Endoscopic Endonasal Odontoidectomy Treatment in Turkey
About Endoscopic Endonasal Odontoidectomy
Key Highlights
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Minimally Invasive: Performed entirely through the nostrils, leaving no visible scars.Reduced Tissue Trauma: Avoids cutting through muscles of the face, neck, or throat.Faster Recovery: Typically leads to a quicker return to daily activities compared to open surgery.listrongLess Post-operative Pain:/strong Reduced manipulation of sensitive structures often results in less discomfort./lilistrongPrecise Visualization:/strong High-definition endoscopes provide magnified, detailed views of the surgical area./lilistrongLower Risk of Swallowing Problems:/strong The approach often better preserves the nerves critical for swallowing./li/ul
Who is this surgery for?
- Basilar Invagination: Where the top of the spine pushes into the skull base, compressing the brainstem.
- Rheumatoid Arthritis: Inflammation causing instability and pannus formation around the odontoid, leading to spinal cord compression.
- Os Odontoideum: A congenital separation of the odontoid from the body of C2, causing instability.
- Non-union of Odontoid Fractures: When a previous fracture fails to heal properly and causes compression.
- Tumors: Such as chordomas or metastases affecting the odontoid process and causing compression.
- Severe, progressive neck pain, weakness, or neurological deficits (like numbness, difficulty walking) due to proven cervicomedullary junction compression.
How to prepare
- Comprehensive Evaluation: Includes detailed MRI and CT scans to plan the surgical approach.
- Medical Optimization: Managing any chronic conditions like diabetes or heart disease.
- Medication Review: Stopping blood thinners (e.g., aspirin, warfarin) as advised by the surgeon.
- Pre-operative Counseling: Detailed discussion with the neurosurgical team about the procedure, risks, and recovery.
- Fasting: No food or drink for 8-12 hours before the surgery as instructed.
- Informed Consent: Signing consent forms after all questions are answered.
Risks & possible complications
- Cerebrospinal Fluid (CSF) Leak: A potential leak of the fluid surrounding the brain, which may require repair.
- Infection: Risk of meningitis or sinus infection, though minimized by the endoscopic approach.
- Bleeding: Intraoperative or post-operative bleeding, which is typically minimal.
- Neurological Injury: Rare risk of injury to the spinal cord, brainstem, or cranial nerves, potentially affecting movement, sensation, or swallowing.
- Nasal Complications: Temporary or permanent changes in smell, crusting, or sinus issues.
- Need for Further Surgery: In some cases, a subsequent surgery from the back of the neck (posterior fusion) is needed to stabilize the spine.
- Anesthesia Risks: General risks associated with being under general anesthesia.
Recovery & hospital stay
- Hospital Stay: Typically involves 3-5 days in the hospital for monitoring, pain management, and initial mobilization.
- Nasal Care: Gentle saline rinses are often prescribed to keep the nasal passages clean and promote healing.
- Activity Restrictions: Avoid strenuous activity, heavy lifting, and blowing the nose forcefully for several weeks. Neck movement may be restricted with a collar.
- Pain Management: Pain is usually managed effectively with oral medications after the first few days.
- Follow-up Appointments: Crucial for monitoring healing, removing nasal packing if used, and assessing neurological improvement.
- Physical Therapy: May be recommended to aid in regaining strength, balance, and mobility.
- Full Recovery: While initial healing takes weeks, complete recovery and return to all normal activities may take several months.
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Typical hospital stay:
3-5 days
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Expected recovery time:
6-12 weeks for initial recovery; several months for full stabilization and activity return
Frequently Asked Questions
If you are considering endoscopic endonasal odontoidectomy in Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for endoscopic endonasal odontoidectomy in Turkey include Istinye Üniversitesi Hastanesi Liv, Liv Hospital Bahçeşehir, Liv Hospital Ankara, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform endoscopic endonasal odontoidectomy. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for endoscopic endonasal odontoidectomy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | USD 3,854 – USD 8,809 | 3-5 days | ~ 6-12 weeks for initial recovery; several months for full stabilization and activity return | Know More |
| Turkey | USD 28,685 – USD 65,565 | 3-5 days | ~ 6-12 weeks for initial recovery; several months for full stabilization and activity return | Know More |
Top hospitals for Endoscopic Endonasal Odontoidectomy in Turkey
These partner hospitals in Turkey have dedicated neurosurgery teams and experience managing patients undergoing endoscopic endonasal odontoidectomy.
Istanbul, Turkey
38 Doctors
Sneha Roy, a 58-year-old retired schoolteacher...
Sneha Roy, a 58-year-old retired schoolteacher and avid gardener, began experiencing a persistent, electric-shock-like pain in her neck and shoulders whenever she looked down to tend to her roses. Over months, this progressed to weakness in her hands, making it difficult to write letters to her grandchildren. An MRI revealed a severe compression of her brainstem by a bony overgrowth at the top of her spine, a condition called basilar invagination. Her neurosurgeon, Dr. Mehta, explained that the odontoid bone was pressing into her spinal cord and that an Endoscopic Endonasal Odontoidectomy was the least invasive way to remove it and relieve the pressure. Terrified of traditional 'open' spine surgery, Sneha was comforted by the idea of no external scars. The surgery, performed through her nose, was successful. After a week in the hospital, she began gentle physical therapy. Within three months, the shocking pains were gone, and she could hold a pen steadily again. Her emotional journey was from fear of permanent disability to profound gratitude; she felt she had been given back her independence and her simple joys, like gardening and writing, without the visible reminder of a major operation.
Neurosurgeons for Endoscopic Endonasal Odontoidectomy
Explore experienced neurosurgeons who regularly perform endoscopic endonasal odontoidectomy and provide pre- and post-operative care in Turkey.
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