Lateral cervical approach for open laryngeal surgery: Technical notes

Giuseppe Spriano, Giuseppe Mercante, Andrea Anelli, Giovanni Cristalli, Fabio Ferreli

Research output: Contribution to journalArticle

Abstract

Background: Transoral minimally invasive techniques for laryngeal cancer have been proposed to preserve healthy tissues. The aim of this study was to describe a minimally invasive procedure for all laryngectomies with/without neck dissection using a lateral cervical approach. Methods: A monolateral or bilateral neck incision at the level of the anterior border of the sterno-cleido-mastoid muscle is performed in accordance with the side of the neck dissection. The harvesting of an anterior myocutaneous (AMC) cervical flap, including skin, platysma, fascia superficialis, anterior jugular veins, homohyoid and sternohyoid muscles is performed. A neck dissection is executed through the same skin incision. Contraindication is represented by extralaryngeal spread with the involvement of the strap muscles. Supra-hyoid, sternohyoid, and homohyoid muscles and hyoid bone are preserved. Conclusion: Open partial/total laryngectomies through a lateral cervical approach are feasible and safe. This surgical access with an AMS cervical flap allows to simultaneously perform neck dissections and the removal of the entire laryngeal specimen.

Original languageEnglish
JournalHead and Neck
DOIs
Publication statusAccepted/In press - Jan 1 2018

Keywords

  • laryngeal cancer
  • laryngectomy
  • lateral cervical approach
  • minimally invasive surgery

ASJC Scopus subject areas

  • Otorhinolaryngology

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