Publications by authors named "B F Burkey"
Expert perspectives for transoral robotic versus laser surgery for supraglottic carcinomas.
Eur Arch Otorhinolaryngol
November 2024
Article Synopsis
- The study aimed to gather insights from international experts on the efficacy and challenges of two minimally invasive surgical techniques, transoral laser microsurgery (TLM) and transoral robotic surgery (TORS), for treating supraglottic laryngeal tumors.
- A survey was conducted with 27 head and neck surgeons, finding that TLM generally took less setup time compared to TORS, although both techniques faced concerns about bleeding during surgery, particularly with TLM.
- Experts viewed TLM and TORS as largely equal in effectiveness, but noted that TORS offered better control over bleeding and improved visibility during the procedure.
Background: Advancements in immunotherapy for recurrent head and neck cancer have necessitated a better understanding of salvage surgical outcomes. This study aimed to determine patterns of failure following salvage head and neck surgery.
Methods: A retrospective cohort study was conducted of 280 patients who underwent salvage surgery for recurrent mucosal squamous cell carcinoma from 1997 to 2018.
Article Synopsis
- Primary fit tracheoesophageal puncture (TEP) is commonly used for patients without prior radiation, but its efficacy during salvage laryngectomy is unclear.
- A study analyzed 134 patients who had laryngectomy with primary fit TEP from 2012 to 2018, examining complications and speech/swallow outcomes between primary and salvage laryngectomy groups.
- The findings revealed that while salvage laryngectomy had a higher rate of peristomal dehiscence, other complications were similar between groups, suggesting primary fit TEP is a safe choice for patients seeking a voice prosthesis post-salvage laryngectomy.
Objectives: Salivary gland malignancies comprise a heterogeneous group of pathologies, for which treatment of the clinically negative neck may vary depending on numerous factors. Herein we present data on occult nodal metastases (ONM) as well as survival and recurrence from a large series of cN0 salivary gland malignancies.
Methods: Retrospective chart review was conducted on 532 patients, with 389 patients with major salivary gland cancers and 143 patients with minor salivary gland cancers.
Margin Assessment Methods in Oral Cavity Squamous Cell Carcinoma and Recurrence: Tumor Bed vs Resection Specimen Sampling.
JAMA Otolaryngol Head Neck Surg
November 2023
Importance: Positive margins and margin clearance are risk factors for recurrence in oral cavity squamous cell carcinoma (OCSCC), and these features are used to guide decisions regarding adjuvant radiation treatment. However, the prognostic value of intraoperative tumor bed vs resection specimen sampling is not well defined.
Objective: To determine the prognostic implications of intraoperative margin assessment methods (tumor bed vs resection specimen sampling) with recurrence among patients who undergo surgical resection for OCSCC.