1. TRANSORAL APPROACH
1) Flexible endotracheal tube / self-retaining oral retractor
2) Longitudinal incision of posterior pharyngeal wall from
superior aspect of C1 to superior aspect of C3 (5-6cm)
3) Longus colli longitudinally split
4) C1, C2 exposed
2.
3. POSTERIOR PHARYNGEAL
WALL WITH MUCOSA
SOFT PALATE
UVULA
The soft palate has been retracted and the posterior wall of the
pharynx will be incised longitudinally.
4.
5. SUPERIOR CONSTRICTOR
MUSCLE OF THE PHARYNX
The posterior pharyngeal wall has been divided, exposing the
long muscles of the head and neck.
6.
7. BODY OF THE AXIS
ANTERIOR TUBERCLE
OF THE ATLAS
ANTERIOR
ATLANTO-OCCIPITAL
The atlantoaxial articulation is now exposed.
MEMBRANE
