AUB ScholarWorks

The advantages of submandibular gland resection in anterior retropharyngeal approach to the upper cervical spine

Show simple item record Skaf G.S. Sabbagh A.S. Hadi U.
dc.contributor.editor Apr-2007 2017-10-05T16:07:20Z 2017-10-05T16:07:20Z 2007
dc.identifier 10.1007/s00586-006-0228-3
dc.identifier.issn 09406719
dc.description.abstract Anterior surgery to the upper cervical spine, although rare, several successful approaches were described in the literature. To avoid the risks and limitations of transoral approach, the anterior retropharyngeal approach was developed. In this study, we describe our experience with anterior retropharyngeal approach to the upper cervical spine and discuss the significance of resecting the submandibular gland. From July 2001 to July 2004, we performed six anterior prevascular retropharyngeal approaches to the upper cervical spine. The series included five males and one female, ranging in age from 26 to 60 years (mean = 46). All six patients were intubated with nasotracheal cannula. The submandibular gland was mobilized and removed in all patients allowing adequate exposure of the arch of C1, C2, and C3 vertebral bodies. The anterior retropharyngeal approach permitted an adequate access to anteriorly situated lesions from C1 to C3 in all six patients, without the risks and limitations of transmucosal surgery. This approach allowed us to perform decompression of the spinal cord and reconstruction of the anterior column of the spine with bone graft and internal fixation. Careful removal of the submandibular gland provided better visualization of the arch of C1 and C2. No facial nerve palsy was seen in any of the six patients. Anterior retropharyngeal approach to the upper cervical spine combined with removal of the submandibular gland permits exposure of the anterior spine similar to that obtained by the transmucosal route, and provides a safe simultaneous arthrodesis and instrumentation during the primary surgical procedure without the potential contamination of the oropharyngeal cavity. Removal of the submandibular gland allows better exposure with less retraction and thus avoids severe injury to the mandibular branch of the facial nerve. © 2006 Springer-Verlag.
dc.format.extent Pages: (469-477)
dc.language English
dc.publisher NEW YORK
dc.relation.ispartof Publication Name: European Spine Journal; Publication Year: 2007; Volume: 16; no. 4; Pages: (469-477);
dc.source Scopus
dc.title The advantages of submandibular gland resection in anterior retropharyngeal approach to the upper cervical spine
dc.type Article
dc.contributor.affiliation Skaf, G.S., Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Sabbagh, A.S., Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Hadi, U., Department of Otolaryngology, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Skaf, G.S.; Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Surgery;
dc.contributor.authorDepartment Surgery
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Skaf, GS
dc.contributor.authorInitials Sabbagh, AS
dc.contributor.authorInitials Hadi, U
dc.contributor.authorReprintAddress Skaf, GS (reprint author), Amer Univ Beirut, Med Ctr, Dept Surg, Beirut, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited BERINIAYTES L, 1992, J CRANIO MAXILL SURG, V20, P216, DOI 10.1016-S1010-5182(05)80318-X; CROCKARD HA, 1990, J BONE JOINT SURG BR, V72, P682; DEANDRAD.JR, 1969, J BONE JOINT SURG AM, VA 51, P1621; FANG HSY, 1962, J BONE JOINT SURG AM, V44, P1588; Guerrissi JO, 2002, J CRANIOFAC SURG, V13, P478, DOI 10.1097-00001665-200205000-00021; Guerrissi JO, 2001, J CRANIOFAC SURG, V12, P299, DOI 10.1097-00001665-200105000-00018; HALD J, 1994, ORL J OTO-RHINO-LARY, V56, P87; HOUSE JW, 1985, OTOLARYNG HEAD NECK, V93, P146; JOHNSON RM, 1992, SPINE, P1067; Laus M, 1996, SPINE, V21, P1687, DOI 10.1097-00007632-199607150-00015; MCAFEE PC, 1987, J BONE JOINT SURG AM, V69A, P1371; Rami-Gonzalez L, 2001, J ECT, V17, P129, DOI 10.1097-00124509-200106000-00008; SOUTHWICK WO, 1957, J BONE JOINT SURG AM, V39, P631; Sykes J M, 2001, Facial Plast Surg, V17, P99, DOI 10.1055-s-2001-17758; Vaccaro A R, 1997, Am J Orthop (Belle Mead NJ), V26, P349; Vaccaro AR, 1999, ORTHOPEDICS, V22, P1165; Vender JR, 2000, J NEUROSURG, V92, P24, DOI 10.3171-spi.2000.92.1.0024; WHITESIDES TE, 1994, CERVICAL SPINE ATLAS, P71
dc.description.citedCount 11
dc.description.citedTotWOSCount 11
dc.description.citedWOSCount 11
dc.format.extentCount 9
dc.identifier.coden ESJOE
dc.identifier.pubmedID 17013654
dc.identifier.scopusID 34247269713
dc.publisher.address 233 SPRING STREET, NEW YORK, NY 10013 USA
dc.relation.ispartOfISOAbbr Eur. Spine J.
dc.relation.ispartOfIssue 4
dc.relation.ispartofPubTitle European Spine Journal
dc.relation.ispartofPubTitleAbbr Eur. Spine J.
dc.relation.ispartOfVolume 16
dc.source.ID WOS:000245826700002
dc.type.publication Journal
dc.subject.otherAuthKeyword C1-C2 stabilization
dc.subject.otherAuthKeyword Facial nerve palsy
dc.subject.otherAuthKeyword Retropharyngeal approach
dc.subject.otherAuthKeyword Submandibular gland upper cervical spine
dc.subject.otherIndex adult
dc.subject.otherIndex article
dc.subject.otherIndex bone graft
dc.subject.otherIndex cervical spine
dc.subject.otherIndex clinical article
dc.subject.otherIndex endocrine surgery
dc.subject.otherIndex facial nerve paralysis
dc.subject.otherIndex female
dc.subject.otherIndex human
dc.subject.otherIndex male
dc.subject.otherIndex nasotracheal tube
dc.subject.otherIndex osteosynthesis
dc.subject.otherIndex pharynx
dc.subject.otherIndex priority journal
dc.subject.otherIndex spinal cord decompression
dc.subject.otherIndex spine surgery
dc.subject.otherIndex submandibular gland
dc.subject.otherIndex surgical approach
dc.subject.otherIndex surgical risk
dc.subject.otherIndex vertebra body
dc.subject.otherIndex Adult
dc.subject.otherIndex Bone Transplantation
dc.subject.otherIndex Cervical Vertebrae
dc.subject.otherIndex Decompression, Surgical
dc.subject.otherIndex Facial Nerve
dc.subject.otherIndex Facial Nerve Injuries
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Intervertebral Disk Displacement
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Osteomyelitis
dc.subject.otherIndex Spinal Diseases
dc.subject.otherIndex Spinal Fractures
dc.subject.otherIndex Spinal Fusion
dc.subject.otherIndex Submandibular Gland
dc.subject.otherKeywordPlus FUSION
dc.subject.otherKeywordPlus FIXATION
dc.subject.otherKeywordPlus EXCISION
dc.subject.otherWOS Clinical Neurology
dc.subject.otherWOS Orthopedics

Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Search AUB ScholarWorks


My Account