A patient with platybasia of the skull and temporomandibular joint ankylosis is presented. Relief of brain stem compression by the impingement of the odontoid through a soft, hypoplastic clivus was done by first doing a mandibular condylectomy to open the mouth. A transoral-transpharyngeal route was then employed to excise the odontoid process.
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De RougemontMABargeM: Les possibilities de la voie d'abord anterieure dans les lesions des premieres vertebres cervicales. Neurochirurgie12: 323–336, 1966.