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Ma QD et al. - Transoral pharyngotomy is a viable minimally invasive approach for resection of metastatic thyroid cancer in retropharyngeal lymph nodes in highly select patients. A few authors have already reported on its safe application with excellent outcomes. A case where the technique is assisted with the Omniguide CO2 laser system to safely access and remove a metastatic node in the retropharyngeal space of a 24 year-old Caucasian woman is described.

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