Transoral Surgical Anatomy and Clinical Considerations of Lateral Oropharyngeal Wall, Parapharyngeal Space, and Tongue Base

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Ramazan GunEnver Ozer

Abstract

With the emergence of transoral robotic approaches, head and neck surgeons are faced with an unfamiliar inside-out head and neck anatomy. This study was performed to describe key anatomic landmarks and surgical considerations of transoral robotic resection of the lateral oropharyngeal wall, the parapharyngeal space, and the base of the tongue. Descriptive transoral anatomic study. Academic anatomy laboratory and tertiary academic hospital. Transoral dissections of the lateral pharyngeal wall, base of tongue, and parapharyngeal space were performed in 5 vascular silicone-injected cadavers to illustrate anatomic landmarks from the inside-out perspective. Lateral neck dissections were also performed to better appreciate the anatomic structures and to be more familiar with intraoperative anatomy. The neurovascular and muscular structures located in parapharyngeal space, lateral oropharyngeal wall, and base of tongue were described. Surgical significance of key anatomic landmarks was emphasized with high-quality illustrations. A thorough understanding of transoral anatomy is crucial to perform transoral robotic surgery safely and efficiently. To understand inside-out anatomy of base of tongue, lateral oropharyngeal wall, and parapha...Continue Reading

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Citations

Sep 7, 2017·Chinese Medical Journal·Jian WangYan-Yan Niu
Dec 7, 2018·The Journal of Craniofacial Surgery·Rosa M MirapeixDavid Virós Porcuna
May 20, 2020·Ear, Nose, & Throat Journal·Wilson P LaoJared C Inman
Sep 25, 2019·Ear, Nose, & Throat Journal·Meghan T TurnerSeungwon Kim
Mar 18, 2021·The Anatomical Record : Advances in Integrative Anatomy and Evolutionary Biology·Fernando L Dias

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Methods Mentioned

BETA
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