The choice of a surgical approach to the pharynx depends upon the location and size of the lesion under consideration. If primarily located in the oropharynx, a direct transoral approach is usually adequate. The nasopharynx may also be reached through an intraoral approach with or without a softpalate-splitting incision or removal of part of the posterior bony palate.1 If this is not adequate, a lateral pharyngotomy with or without a transection at about the angle of the mandible2 may yield a good exposure of the nasopharynx. In certain instances a transantral approach through a Caldwell-Luc or Weber-Fergusson incision may be elected. The hypopharynx may be reached by suspension laryngoscopy or through an anterior3 or lateral pharyngotomy exposure. Very extensive lesions in these areas, especially those that require complete extirpation with a maximum of safety, challenge the effectiveness of any of these surgical approaches. A situation of this
PERZIK SL, RUBIN HJ, SCHORR R. Excision of Obstructing Retropharyngeal Tumor in an Infant: Excision by Sagittal Jaw-Splitting Approach. AMA Arch Surg. 1959;78(3):503–506. doi:10.1001/archsurg.1959.04320030147026
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