Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model
Introduction Lateral pharyngotomy (LP) is a surgical procedure that allows exposure to tumors of the pharynx and supraglottic larynx. This study was undertaken to: (1) propose a classification system of LP used in exposing various sites of the oropharynx, supraglottis, and hypopharynx. (2) Describe...
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| Autor*in: |
Shires, Courtney [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2017 |
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| Schlagwörter: |
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| Anmerkung: |
© Springer-Verlag France 2017 |
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| Übergeordnetes Werk: |
Enthalten in: Surgical and radiologic anatomy - Paris : Springer France, 1978, 39(2017), 9 vom: 27. Feb., Seite 975-979 |
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| Übergeordnetes Werk: |
volume:39 ; year:2017 ; number:9 ; day:27 ; month:02 ; pages:975-979 |
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| DOI / URN: |
10.1007/s00276-017-1827-x |
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SPR003568512 |
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| 520 | |a Introduction Lateral pharyngotomy (LP) is a surgical procedure that allows exposure to tumors of the pharynx and supraglottic larynx. This study was undertaken to: (1) propose a classification system of LP used in exposing various sites of the oropharynx, supraglottis, and hypopharynx. (2) Describe the structures visible with each category of LP. Materials and methods Five tissue-fixed human cadavers from our gross anatomy laboratory were dissected in a manner similar to surgical lateral pharyngotomy. After exposure of the neurovascular structures of the anterior compartment of the neck and laryngeal framework, traditional pharyngotomy was performed with entry between the hypoglossal nerve cephalically and the superior laryngeal nerve caudally (traditional LP). Progressively increased exposure was created by division of adjacent structures. The ability to visualize certain structures (epiglottis, ipsilateral and contralateral base of tongue, postcricoid area, arytenoids, uvula, soft palate, and vallecula) through the pharyngotomy was recorded. Results The epiglottis and ipsilateral tongue base were visible via the traditional or Type I LP. Type II, III, and IV LP provided exposure to increasingly remote sites of the pharynx and supraglottic larynx. The additional exposure provided by each type of LP was consistent across all five cadaver specimens. Conclusion Our system catalogs the additional exposure of both cephalic and caudal tumor sites associated with division of adjacent structures. This anatomic study illustrates and systematizes the structures requiring division to provide access to a given tumor location. | ||
| 650 | 4 | |a Lateral pharyngotomy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Otolaryngology |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Head and neck cancer |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Head and neck surgery |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Smith, Aaron |4 aut | |
| 700 | 1 | |a Lee, Jenn |4 aut | |
| 700 | 1 | |a Boughter, John |4 aut | |
| 700 | 1 | |a Sebelik, Merry |4 aut | |
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10.1007/s00276-017-1827-x doi (DE-627)SPR003568512 (SPR)s00276-017-1827-x-e DE-627 ger DE-627 rakwb eng Shires, Courtney verfasserin aut Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag France 2017 Introduction Lateral pharyngotomy (LP) is a surgical procedure that allows exposure to tumors of the pharynx and supraglottic larynx. This study was undertaken to: (1) propose a classification system of LP used in exposing various sites of the oropharynx, supraglottis, and hypopharynx. (2) Describe the structures visible with each category of LP. Materials and methods Five tissue-fixed human cadavers from our gross anatomy laboratory were dissected in a manner similar to surgical lateral pharyngotomy. After exposure of the neurovascular structures of the anterior compartment of the neck and laryngeal framework, traditional pharyngotomy was performed with entry between the hypoglossal nerve cephalically and the superior laryngeal nerve caudally (traditional LP). Progressively increased exposure was created by division of adjacent structures. The ability to visualize certain structures (epiglottis, ipsilateral and contralateral base of tongue, postcricoid area, arytenoids, uvula, soft palate, and vallecula) through the pharyngotomy was recorded. Results The epiglottis and ipsilateral tongue base were visible via the traditional or Type I LP. Type II, III, and IV LP provided exposure to increasingly remote sites of the pharynx and supraglottic larynx. The additional exposure provided