Anatomic location of the tongue base neurovascular bundle

Arthur M. Lauretano, Kasey K. Li, David S. Caradonna, Rohit K. Khosta, Marvin P. Fried

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

Knowledge of the location of the hypoglossal/lingual artery neurovascular bundle (HLNVB) is essential in performing tongue base resections for neoplasm and for obstructive sleep apnea. Transoral and transcervical resections of the tongue base may be performed with greater exposure and certainty when the relationship of the HLNVB to local landmarks is understood; knowledge of the HLNVB allows resection of a larger amount of contralateral tongue base during partial glossectomy without violating the contralateral remnant tongues blood supply. Ten cadaver heads were dissected to determine the position of the HLNVB with respect to soft tissue and bony landmarks at the tongue base. Our results indicate the position of the tongue base HLNVB is significantly inferior and lateral, that is, 2.7 cm inferior and 1.6 cm lateral to the foramen cecum, 0.9 cm superior to the hyoid bone, and 2.2 cm medial to the mandible. This inferolateral location allows the potential for aggressive tongue base resection without neurovascular compromise.

Original languageEnglish (US)
Pages (from-to)1057-1059
Number of pages3
JournalLaryngoscope
Volume107
Issue number8
DOIs
StatePublished - Aug 1997
Externally publishedYes

ASJC Scopus subject areas

  • Otorhinolaryngology

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    Lauretano, A. M., Li, K. K., Caradonna, D. S., Khosta, R. K., & Fried, M. P. (1997). Anatomic location of the tongue base neurovascular bundle. Laryngoscope, 107(8), 1057-1059. https://doi.org/10.1097/00005537-199708000-00010