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January 1960

The Lateral Approach to the Larynx and Hypopharynx

Author Affiliations

New York; Elizabeth, N.J.

AMA Arch Otolaryngol. 1960;71(1):8-15. doi:10.1001/archotol.1960.03770010012002

Relatively little is mentioned in our journals, especially in the current literature, about the lateral approach to the larynx and hypopharynx. It is to point out the possibilities and advantages of this access to the larynx that I attempt to recall the procedure to you and illustrate its application.

In the second and third decades of this century, Trotter of England demonstrated this approach in operations for tumors of the hypopharynx, pyriform sinus, and epiglottis. In this country, Henry Orton of Newark, N.J., adopted this approach in similar cases. It cannot be said that he popularized the procedure in this country because, if the literature is a barometer of the use and approval of the operation, it is not widely employed.

In recent years the impetus for this access to the larynx seemed to come from Alonso of Montevideo, Uruguay. He has advanced the so-called vertical and horizontal lateral approaches