Transoral excision of a retropharyngeal lymph node under rigid endoscopic control
| Autor: | Piero Nicolai, Anna Marconi, Laura Buttà, Davide Lombardi |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Video-Assisted Surgery Retropharyngeal lymph nodes Tongue Medicine Humans Retroperitoneal Space Lymph node Retropharyngeal space Endoscopes Surgical approach medicine.diagnostic_test business.industry General Medicine Surgery Endoscopy Tongue Neoplasms Radiation therapy Dissection medicine.anatomical_structure Otorhinolaryngology Carcinoma Squamous Cell Lymph Node Excision business |
| Zdroj: | The Annals of otology, rhinology, and laryngology. 119(4) |
| ISSN: | 0003-4894 |
| Popis: | Different traditional surgical approaches, such as transcervical, transparotid, and mandible-splitting procedures, have been described to expose the retropharyngeal space. The introduction of the transoral approach, in selected patients, provided a direct and adequate access to the retropharyngeal space, permitting a feasible and minimally invasive procedure to remove retropharyngeal lymph nodes. We report a case of a transoral video-assisted approach for the excision of a retropharyngeal lymph node in a young man who had previously been treated at another institution by surgery and radiotherapy for oral tongue cancer. The endoscopic magnification allowed us to perform a meticulous and relatively bloodless dissection of the lesion from the surrounding tissues with a clear identification of the anatomic structures, and therefore may represent a valid alternative to the use of a microscope or loupes to enhance vision. A clear understanding of the anatomy of the retropharyngeal space and a high degree of surgical expertise are required to perform a safe dissection of the lesion. |
| Databáze: | OpenAIRE |
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