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

40 Citations (Scopus)

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

Fingerprint

Tongue
Arteries
Glossectomy
Hyoid Bone
Cecum
Obstructive Sleep Apnea
Mandible
Cadaver
Head

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

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

Anatomic location of the tongue base neurovascular bundle. / Lauretano, Arthur M.; Li, Kasey K.; Caradonna, David S.; Khosta, Rohit K.; Fried, Marvin P.

In: Laryngoscope, Vol. 107, No. 8, 08.1997, p. 1057-1059.

Research output: Contribution to journalArticle

Lauretano, AM, Li, KK, Caradonna, DS, Khosta, RK & Fried, MP 1997, 'Anatomic location of the tongue base neurovascular bundle', Laryngoscope, vol. 107, no. 8, pp. 1057-1059. https://doi.org/10.1097/00005537-199708000-00010
Lauretano, Arthur M. ; Li, Kasey K. ; Caradonna, David S. ; Khosta, Rohit K. ; Fried, Marvin P. / Anatomic location of the tongue base neurovascular bundle. In: Laryngoscope. 1997 ; Vol. 107, No. 8. pp. 1057-1059.
@article{a9ab65028e8a4ceb968a1821cfb37127,
title = "Anatomic location of the tongue base neurovascular bundle",
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.",
author = "Lauretano, {Arthur M.} and Li, {Kasey K.} and Caradonna, {David S.} and Khosta, {Rohit K.} and Fried, {Marvin P.}",
year = "1997",
month = "8",
doi = "10.1097/00005537-199708000-00010",
language = "English (US)",
volume = "107",
pages = "1057--1059",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "John Wiley and Sons Inc.",
number = "8",

}

TY - JOUR

T1 - Anatomic location of the tongue base neurovascular bundle

AU - Lauretano, Arthur M.

AU - Li, Kasey K.

AU - Caradonna, David S.

AU - Khosta, Rohit K.

AU - Fried, Marvin P.

PY - 1997/8

Y1 - 1997/8

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0030741825&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030741825&partnerID=8YFLogxK

U2 - 10.1097/00005537-199708000-00010

DO - 10.1097/00005537-199708000-00010

M3 - Article

VL - 107

SP - 1057

EP - 1059

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 8

ER -