Flexible endotracheal tube selfretaining oral retractor

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TRANSORAL APPROACH

• Flexible endotracheal tube / self-retaining oral
  retractor
• Longitudinal incision of posterior pharyngeal
  wall from superior aspect of C1 to superior
  aspect of C3 (5-6cm)
• Longus colli longitudinally split
• C1, C2 exposed

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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The soft palate has been retracted and the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.
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SUPERIOR CONSTRICTOR MUSCLE OF THE PHARYNX
The posterior pharyngeal wall has been divided,
exposing the long muscles of the head and neck.
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BODY OF THE AXIS
ANTERIOR TUBERCLE OF THE ATLAS
ANTERIOR ATLANTO-OCCIPITAL MEMBRANE
The atlantoaxial articulation is now exposed.