Enlarged approach to the anterior cervical spine

G. Succo, A. Solini, E. Crosetti, G. Gargiulo, A. Sartoris

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

In this report a new enlarged approach to the anterior cervical spine is presented. A 66-year-old female, having a large C3-C4-C5 chordoma, recurrent after surgery and following radiotherapy, underwent a surgical resection. The approach allows a wide retraction of the nasopharynx, oropharynx and larynx from the midline, only sacrificing the superior laryngeal nerve on one side. Its continuty can be re-established later by adopting the stent in tube technique. The approach we used presents all the risks of infection common in trans-oral approaches. For this reason, closure of the pharynx in two layers must be meticulous and watertight and re-inforced by using a myofascial sternocleidomastoid flap, according to the trachoesophageal fistula closure technique. A correct alignment of the tongue, the pre-plating of the mandible and the correct suture of the vermillion border guarantee excellent cosmetic and functional results.

Original languageEnglish
Pages (from-to)994-997
Number of pages4
JournalJournal of Laryngology and Otology
Volume115
Issue number12
DOIs
Publication statusPublished - 2001

Fingerprint

Laryngeal Nerves
Chordoma
Oropharynx
Nasopharynx
Larynx
Pharynx
Mandible
Tongue
Cosmetics
Sutures
Fistula
Stents
Spine
Radiotherapy
Infection

Keywords

  • Cervical Vertebrae
  • Surgical Procedures, Operative

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Enlarged approach to the anterior cervical spine. / Succo, G.; Solini, A.; Crosetti, E.; Gargiulo, G.; Sartoris, A.

In: Journal of Laryngology and Otology, Vol. 115, No. 12, 2001, p. 994-997.

Research output: Contribution to journalArticle

Succo, G. ; Solini, A. ; Crosetti, E. ; Gargiulo, G. ; Sartoris, A. / Enlarged approach to the anterior cervical spine. In: Journal of Laryngology and Otology. 2001 ; Vol. 115, No. 12. pp. 994-997.
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