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[Lateral thyrotomy approach on the paraglottic space disease]
1Department of Otorhinolaryngology, Affiliated Eye Ear Nose Throat Hospital, Fudan University, Shanghai 200031.
Lin Chuang Er Bi Yan Hou Ke Za Zhi = Journal of Clinical Otorhinolaryngology
|March 17, 2004
Summary
The lateral thyrotomy approach offers a feasible and effective method for paraglottic space operations, including cyst resection and foreign body removal. This technique ensures minimal trauma and good functional recovery for laryngeal lesions.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Laryngeal Surgery
Context:
- The paraglottic space is a critical anatomical region within the larynx.
- Benign lesions and foreign bodies in this space present surgical challenges.
- Minimally invasive approaches are sought for laryngeal operations.
Purpose:
- To evaluate the feasibility and efficacy of the lateral thyrotomy approach for paraglottic space surgery.
- To compare the outcomes of lateral thyrotomy with other surgical methods for laryngeal lesions.
- To assess the functional recovery and complication rates associated with this surgical technique.
Summary:
- The study involved five cases of laryngeal mucocele and one case of a laryngeal trauma foreign body in the paraglottic space.
- A U-shaped lateral thyrotomy approach was used for mucocele resection, and a vertical thyroid lamina split for foreign body removal.
- Successful resection and removal were achieved in all cases, with good functional outcomes and no recurrence at one year for most mucoceles.
Impact:
- The lateral thyrotomy approach provides clear visualization and easy removal of paraglottic space lesions with minimal trauma.
- This technique preserves laryngeal framework integrity and avoids postoperative mucosal complications.
- It represents an effective surgical option for benign lesions located in the paraglottic space.