The transoral robotic oropharyngectomy surgical technique was initially described for resection of small stage T1 or T2 lesions and the surgical defect is usually allowed to heal by secondary intention. We propose a refined surgical approach adapted to more complex situations such as salvage surgery and surgery in an irradiated field, based on previous experience in open approaches for oropharyngeal cancer. Via a combined cervical-transoral approach, we perform en bloc resection of the parapharyngeal space combined with transoral robotic lateral oropharyngectomy. Reconstruction of the surgical defect is performed with a thin anterolateral thigh free flap.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.anorl.2017.08.007 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Preanalytical Phase Tumor Contaminants in Intraoperative Margins From Transoral Robotic Surgeries.
Arch Pathol Lab Med
October 2024
The Department of Pathology and Laboratory Medicine, University of Miami, Miami (Lora Gonzalez).
Context.—: Tumor contaminants were incidentally noted in frozen section margins of oropharyngeal squamous cell carcinoma.
Objective.
Intraoperative Pathology Consultation in Patients With p16-Positive Unknown Primary Squamous Cell Carcinoma.
JAMA Otolaryngol Head Neck Surg
September 2024
Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Importance: Current guidelines recommend intraoperative frozen section(s) during diagnostic surgery for squamous cell carcinoma for unknown primary tumors (SCCUP).
Objective: To determine the utility of intraoperative pathology consultation during transoral robotic surgery (TORS) in localizing primary tumors and influencing need for adjuvant therapy.
Design, Setting, And Participants: A retrospective case series including 47 adult patients with human papillomavirus (HPV)-associated SCCUP who underwent TORS/oropharyngectomy between January 2016 and February 2023 was carried out at a single tertiary care hospital.
The influence of perioperative enoxaparin on bleeding after TORS oropharyngectomy.
J Robot Surg
May 2024
Department of Otolaryngology, West Virginia University, PO Box 9100, Morgantown, WV, 26506-9600, USA.
Perioperative enoxaparin is often avoided in patients undergoing transoral robotic (TORS) oropharyngectomy. Our goal was to quantify the risk of postoperative hemorrhage (POH) in patients receiving enoxaparin after TORS oropharyngectomy. This was a retrospective database cohort study set up in 89 separate healthcare organizations.
View Article and Find Full Text PDFNew robotic platform for transoral robotic surgery: an IDEAL stage 0 study.
BMJ Surg Interv Health Technol
March 2024
Head and Neck Surgery, Guy's Hospital, London, UK.
Objectives: This study aims to assess the feasibility to perform transoral robotic surgery (TORS) with a new robotic platform, the Versius Surgical System (CMR Surgical, UK) in a preclinical cadaveric setting in accordance to stage 0 of the IDEAL-D framework.
Design: IDEAL stage 0 preclinical assessment of the Versius Robotic System in TORS in human cadavers.
Setting: All procedures were performed in a simulated operating theatre environment at a UK surgical training centre.
Early Improved Functional Outcomes in Head and Neck Cancer Patients with Primary Tumor Detection.
Laryngoscope
February 2024
Department of Otolaryngology-Head & Neck Surgery, University of California San Diego, San Diego, California, U.S.A.
Objectives: We characterize functional outcomes in head and neck cancer of unknown primary (CUP) based on primary site identification.
Methods: In this retrospective study, CUP cases were categorized as known primaries (KP) if a tumor was localized after diagnostic workup or persisting unknown primaries (UP). Age, sex, HPV status, diagnostic methods, and treatments regimens were collected.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!