by each type of LP was consistent across all five cadaver specimens. Conclusion Our system catalogs the additional exposure of both cephalic and caudal tumor sites associated with division of adjacent structures. This anatomic study illustrates and systematizes the structures requiring division to provide access to a given tumor location. Lateral pharyngotomy (dpeaa)DE-He213 Otolaryngology (dpeaa)DE-He213 Head and neck cancer (dpeaa)DE-He213 Head and neck surgery (dpeaa)DE-He213 Smith, Aaron aut Lee, Jenn aut Boughter, John aut Sebelik, Merry aut Enthalten in Surgical and radiologic anatomy Paris : Springer France, 1978 39(2017), 9 vom: 27. Feb., Seite 975-979 (DE-627)254237002 (DE-600)1461974-X 1279-8517 nnns volume:39 year:2017 number:9 day:27 month:02 pages:975-979 https://dx.doi.org/10.1007/s00276-017-1827-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 39 2017 9 27 02 975-979 |
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10.1007/s00276-017-1827-x doi (DE-627)SPR003568512 (SPR)s00276-017-1827-x-e DE-627 ger DE-627 rakwb eng Shires, Courtney verfasserin aut Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag France 2017 Introduction Lateral pharyngotomy (LP) is a surgical procedure that allows exposure to tumors of the pharynx and supraglottic larynx. This study was undertaken to: (1) propose a classification system of LP used in exposing various sites of the oropharynx, supraglottis, and hypopharynx. (2) Describe the structures visible with each category of LP. Materials and methods Five tissue-fixed human cadavers from our gross anatomy laboratory were dissected in a manner similar to surgical lateral pharyngotomy. After exposure of the neurovascular structures of the anterior compartment of the neck and laryngeal framework, traditional pharyngotomy was performed with entry between the hypoglossal nerve cephalically and the superior laryngeal nerve caudally (traditional LP). Progressively increased exposure was created by division of adjacent structures. The ability to visualize certain structures (epiglottis, ipsilateral and contralateral base of tongue, postcricoid area, arytenoids, uvula, soft palate, and vallecula) through the pharyngotomy was recorded. Results The epiglottis and ipsilateral tongue base were visible via the traditional or Type I LP. Type II, III, and IV LP provided exposure to increasingly remote sites of the pharynx and supraglottic larynx. The additional exposure provided by each type of LP was consistent across all five cadaver specimens. Conclusion Our system catalogs the additional exposure of both cephalic and caudal tumor sites associated with division of adjacent structures. This anatomic study illustrates and systematizes the structures requiring division to provide access to a given tumor location. Lateral pharyngotomy (dpeaa)DE-He213 Otolaryngology (dpeaa)DE-He213 Head and neck cancer (dpeaa)DE-He213 Head and neck surgery (dpeaa)DE-He213 Smith, Aaron aut Lee, Jenn aut Boughter, John aut Sebelik, Merry aut Enthalten in Surgical and radiologic anatomy Paris : Springer France, 1978 39(2017), 9 vom: 27. Feb., Seite 975-979 (DE-627)254237002 (DE-600)1461974-X 1279-8517 nnns volume:39 year:2017 number:9 day:27 month:02 pages:975-979 https://dx.doi.org/10.1007/s00276-017-1827-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 39 2017 9 27 02 975-979 |
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10.1007/s00276-017-1827-x doi (DE-627)SPR003568512 (SPR)s00276-017-1827-x-e DE-627 ger DE-627 rakwb eng Shires, Courtney verfasserin aut Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag France 2017 Introduction Lateral pharyngotomy (LP) is a surgical procedure that allows exposure to tumors of the pharynx and supraglottic larynx. This study was undertaken to: (1) propose a classification system of LP used in exposing various sites of the oropharynx, supraglottis, and hypopharynx. (2) Describe the structures visible with each category of LP. Materials and methods Five tissue-fixed human cadavers from our gross anatomy laboratory were dissected in a manner similar to surgical lateral pharyngotomy. After exposure of the neurovascular structures of the anterior compartment of the neck and laryngeal framework, traditional pharyngotomy was performed with entry between the hypoglossal nerve cephalically and the superior laryngeal nerve caudally (traditional LP). Progressively increased exposure was created by division of adjacent structures. The ability to visualize certain structures (epiglottis, ipsilateral and contralateral base of tongue, postcricoid area, arytenoids, uvula, soft palate, and vallecula) through the pharyngotomy was recorded. Results The epiglottis and ipsilateral tongue base were visible via the traditional or Type I LP. Type II, III, and IV LP provided exposure to increasingly remote sites of the pharynx and supraglottic larynx. The additional exposure