The Subhyoid Approach for Base of Tongue Tumors: Description of A Novel Surgical Technique.

Presutti, Livio; Amato, Nicola; Mattioli, Francesco; Mercante, Giuseppe; Marchioni, Daniele; Fermi, Matteo; Serafini, Edoardo · Laryngoscope · 2026

other · Level V

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Abstract

The sub-hyoid approach is a novel open surgical technique for selected deeply infiltrative base of tongue tumors, providing direct access and allowing full-thickness resection while preserving the tongue neurovascular structures. Thyro-hyoido-pexy restores hyo-laryngeal suspension without flap reconstruction, with the aim of preserving swallowing function.