[Trans-oral approach. Technique and indications].

Abstract

The trans-oral approach is a well codified and classical technique in neurosurgery. When correctly performed, this procedure gives excellent results in selected indications, such as: mechanical decompression of ondotoïdal vicious callus and more particularly, malformations of the craniovertebral function. This approach is also used for extirpation of C1, C2 and inferior clivus tumors. The complications of this technique are mainly septic, and must be prevented by appropriate pre and post-operative nursing.