The Trotter procedure: a forgotten approach?
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Updated: Apr 28, 2026

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Published on: June 8, 2018
Neil Scott1, Robert Sudderick2, Michael Bater3
1Department of Oral and Maxillofacial Surgery, Morriston Hospital, Swansea, UK neil.scott@icloud.com.
Abstract:
Anatomically, the surgical management of tongue base lesions is a challenging prospect for any head and neck surgeon. William Trotter described a median labio-mandibular glossotomy for access to such lesions (Meis JM, Enzinger FM. Myolipoma of soft tissue. Am J Surg Pathol 1991;15:121-5). Not widely reported, this approach still remains an important tool in the armamentarium of head and neck surgeons. We outline the use of this approach to remove a myolipoma from the tongue base.
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