provided by each type of LP was consistent across all five cadaver specimens. Conclusion Our system catalogs the additional exposure of both cephalic and caudal tumor sites associated with division of adjacent structures. This anatomic study illustrates and systematizes the structures requiring division to provide access to a given tumor location. Lateral pharyngotomy (dpeaa)DE-He213 Otolaryngology (dpeaa)DE-He213 Head and neck cancer (dpeaa)DE-He213 Head and neck surgery (dpeaa)DE-He213 Smith, Aaron aut Lee, Jenn aut Boughter, John aut Sebelik, Merry aut Enthalten in Surgical and radiologic anatomy Paris : Springer France, 1978 39(2017), 9 vom: 27. Feb., Seite 975-979 (DE-627)254237002 (DE-600)1461974-X 1279-8517 nnns volume:39 year:2017 number:9 day:27 month:02 pages:975-979 https://dx.doi.org/10.1007/s00276-017-1827-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 39 2017 9 27 02 975-979 |
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10.1007/s00276-017-1827-x doi (DE-627)SPR003568512 (SPR)s00276-017-1827-x-e DE-627 ger DE-627 rakwb eng Shires, Courtney verfasserin aut Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag France 2017 Introduction Lateral pharyngotomy (LP) is a surgical procedure that allows exposure to tumors of the pharynx and supraglottic larynx. This study was undertaken to: (1) propose a classification system of LP used in exposing various sites of the oropharynx, supraglottis, and hypopharynx. (2) Describe the structures visible with each category of LP. Materials and methods Five tissue-fixed human cadavers from our gross anatomy laboratory were dissected in a manner similar to surgical lateral pharyngotomy. After exposure of the neurovascular structures of the anterior compartment of the neck and laryngeal framework, traditional pharyngotomy was performed with entry between the hypoglossal nerve cephalically and the superior laryngeal nerve caudally (traditional LP). Progressively increased exposure was created by division of adjacent structures. The ability to visualize certain structures (epiglottis, ipsilateral and contralateral base of tongue, postcricoid area, arytenoids, uvula, soft palate, and vallecula) through the pharyngotomy was recorded. Results The epiglottis and ipsilateral tongue base were visible via the traditional or Type I LP. Type II, III, and IV LP provided exposure to increasingly remote sites of the pharynx and supraglottic larynx. The additional exposure provided by each type of LP was consistent across all five cadaver specimens. Conclusion Our system catalogs the additional exposure of both cephalic and caudal tumor sites associated with division of adjacent structures. This anatomic study illustrates and systematizes the structures requiring division to provide access to a given tumor location. Lateral pharyngotomy (dpeaa)DE-He213 Otolaryngology (dpeaa)DE-He213 Head and neck cancer (dpeaa)DE-He213 Head and neck surgery (dpeaa)DE-He213 Smith, Aaron aut Lee, Jenn aut Boughter, John aut Sebelik, Merry aut Enthalten in Surgical and radiologic anatomy Paris : Springer France, 1978 39(2017), 9 vom: 27. Feb., Seite 975-979 (DE-627)254237002 (DE-600)1461974-X 1279-8517 nnns volume:39 year:2017 number:9 day:27 month:02 pages:975-979 https://dx.doi.org/10.1007/s00276-017-1827-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 39 2017 9 27 02 975-979 |
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10.1007/s00276-017-1827-x doi (DE-627)SPR003568512 (SPR)s00276-017-1827-x-e DE-627 ger DE-627 rakwb eng Shires, Courtney verfasserin aut Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag France 2017 Introduction Lateral pharyngotomy (LP) is a surgical procedure that allows exposure to tumors of the pharynx and supraglottic larynx. This study was undertaken to: (1) propose a classification system of LP used in exposing various sites of the oropharynx, supraglottis, and hypopharynx. (2) Describe the structures visible with each category of LP. Materials and methods Five tissue-fixed human cadavers from our gross anatomy laboratory were dissected in a manner similar to surgical lateral pharyngotomy. After exposure of the neurovascular structures of the anterior compartment of the neck and laryngeal framework, traditional pharyngotomy was performed with entry between the hypoglossal nerve cephalically and the superior laryngeal nerve caudally (traditional LP). Progressively increased exposure was created by division of adjacent structures. The ability to visualize certain structures (epiglottis, ipsilateral and contralateral base of tongue, postcricoid area, arytenoids, uvula, soft palate, and vallecula) through the pharyngotomy was recorded. Results The epiglottis and ipsilateral tongue base were visible via the traditional or Type I LP. Type II, III, and IV LP provided exposure to increasingly remote sites of the pharynx and supraglottic larynx. The additional