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Related Concept Videos

Body Planes01:06

Body Planes

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Body planes in anatomy are imaginary flat surfaces used as reference points to divide the body into sections for anatomical study. These planes are essential for understanding the orientation, relationships, and spatial organization of anatomical structures.
The sagittal plane is the plane that divides the body or an organ vertically into right and left sides. If this vertical plane runs directly down the middle of the body resulting in equal division, it is called the midsagittal or median...
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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
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The surgical plane for lingual tonsillectomy: an anatomic study.

Eugene L Son1, Michael P Underbrink2, Suimin Qiu3

  • 1Department of Otolaryngology - Head and Neck Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX, 77555, USA. eson85@gmail.com.

Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'Oto-Rhino-Laryngologie Et De Chirurgie Cervico-Faciale
|April 6, 2016
PubMed
Summary
This summary is machine-generated.

Researchers confirmed a surgical plane deep to the lingual tonsils. This avascular plane, identified in cadavers and biopsies, is crucial for lingual tonsillectomy with robotic assistance (TORS).

Keywords:
Lingual tonsilLingual tonsillectomySurgical planeTransoral robotic surgery

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Area of Science:

  • Otolaryngology
  • Surgical Anatomy

Background:

  • The surgical plane deep to lingual tonsils remains unconfirmed.
  • Understanding this plane is critical for lingual tonsillectomy procedures.

Purpose of the Study:

  • To confirm the existence and characteristics of a surgical plane between lingual tonsils and underlying tissues.
  • To evaluate its utility in surgical applications, particularly transoral robotic surgery (TORS).

Main Methods:

  • Dissection of lingual tonsils in five cadaver heads.
  • Microscopic review of six tongue base biopsy sections.
  • Performance of robot-assisted lingual tonsillectomy using a cadaver dissection technique.

Main Results:

  • An avascular surgical plane was consistently identified deep to the lingual tonsils in all cadavers.
  • Biopsy analysis revealed a distinct demarcation between lingual tonsils and underlying minor salivary glands/muscle.
  • The identified plane was relatively avascular, facilitating dissection.
  • Transoral robotic surgery (TORS) lingual tonsillectomy confirmed these anatomical findings.

Conclusions:

  • A distinct surgical plane for lingual tonsillectomy has been confirmed.
  • This plane offers a viable and potentially safer approach for lingual tonsillectomy, especially with TORS.