The surgical plane for lingual tonsillectomy: an anatomic study
Tóm tắt
The presence of a plane between the lingual tonsils and the underlying soft tissue has not been confirmed. The objective of this study is to ascertain the presence and the characteristics about this plane for surgical use. Five cadaver heads were obtained for dissection of the lingual tonsils. Six permanent sections of previous tongue base biopsies were reviewed. Robot assisted lingual tonsillectomy was performed using the dissection technique from the cadaver dissection. In each of the 5 cadavers, an avascular plane was revealed deep to the lingual tonsils. Microscopic review of the tongue base biopsies revealed a clear demarcation between the lingual tonsils and the underlying minor salivary glands and muscle tissue. This area was relatively avascular. Using the technique described above, a lingual tonsillectomy using TORS was performed with similar findings from the cadaver dissections. A surgical plane for lingual tonsillectomy exists and may prove to have a role with lingual tonsillectomy with TORS.
Tài liệu tham khảo
Lin AC, Koltai PJ. Persistent pediatric obstructive sleep apnea and lingual tonsillectomy. Otolaryngol Head Neck Surg. 2009;141:81–5.
Mehta V et al. A new paradigm for the diagnosis and management of unknown primary tumors of the head and neck: A role for transoral robotic surgery. Laryngoscope. 2013;123:146–51.
Forastiere AA et al. HPV-associated head and neck cancer: a virus-related cancer epidemic. Lancet Oncol. 2010;11:781–9.
Nagel TH et al. Transoral laser microsurgery for the unknown primary: Role for lingual tonsillectomy. Head Neck. 2014;36(7):942–6.
Dundar A et al. Lingual tonsil hypertrophy producing obstructive sleep apnea. Laryngoscope. 1996;106:1167–9.
Abdel-Aziz M et al. Lingual tonsils hypertrophy; a cause of obstructive sleep apnea in children adenotonsillectomy: Operative problems and management. Int J Pediatr Otorhinolaryngol. 2011;75:1127–31.
Robinson S et al. Lingual tonsillectomy using bipolar radiofrequency plasma excision. Otolaryngol Head Neck Surg. 2006;134:328–30.
Bower CM. Lingual tonsillectomy. Oper Tech Otolaryngol. 2005;16:238–41.
Kluszynski BA, Matt BH. Lingual tonsillectomy in a child with obstructive sleep apnea: a novel technique. Laryngoscope. 2006;116:668–9.
Joseph M, Reardon E, Goodman M. Lingual tonsillectomy: A treatment for inflammatory lesions of the lingual tonsil. Laryngoscope. 1984;94:179–84.
Cohen HB. The lingual tonsils: General considerations and its neglect. Laryngoscope. 1917;27:691–700.
Waugh JM. Lingual quinsy. Trans Am Acad Ophthalmol Otolaryngol. 1923;89:726–31.
Hoover WB. The treatment of the lingual tonsil and lateral pharyngeal bands of lymphoid tissue. Surg Clin North Am. 1934;14:1257–69.
Elfman LK. Lingual tonsils. Laryngoscope. 1949;59:1016–25.