Intraoral midline mandibulotomy improves laryngeal access for transoral resection of laryngeal cancer

Alok T. Saini, Arjun K. Parasher, Jason I. Kass, Kenneth W. Altman, Brett A. Miles

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Intraoral midline mandibulotomy is a technique that can be used to increase exposure for transoral endoscopic laser microsurgery (TLS). We describe the case of a 51 year old male with persistent T1 glottic carcinoma. At initial diagnosis, he had been referred for curative radiotherapy as laryngeal access was not sufficient for TLS. For treatment of his recurrence, we describe the technique of performing a midline mandibular osteotomy to improve access to the larynx allowing for safe and effective transoral endoscopic laser microsurgery. Surgical access to the larynx was greatly improved, and we were able to perform TLS in a case that would have otherwise not been amenable to TLS. An intraoral midline mandibulotomy can improve access to the larynx and allow for successful transoral resection of laryngeal cancer in patients with otherwise inaccessible tumors.

Original languageEnglish
Pages (from-to)95-98
Number of pages4
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume37
Issue number2
DOIs
StatePublished - Mar 2016

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