4 blades were used with both head positions, but at no time could either the epiglottis or the vallecula
Clinically, almost all of the internally opening branchial cysts are derived from the second branchial cleft, and their ducts enter the lower portion of the lateral wall of the tonsillar fossa or the adjacent vallecula
A Coblation wand was used to completely ablate the lingual tonsil tissue from the vallecula
and to achieve hemostasis (figure 3).
A modified barium-swallow examination revealed a large, lucent mass extending over the midline and involving the right vallecula
and epiglottis, although there was still adequate passage of the bolus around the mass (figure 3).
1,2) Common sites of impaction are the lower tonsillar pole, base of the tongue, vallecula
, and cervical esophagus.
They are most commonly located in the vallecula
and are smaller than 1 cm.
Coins, fish bones, and toy parts can become impacted in the palatine tonsils, base of the tongue, pyriform fossa, vallecula
, or at the classic points of narrowing in the esophagus.
Examination revealed a substantial left tonsillar enlargement that extended to the vallecula
The tonsils, left side of the tongue base, vallecula
, and endolarynx were normal.
Physical examination revealed that alarge mass had arisen from the right side of the base of the tongue; the mass crossed the midline and extended to the vallecula
On examination with a Jackson laryngoscope, there were no mucosal abnormalities, but a generalized fullness of the left piriform sinus and vallecula
was observed, as well as some fullness of the lingual tonsils and faucial pillars.
The removal of lesions of the tongue and vallecula
can be achieved via different surgical approaches, including transpharyngeal, transmandibular, and transoral routes.
Which of the following statements regarding the surgical approaches used in removing lesions of the tongue and vallecula
is true, according to Leu and Ho in this issue's Special Topics Clinic?