary lesion and repair of the dura. A transoral approach that combines a median labiomandibular glossotomy, soft palate ‘split’ and hard palate resection has been used in one illustrative case. This technique not only provides maximum transverse and sagital exposure, but considerably reduces the operating distance between the neurosurgeon and the cervicomedullary junction.