Original Article Endoscopic resection of benign lesions of cervical vertebral body through intraoral approach

To investigate the efficacy of nasal endoscopic intraoral approach for resection of benign lesions of the cervical vertebral body. In the department of Otolaryngology and spine surgery of Shenzhen Second People's Hospital, the First Affiliated Hospital of Shenzhen University, tertiary referral hospital. From October 2013 to October 2014, five cases (3 males, 2 females) in the department of Otolaryngology and spine surgery of Shenzhen Second People's Hospital. We reviewed 5 patients who underwent endoscopic resection of benign lesions of the cervical vertebral body using an intraoral approach. Written informed consent was obtained from all subjects prior to opera- tion. In all 5 cases, the lesions were completely removed using a nasal endoscopic intraoral approach in a single procedure with no significant complications. The patient was under general anesthesia introperatively, and we used NRS score to assess the patient after the operation every day until three days after operation. The 4-day mean NRS score was 2.5 three days after surgery. The patients were followed up for 3 to 12 months. All five patients were examined by cervical computed tomography scan three months postoperatively, which revealed complete resection of lesion without any evidence of recurrence. Endoscopic resection of benign lesions of the cervical vertebral body through intraoral approach may offer the advantage of a convenient access, fewer complications, shorter operative time and quicker postoperative recovery.