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- W2185963210 abstract "INTRODUCTIONThe transcondylar approach (TA) has been used insurgeries to access lesions in areas close to the foramenmagnum (FM) and it is performed directly through theoccipital condyle (OC) or through the atlanto-occipital jointand adjacent portions of the same. The topographicrelationship between a lesion and neurovascular structuresis the most important characteristic when selecting theappropriate surgical procedure, and the identification ofanatomical variations is crucial in the prior planning ofneurosurgery (George et al., 1988; Kratimenos & Crocard,1993; Babu et al ., 1994; Wen et al. , 1997; Dowd et al. , 1999;Rothon, 2000,; Nanda et al ., 2002; Muthukumar et al., 2005;Barut et al., 2009).Some approaches stemmed from the extreme lateraltranscondylar approach, such as the transcondylar, thesupracondylar, and the paracondilar approach, have beensuccessfully performed to reduce the depth of the surgicalarea and improve the angle of exposure in these surgicalprocedures related to these approaches, reducing the amountof nerve tissue retraction required (Babu et al .; Dowd et al .).The most common lesions found in the areas reachedby these approaches are intra (Ammirati et al., 1993) andextradural tumors, vascular lesions of the vertebral arteryand congenital lesions (Babu et al.; al-Mefty et al., 1996),aneurysms (Rohde et al ., 1994) and meningiomas (Tange etal., 2001; Suhardja et al., 2003).In the TA, the area of the lesion prior to the bonemarrow and low-clivus can be reached by piercing the OCabove the occipital junction, below the HC through the directpath of the OC. This type of approach decreases the depthof the surgical area and provides better visibility withoutbrain retraction. Nevertheless, it is important to plan andcalculate the bone extent to be resected (Barut et al. ). Directvisualization of the spinal cord, the previous brain stem andthe surface of the tumor can be achieved by the OC resection," @default.
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- W2185963210 date "2012-01-01" @default.
- W2185963210 modified "2023-09-27" @default.
- W2185963210 title "Morphometric Analysis Related to the Transcondylar Approach in Dry Skulls and Computed Tomography Análisis Morfométrico del Acesso Transcondilar en Cráneos Secos y en Tomografia Computarizada" @default.
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