Suprahyoid pharyngotomy – a rare, but a simple approach in head and neck surgery

P Raghavendra,A T Fida Harish,S R Manohar

doi:10.4038/cjo.v10i1.5313

P Raghavendra, A T Fida Harish + Show 1 more

Open Access

https://doi.org/10.4038/cjo.v10i1.5313

Copy DOI

Abstract

The surgical transcervical approach creates a corridor to oropharynx and hypopharynx, which provides excellent exposure for removal of different lesions at these sites. The suprahyoid pharyngotomy technique can be used in situations similar to the lateral pharyngotomy, like the management of benign and malignant tumors of the base of the tongue, hypopharynx, and posterior pharyngeal wall, and excision of lingual thyroid. Here, we have discussed in detail about two patients for which this suprahyoid pharyngotomy approach was used – one, for a case of laryngeal schwannoma and another, for a case of lingual thyroglossal duct cyst. We have also reviewed many articles related to suprahyhoid pharyngotomy and came across 36 cases for which this approach was successfully used.

Highlights

An unusual approach, the suprahyoid pharyngotomy, which was first described by an anatomist, Vidal de Cassis in 1826, as an incision of anterior wall of pharynx being proper surgical approach to lesions in this area, have been modified by several surgeons down through the years[1]
Though lateral pharyngotomy is more popular based on the idea that it provides excellent exposure, the suprahyoid approach provides excellent exposure through a more direct route with less work involved[1]
Materials and methods In our institution, this suprahyoid pharyngotomy approach was used for two patients – for a case of laryngeal schwannoma and a case of lingual thyroglossal duct cyst, both of which are discussed in detail below

Summary

Introduction

The suprahyoid pharyngotomy, which was first described by an anatomist, Vidal de Cassis in 1826, as an incision of anterior wall of pharynx being proper surgical approach to lesions in this area, have been modified by several surgeons down through the years[1]. By identifying and following the hyoepiglottic ligament, precise entry into the pharynx is accomplished and rapidly at the median glossoepiglottic fold[2]. It provide a safe and efficient approach to the oropharynx and hypopharynx, and provides an excellent cure rate, normal speech, good cosmesis, and swallowing without clinical evidence of aspiration. Though lateral pharyngotomy is more popular based on the idea that it provides excellent exposure, the suprahyoid approach provides excellent exposure through a more direct route with less work involved[1]

Methods

Discussion

Conclusion