Atlas of Head and Neck Surgery E-Book by James I. Cohen MD PhD FACS Gary L. Clayman MD DMD FACS

Author:James I. Cohen, MD, PhD, FACS, Gary L. Clayman, MD, DMD, FACS [Cohen, MD, PhD, FACS, James I.; Clayman, MD, DMD, FACS, Gary L.]
Language: eng
Format: epub
ISBN: 978-1-4557-2847-3
Publisher: A Saunders Title
Published: 2011-03-26T16:00:00+00:00

FIGURE 35-8 Starting laterally, the first of the pexy sutures is demonstrated, which will affect the remnant laryngeal framework with the retained hyoid bone and surrounding soft tissues.

The median suture is performed between the hyoid and the lower edge of thyroid cartilage. The lateral sutures are performed between the hyoid and edges of thyroid cartilage (small holes in thyroid may help needle passage). RMarchese-Ragona

If the hyoid bone has been removed, deep muscle suture placement is suggested in the tongue base.

The sutures are positioned at a distance of about 1.5 cm from each other, beginning from the central one, corresponding at the commissural vertical line (Figure 35-9). Pharyngeal suture placement is not necessary.

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