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The Trotter procedure: a forgotten approach?
Neil Scott1, Robert Sudderick2, Michael Bater3
1Department of Oral and Maxillofacial Surgery, Morriston Hospital, Swansea, UK neil.scott@icloud.com.
Journal of Surgical Case Reports
|May 31, 2014
Summary
Surgical access to tongue base lesions is difficult. This study details using William Trotter
Area of Science:
- Head and Neck Surgery
- Surgical Oncology
- Oral Pathology
Background:
- Surgical management of tongue base lesions presents significant anatomical challenges.
- Accessing these deep-seated tumors requires specialized surgical techniques.
Purpose of the Study:
- To describe the utility of median labio-mandibular glossotomy for tongue base lesion resection.
- To report the successful removal of a tongue base myolipoma using this surgical approach.
Main Methods:
- A retrospective review of a case involving a tongue base myolipoma.
- Detailed description of the median labio-mandibular glossotomy technique for surgical access.
- Surgical excision of the myolipoma.
Main Results:
- The median labio-mandibular glossotomy provided adequate surgical exposure for lesion removal.
- Complete resection of the tongue base myolipoma was achieved.
- The patient experienced a favorable outcome post-surgery.
Conclusions:
- Median labio-mandibular glossotomy is an effective, albeit not widely reported, surgical approach for accessing tongue base lesions.
- This technique remains a valuable option for head and neck surgeons managing challenging tongue base pathologies.
- Successful myolipoma resection highlights the efficacy of this surgical method.
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