Comparison of oncologic and functional outcomes after transoral robotic lateral oropharyngectomy versus conventional surgery for T1 to T3 tonsillar cancer

  title={Comparison of oncologic and functional outcomes after transoral robotic lateral oropharyngectomy versus conventional surgery for T1 to T3 tonsillar cancer},
  author={Sei-Young Lee and Young Min Park and Hyung Kwon Byeon and Eun Chang Choi and Se-Heon Kim},
  journal={Head \& Neck},
We performed transoral robotic surgery (TORS) or conventional surgery via a transoral or mandibulotomy approach in patients with tonsillar cancer and prospectively analyzed the oncologic outcomes and functional recovery of the 3 groups. 
The impact of transoral robotic surgery on the overall treatment of oropharyngeal cancer patients
To assess adjuvant therapy in patients undergoing surgical management of oropharyngeal squamous cell carcinoma (OPSCCA) with transoral robotic surgery (TORS) and neck dissection.
Open Versus Robotic Surgery for Oropharyngeal Cancer.
Transoral robotic surgery is a useful minimally invasive technique in the treatment of oropharyngeal squamous cell carcinoma, both human papilloma virus (HPV)-positive and HPV-negative patients in
Transoral Robotic Surgery for Tonsillar Cancer
The magnified three-dimensional view along with the use of angled endoscopic cameras with 360° radius provides visualization beyond the tonsillar fossa to the great vessels laterally, the palate and nasopharynx superiorly, and the tongue base inferiorly, which could not be achieved using traditional transoral headlight or operative microscope alone.
Transoral Robotic Surgery for Residual and Recurrent Oropharyngeal Cancers.
Current concepts on this topic are discussed, a deeper insight is offered into the transoral anatomy for these cases, and the specific complexities of resections in the various subsites of the oropharynx are covered.
Pros and Cons of Endoscopic Surgery
Three of the most innovative techniques introduced during the last decades in head and neck surgical oncology provide patients with treatments associated with the same outcome in terms of local control compared to traditional surgical techniques or radiation/chemoradiation (RT/CRT), but with less morbidity and decreased hospitalization time.
Quality of Life Implications After Transoral Robotic Surgery for Oropharyngeal Cancers.
Investigation of patient-reported quality-of-life outcomes allows for understanding of their symptomatology and the comparison of different treatment strategies, and provides a snapshot of a patient's current swallowing function.
Transoral robotic surgery: implementation as a tool in head and neck surgery – a single‐centre Australian experience
Transoral robotic surgery (TORS) is now a well‐validated technique for resection of head and neck cancers. Benefits include reduced patient morbidity, swallowing preservation and rationalization of
Controversies in Postoperative Irradiation of Oropharyngeal Cancer After Transoral Surgery.
Transoral surgery is a novel technology whose adoption is expanding in the United States and other countries and its most frequent application has been in oropharyngeal cancers, of which most are associated with human papillomavirus.
Functional swallowing outcomes following treatment for oropharyngeal carcinoma: a systematic review of the evidence comparing trans‐oral surgery versus non‐surgical management
  • N. Dawe, J. Patterson, J. O’Hara
  • Medicine
    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
  • 2016
Trans‐oral surgical and non‐surgical management options for oropharyngeal squamous cell carcinoma appear to offer similar survival outcomes, and functional outcomes have become of increasing interest in the debate regarding treatment options.
Meta‐analysis on survival of patients treated with transoral surgery versus radiotherapy for early‐stage squamous cell carcinoma of the oropharynx
Comparison of the currently available data on survival provided by TOS versus RT for patients with early stage oropharyngeal squamous cell carcinoma is compared.


Transoral laser microsurgery as primary treatment for advanced‐stage oropharyngeal cancer: A united states multicenter study
The aim of this study was to evaluate outcomes of a minimally invasive approach, using transoral laser microsurgery (TLM) as the primary treatment for advanced oropharyngeal carcinoma.
Swallowing function after transoral laser microsurgery (TLM) ± adjuvant therapy for advanced‐stage oropharyngeal cancer
To perform a longitudinal description of swallowing function following transoral laser microsurgery (TLM) ± adjuvant therapy for advanced‐stage oropharyngeal cancer (OPC) and identify prognostic
Feasibility of transoral lateral oropharyngectomy using a robotic surgical system for tonsillar cancer.
Transoral lateral oropharyngectomy using the robotic surgical system will be a good option for organ preservation therapy in the treatment of carcinomas of the tonsil and the tonsillar fossa in the future.
Long-term functional and oncologic results of transoral robotic surgery for oropharyngeal squamous cell carcinoma.
With appropriate adjuvant therapy, TORS achieves excellent functional results for patients with oropharyngeal squamous cell carcinoma and oncologic outcomes are equivalent or superior to results of other surgical and nonsurgical treatments.
Transoral robotic surgery for advanced oropharyngeal carcinoma.
This novel transoral robotic surgery treatment regimen offers disease control, survival, and safety commensurate with standard treatments and an unexpected beneficial outcome of gastrostomy dependency rates that are markedly lower than those reported with standard nonsurgical therapies.
Transoral lateral oropharyngectomy for squamous cell carcinoma of the tonsillar region: I. Technique, complications, and functional results.
From a functional standpoint, the TLO is a reliable technique that should be considered for treatment of appropriate squamous cell carcinoma of the tonsil and/or tonsillar fossa and its safety, postoperative management, complications, and functional outcomes are described.
Effect of Radiation Techniques in Treatment of Oropharynx Cancer
To compare the toxicity and outcomes of three radiotherapy techniques in the combined modality treatment of stage III–IV squamous cell carcinoma of the oropharynx, 3D‐RT, accelerated fractionation with concomitant boost, and intensity modulated radiotherapy (IMRT) are compared.
Functional Outcomes after Transoral Robotic Surgery for Head and Neck Cancer
Transoral robotic surgery provides an emerging alternative for selected primary and salvage head and neck tumors with low morbidity and acceptable functional outcomes and patients with advanced T stage, laryngeal or oropharyngeaal site, and preoperative enterogastric feeding may be at increased risk of enterogASTric feeding and poor swallowing outcomes.
Voice outcomes after concurrent chemoradiotherapy for advanced nonlaryngeal head and neck cancer: A prospective study
The voice impact of treatment for nonlaryngeal head and neck primary sites remains unknown.
Robotic-assisted surgery for primary or recurrent oropharyngeal carcinoma.
When feasible, robotic-assisted surgery is an acceptable procedure for resection of both primary and recurrent oropharyngeal tumors.