Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 4 Issue 1

Suprahyoid Pharyngotomy - A Safe and Complete Approach for Management of Oropharyngeal, Hypopharyngeal and Supraglottic Benign Lesions

R Indudharan1 and Ciju K George2*

1Consultant ENT Head Neck Surgeon, Mother Hospital Thrissur, Kerala, India 2Specialist Head and Neck Surgical Oncology , Baby Memorial Hospital, Calicut, Kerala, India

*Corresponding Author: Ciju K George, Specialist Head and Neck Surgical Oncology , Baby Memorial Hospital, Calicut, Kerala, India.

Received: November 25, 2021; Published: December 22, 2021


Introduction: Oro-hypopharyngeal and supraglottic lesions constitute large bulk of diseases producing dysphasia, Obstructive Sleep Apnea (OSA) and respiratory distress. The diverse lesion in this region constitutes lingual tonsils, lingual thyroid, dermoid, vascular malformations, vallecular cyst, laryngocoele and pharyngocoele. Majority of them are benign and is managed trans orally. As this approach has multiple limitations of positioning, exposure and field limitations, many of the surgical management become incomplete tending to recurrence. The oro-hypopharyngeal and supraglottic edema leads to severe morbidity in post-operative period. Bleeding manifestations are also difficult to control. The senior author manages the situation through a suprahyoid pharyngotomy approach. We describe five cases managed by this approach in pediatric and adult population with complete surgical removal and limited morbidity.

Methods and Materials: Five patients, who presented to our department with oro-hypopharyngeal/laryngeal lesions, are included in this report.


Keywords: Suprahyoid Pharyngotomy; Oropharyngeal; Hypopharyngeal


  1. Vaishali B., et al. “Lymphangioma of the larynx”. The Journal of Laryngology and Otology 4 (2007): 121.
  2. Sandeep Vijay and Indudharan R. “Midline Suprahyoid Approach for Oropharyngeal Lesions: A Case Report and Discussion”. The Kerala Journal of ENT Head and Neck Surgery 1 (2016): 28-30.
  3. Menon UK., et al. “Suprahyoid pharyngotomy for excision of laryngeal venous malformations”. Ear Nose Throat Journal 1 (2012): e5-7.
  4. Blassingame CD. “The suprahyoid approach to surgical lesions at the base of tongue”. Annals of Otology, Rhinology and Laryngology 61 (1952): 483-489.
  5. Myers EN and Simental AA Jr. “Cancer of the oral cavity”. Cancer of the Head and Neck (ed 4). Philadelphia, PA, Saunders (2003): 297-299.
  6. Carrau RL. “Lateral pharyngotomy, in Myers EN (ed)”. Operative Oto-laryngology-Head and Neck Surgery. Philadelphia, PA, Saunders (1997): 247-251.
  7. Johnson JT. “Mandibulotomy and oral cavity resection, in Myers EN (ed)”. Operative Otolaryngology-Head and Neck Surgery. Philadel-phia, PA, Saunders (1997): 304-308.
  8. Ferris R and Myers E. “Suprahyoid pharyngotomy”. Operative Techniques in Otolaryngology-Head and Neck Surgery 1 (2005): 49-54.
  9. Weber PC., et al. “The suprahyoid approach for squamous cell carcinoma of the base of the tongue”. Laryngoscope 102 (1992): 637-640.
  10. Moore DM and Calcaterra TC. “Cancer of the tongue base treated by a transpharyngeal approach”. Annals of Otology, Rhinology and Laryngology 99 (1990): 300-303.


Citation: R Indudharan and Ciju K George. “Suprahyoid Pharyngotomy - A Safe and Complete Approach for Management of Oropharyngeal, Hypopharyngeal and Supraglottic Benign Lesions". Acta Scientific Otolaryngology 4.1 (2022): 43-47.


Copyright: © 2022 R Indudharan and Ciju K George. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

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