This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Maj Ricardo L. Carrau, MC; Francisco Rivera Cintron, MD; Frank Astor, MD

Arch Otolaryngol Head Neck Surg. 1990;116(9):1070-1073.

Abstract
• The anterolateral and posterolateral transcervical approaches were used to expose the prevertebral space in patients with diffuse idiopathic skeletal hyperostosis. In a series of six patients, both techniques produced equally effective palliation of dysphagia without associated morbidity. Theoretically, the anterolateral approach better preserves the carotid sheath neurovascular bundle, although the risk of injuring the recurrent laryngeal nerve is greater. The posterolateral technique offers a wider exposure of the prevertebral space but requires more retraction of the carotid sheath and increases the risk of injury to the sympathetic chain. Either exposure may be used depending on the preference of the attending surgeon.

(Arch Otolaryngol Head Neck Surg. 1990;116:1070:1073)

Author Affiliations
USAF

From the Department of Surgery, Otolaryngology—Head and Neck Surgery Section, Keesler USAF Medical Center, Keesler Air Force Base, Miss (Dr Carrau); and the Department of Otolaryngology—Head and Neck Surgery, San Juan Department of Veterans Affairs Hospital, San Juan, Puerto Rico (Drs Cintron and Astor).

Footnotes
Accepted for publication May 15, 1990.

Reprint requests to Department of Surgery, Otolaryngology—Head and Neck Surgery Section, Keesler USAF Medical Center, Keesler AFB, MS 39534-5300 (Dr Carrau).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?