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Surgical approach to submucosal lesions of the supraglottic larynx: the supero-lateral thyrotomy

  • John S. Rubin (a1) and Carl E. Silver (a2)

The surgical approach to the hypopharynx by lateral pharyngotomy as described by Trotter has found widespread use in management of supraglottic carcinoma. A similar but more conservative approach may be employed for removal of cysts and benign or well-encapsulated neoplasms of the epiglottis and supraglottic space. We call this approach a supero-lateral thyrotomy, to differentiate it from the classic lateral pharyngotomy.

Surgery consists of subperichondrial resection of the superior half of the ipsilateral thyroid cartilage with preservation of internal lining and superior laryngeal nerve. The lesion may then be enucleated or resected, and the defect, if any exists, closed with overlying mucosa and the flap of preserved perichondrium. The technique has been employed in cases of paraganglioma, haemangiopericytoma and saccular cysts.

Corresponding author
Dr John S. Rubin, M.D., Department of Otorhinolaryngology, Montefiore Medical Center, 111 East 210th Street, Bronx, New York, USA.
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This paper was presented at the Eastern and Canadian Regional meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Boston, USA on 12 January 1991.

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
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