Open AccessModified high cervical approach for C3-4 anterior pathology in difficult neck patients
Author(s) -
Shyam Sundar Krishnan,
Pulak Nigam,
Adarsh Manuel,
Madabushi Chakravarthy Vasudevan
Publication year - 2018
Publication title -
journal of craniovertebral junction and spine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 23
eISSN - 0976-9285
pISSN - 0974-8237
DOI - 10.4103/jcvjs.jcvjs_75_18
Subject(s) - medicine , pathology , dermatology
The anterior approach to cervical pathologies is a time-tested versatile approach. It is, however, associated with a number of pharyngo-tracheo-laryngeal complications (PTL complications) such as dysphonia, dysphagia, and aspiration, more commonly in high cervical C3-4 inclusive pathologies and even more so in patients with "difficult neck." The modified high cervical approach was devised and employed to address these issues at our institution.