Sexton MA, et al. - An endoscopic transnasal approach has recently been developed as an alternative to transoropharyngeal (transoral) endoscopy in endoscopic neurosurgical procedures involving the upper cervical vertebrae, hoping that this novel approach would reduce postoperative dysphagia, a common complication following transoral neurosurgery. Researchers compared anesthetic management and outcomes among patients who underwent endoscopic neurosurgery involving the odontoid or C1 vertebra via transoral or transnasal approaches. A shorter length of stay and lower rates of tracheostomy were noted in those who underwent transnasal odontoidectomy vs those having similar surgery via the transoral route. With transnasal odontoid resection technique vs transoral surgery, no increase was noted in the rates of complications.