Publications by authors named "Mario M Fernandez Fernandez"
Introduction/background: With the advent of TransOral Robotic Surgery (TORS) the ease of transoral procedures has been dramatically improved. TORS is already established for its feasibility, functional and oncological outcomes for selected lesions of oral cavity, oropharynx and laryngopharynx. This study reports on preliminary results with TransOral UltraSonic Surgery (TOUSS) for oncologic resections of oral cavity, oropharyngeal and supraglottic malignancies.
View Article and Find Full Text PDFThe CO waveguide laser with flexible fiber in transoral resection of oral and oropharyngeal cancers: a retrospective cohort study on postoperative and quality of life outcomes.
Lasers Med Sci
April 2022
The aim of this study was to evaluate the CO waveguide laser (WG CO laser) with flexible fiber (Lumenis Ltd., Yokneam, Israel) in the treatment of oral and oropharyngeal cancers, specifically focusing on postoperative outcomes, pain, and quality of life (QoL). Eighty-one patients, 43 women and 38 men, with oral or oropharyngeal cancer who consecutively underwent transoral resection by WG CO laser from August 2015 to April 2020 were retrospectively enrolled.
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- The study investigates the reliability of frozen sections collected from surgical sites for assessing complete tumor excision in oral cancer surgeries.
- There was a comparison of frozen section results to permanent histology in 182 patients, showing high sensitivity, specificity, and accuracy, with no significant differences based on sampling type.
- The findings suggest that using multiple-strip and bowl frozen sections is just as reliable as single-point sampling and helps ensure clear surgical margins.
Minimally invasive surgery for laryngeal cancer is nowadays the goal of all larynx surgeons. Transoral laser microsurgery is a widespread and standardized technique that has made it possible to reduce surgical morbidities and hospitalization and to spare laryngeal function. Nonetheless, it has some limitations, which may be exceeded by using new optical and cutting devices as in TransOral UltraSonic Surgery.
View Article and Find Full Text PDFBackground: Submandibular gland excision is traditionally performed using a transcervical approach. However, innovative surgical trials have recently been conducted to investigate techniques that can prevent or reduce visible scarring and nerve injury. The aim of the present study was to evaluate the feasibility of a new approach to submandibular gland excision that is based on the use of a minimally invasive video-assisted technique and an ultrasound scalpel in an endoscopic neck surgery program with a low annual flow of procedures.
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- The minimally invasive total laryngectomy (TL) approach aims to reduce recovery complications, especially in patients with prior radiation treatment, and has been demonstrated using the transoral ultrasonic surgery technique (TOUSS).
- Two patients undergoing TL for laryngeal squamous cell carcinoma experienced successful tumor removal with satisfactory functional recovery in swallowing and speech, with no intraoperative complications recorded.
- The research suggests that TOUSS-TL is a feasible, non-robotic alternative to robotic methods, potentially enhancing the adoption of minimally invasive techniques in laryngeal surgeries, with further studies needed to assess long-term outcomes and benefits.
The objective of this study is to describe and evaluate the feasibility of TransOral UltraSonic Surgery (TOUSS), a new endoscopic alternative to transoral robotic surgery for approaching pharyngeal and laryngeal tumours based on ultrasonic scalpel as a resection tool. This is a prospective study on 11 consecutive patients with pharyngeal and supraglottic carcinomas between December 2013 and August 2014. All tumours were resected transorally with 35 cm ThunderbeatTM.
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