approach on the paraglottic space for laryngocele resection.
Patients with a combined laryngocele underwent resection via an external approach through a V-shaped lateral thyrotomy performed under general anesthesia.
In our study, a V-shaped lateral thyrotomy approach was used for resection of the combined laryngoceles.
In our study, all cases of combined laryngocele were completely resected via the lateral thyrotomy approach alone, and a tracheostomy was not required.
The choice of specific approach--which may include either thyrotomy
with a keel stent, a laryngotracheal reconstruction with a stent, or a single-stage laryngotracheoplasty--depends on the type of lesion.
Tumor resection with a margin of normal cartilage is possible by open laryngofissure, thyrotomy
, organ preservation with partial laryngectomy, or endoscopic resection.
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.
We excised the tumor via a lateral thyrotomy approach.
We excised the left supraglottic mass via a left thyrotomy approach without violating the mucosa (figure 2).
The patient underwent a lateral thyrotomy
. Intraoperatively, a well-encapsulated 2.5-cm tumor was found (figure 4).