exposure provided by each type of LP was consistent across all five cadaver specimens. Conclusion Our system catalogs the additional exposure of both cephalic and caudal tumor sites associated with division of adjacent structures. This anatomic study illustrates and systematizes the structures requiring division to provide access to a given tumor location. Lateral pharyngotomy (dpeaa)DE-He213 Otolaryngology (dpeaa)DE-He213 Head and neck cancer (dpeaa)DE-He213 Head and neck surgery (dpeaa)DE-He213 Smith, Aaron aut Lee, Jenn aut Boughter, John aut Sebelik, Merry aut Enthalten in Surgical and radiologic anatomy Paris : Springer France, 1978 39(2017), 9 vom: 27. Feb., Seite 975-979 (DE-627)254237002 (DE-600)1461974-X 1279-8517 nnns volume:39 year:2017 number:9 day:27 month:02 pages:975-979 https://dx.doi.org/10.1007/s00276-017-1827-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4277 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 39 2017 9 27 02 975-979 |
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Shires, Courtney @@aut@@ Smith, Aaron @@aut@@ Lee, Jenn @@aut@@ Boughter, John @@aut@@ Sebelik, Merry @@aut@@ |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR003568512</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519202934.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201001s2017 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s00276-017-1827-x</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR003568512</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s00276-017-1827-x-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Shires, Courtney</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2017</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© Springer-Verlag France 2017</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Introduction Lateral pharyngotomy (LP) is a surgical procedure that allows exposure to tumors of the pharynx and supraglottic larynx. This study was undertaken to: (1) propose a classification system of LP used in exposing various sites of the oropharynx, supraglottis, and hypopharynx. (2) Describe the structures visible with each category of LP. Materials and methods Five tissue-fixed human cadavers from our gross anatomy laboratory were dissected in a manner similar to surgical lateral pharyngotomy. After exposure of the neurovascular structures of the anterior compartment of the neck and laryngeal framework, traditional pharyngotomy was performed with entry between the hypoglossal nerve cephalically and the superior laryngeal nerve caudally (traditional LP). Progressively increased exposure was created by division of adjacent structures. The ability to visualize certain structures (epiglottis, ipsilateral and contralateral base of tongue, postcricoid area, arytenoids, uvula, soft palate, and vallecula) through the pharyngotomy was recorded. Results The epiglottis and ipsilateral tongue base were visible via the traditional or Type I LP. Type II, III, and IV LP provided exposure to increasingly remote sites of the pharynx and supraglottic larynx. The additional exposure provided by each type of LP was consistent across all five cadaver specimens. Conclusion Our system catalogs the additional exposure of both cephalic and caudal tumor sites associated with division of adjacent structures. 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Shires, Courtney |
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Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model Lateral pharyngotomy (dpeaa)DE-He213 Otolaryngology (dpeaa)DE-He213 Head and neck cancer (dpeaa)DE-He213 Head and neck surgery (dpeaa)DE-He213 |
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Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model |
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Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model |
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Shires, Courtney |
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Surgical and radiologic anatomy |
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Shires, Courtney Smith, Aaron Lee, Jenn Boughter, John Sebelik, Merry |
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classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model |
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Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model |
| abstract |
