is done above the hyoid bone and inferior to hypoglossal nerve and the mass is visualized through the pharyngotomy
opening and dissection is carried out.
Large tumors can be excised through external approaches, like Laryngofissure, Lateral pharyngotomy
and sub-hyoidpharyngology whereas small tumors are excised endoscopically.
Open surgery is required for type 3 and 4 clefts; these procedures include a lateral approach with lateral pharyngotomy
, a lateral approach with posterior pharyngotomy
, and an anterior translaryngotracheal approach, which is the most commonly used open approach.
For larger tumors, an external approach, such as a lateral or subhyoid pharyngotomy
, may be required.
The lesion was excised entirely via a lateral pharyngotomy
A complete removal of the mass was achieved via a transcervical approach with a lateral pharyngotomy
. Pathologic analysis identified the mass as a lymphangioma.
(6) The preferred surgical approaches for removal of laryngeal neurilemmomas are the transhyoid approach, the laryngofissure approach, and the lateral pharyngotomy
An endoscopic approach is sufficient for smaller tumors, but larger tumors may require an external approach (e.g., lateral pharyngotomy
or midline thyrotomy) to achieve complete tumor removal while preserving laryngeal function and the overlying mucosa.
Surgical options include transoral, midline transhyoid, and lateral pharyngotomy
An external approach is indicated for larger tumors--either a lateral pharyngotomy
, lateral thyrotomy, or a laryngofissure technique.
(3) Surgical approaches to the base of the tongue vary according to the size and site of the tumor and include transoral, midline transhyoid, and lateral pharyngotomy
. (4) Table.