Haemangioma of Posterior Pharyngeal Wall
from Nasopharynx to Hypopharynx
Haemangioma of Posterior Pharyngeal Wall from Nasopharynx to Hypopharynx
Fig.1 Midline incision from hyoid to split the lip. Mandible is divided in midline after pre-plating.
Fig.2 Tongue is split it midline avascular plane. Since it is a midline split, there is no sensory or motor neurological (lingual, glossopharyngeal & hypoglossal) deficit. Because of that, there is no difficulty in swallowing and talking.
Fig.3 This approach gives exposure from clivus to C5-6. Yellow arrow – hyoid.
Fig.4 Sagittal MRI shows haemangioma extending from the roof of nasopharynx (yellow arrow) to C5 (green arrow).
Fig.5 Examination of throat revealed reddish vascular mass involving entire posterior pharyngeal wall of oropharynx and extending superiory into nasopharynx and inferiorly into hypopharynx.
Fig.6 Midline Labiomandibuloglossotomy had been done. Green arrow pointing at epiglottis.
Fig.7 Soft palate was split (yellow arrow) in midline to expose the tumout in nasopharynx. Haemangioma (yellow star) is dissected from below. Green arrow pointing at epiglottis. Complete resection done. Mucosal defect was closed primarily.
Fig.8 6 months post-op. Good occlusion and mouth opening. Posterior pharyngeal wall and soft palate healed well.
Fig.9 Same approach had been used to resect this tumour also.
The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)
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The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)