Introduction Lateral pharyngotomy (LP) is a surgical procedure that allows exposure to tumors of the pharynx and supraglottic larynx. This study was undertaken to: (1) propose a classification system of LP used in exposing various sites of the oropharynx, supraglottis, and hypopharynx. (2) Describe the structures visible with each category of LP. Materials and methods Five tissue-fixed human cadavers from our gross anatomy laboratory were dissected in a manner similar to surgical lateral pharyngotomy. After exposure of the neurovascular structures of the anterior compartment of the neck and laryngeal framework, traditional pharyngotomy was performed with entry between the hypoglossal nerve cephalically and the superior laryngeal nerve caudally (traditional LP). Progressively increased exposure was created by division of adjacent structures. The ability to visualize certain structures (epiglottis, ipsilateral and contralateral base of tongue, postcricoid area, arytenoids, uvula, soft palate, and vallecula) through the pharyngotomy was recorded. Results The epiglottis and ipsilateral tongue base were visible via the traditional or Type I LP. Type II, III, and IV LP provided exposure to increasingly remote sites of the pharynx and supraglottic larynx. The additional exposure provided by each type of LP was consistent across all five cadaver specimens. Conclusion Our system catalogs the additional exposure of both cephalic and caudal tumor sites associated with division of adjacent structures. This anatomic study illustrates and systematizes the structures requiring division to provide access to a given tumor location. © Springer-Verlag France 2017 |
| abstractGer |
Introduction Lateral pharyngotomy (LP) is a surgical procedure that allows exposure to tumors of the pharynx and supraglottic larynx. This study was undertaken to: (1) propose a classification system of LP used in exposing various sites of the oropharynx, supraglottis, and hypopharynx. (2) Describe the structures visible with each category of LP. Materials and methods Five tissue-fixed human cadavers from our gross anatomy laboratory were dissected in a manner similar to surgical lateral pharyngotomy. After exposure of the neurovascular structures of the anterior compartment of the neck and laryngeal framework, traditional pharyngotomy was performed with entry between the hypoglossal nerve cephalically and the superior laryngeal nerve caudally (traditional LP). Progressively increased exposure was created by division of adjacent structures. The ability to visualize certain structures (epiglottis, ipsilateral and contralateral base of tongue, postcricoid area, arytenoids, uvula, soft palate, and vallecula) through the pharyngotomy was recorded. Results The epiglottis and ipsilateral tongue base were visible via the traditional or Type I LP. Type II, III, and IV LP provided exposure to increasingly remote sites of the pharynx and supraglottic larynx. The additional exposure provided by each type of LP was consistent across all five cadaver specimens. Conclusion Our system catalogs the additional exposure of both cephalic and caudal tumor sites associated with division of adjacent structures. This anatomic study illustrates and systematizes the structures requiring division to provide access to a given tumor location. © Springer-Verlag France 2017 |
| abstract_unstemmed |
Introduction Lateral pharyngotomy (LP) is a surgical procedure that allows exposure to tumors of the pharynx and supraglottic larynx. This study was undertaken to: (1) propose a classification system of LP used in exposing various sites of the oropharynx, supraglottis, and hypopharynx. (2) Describe the structures visible with each category of LP. Materials and methods Five tissue-fixed human cadavers from our gross anatomy laboratory were dissected in a manner similar to surgical lateral pharyngotomy. After exposure of the neurovascular structures of the anterior compartment of the neck and laryngeal framework, traditional pharyngotomy was performed with entry between the hypoglossal nerve cephalically and the superior laryngeal nerve caudally (traditional LP). Progressively increased exposure was created by division of adjacent structures. The ability to visualize certain structures (epiglottis, ipsilateral and contralateral base of tongue, postcricoid area, arytenoids, uvula, soft palate, and vallecula) through the pharyngotomy was recorded. Results The epiglottis and ipsilateral tongue base were visible via the traditional or Type I LP. Type II, III, and IV LP provided exposure to increasingly remote sites of the pharynx and supraglottic larynx. The additional exposure provided by each type of LP was consistent across all five cadaver specimens. Conclusion Our system catalogs the additional exposure of both cephalic and caudal tumor sites associated with division of adjacent structures. This anatomic study illustrates and systematizes the structures requiring division to provide access to a given tumor location. © Springer-Verlag France 2017 |
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Classification system for lateral pharyngotomy: systematic study of anatomic exposure in a human cadaver model |
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Smith, Aaron Lee, Jenn Boughter, John Sebelik, Merry |
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| score |
7.397897 |