PMC4958625_01
Coronal T2-weighted image (A) depicts well-demarcated, bilobular heterogeneous mass lesion (arrows) in the midline of the tongue, extending in the floor of the mouth. The plain T1-weighted image (B) shows spontaneous hyperintense areas (arrowheads) within the lesion, indicating the presence of fat.
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PMC4958625_01_fsurg-03-00042-g002.jpg
F2
MRI confirmed a well-demarcated cyst of 4.6 cm (Figure 2).
PMC4958625_02
PMC4958625_03
Median sagittal glossotomy approach with progressive dissection of a big bilocular cystic lesion (case 4).
fsurg-03-00042-g003.jpg
PMC4958625_03_fsurg-03-00042-g003.jpg
F3
The mucosa was incised using the laser and the tongue musculature was cleaved on the median raphe using "sharp" laser dissection until visualization of the cyst, which was then further dissected by a combination of laser and blunt dissection, using a small mosquito-mounted dissecting swab (Figures 3 and 4).
Median sagittal glossotomy approach after resection of the cyst (case 2).
fsurg-03-00042-g004.jpg
PMC4958625_03_fsurg-03-00042-g004.jpg
F4
The mucosa was incised using the laser and the tongue musculature was cleaved on the median raphe using "sharp" laser dissection until visualization of the cyst, which was then further dissected by a combination of laser and blunt dissection, using a small mosquito-mounted dissecting swab (Figures 3 and 4).