Safety and efficacy of concurrent neck dissection and transoral robotic surgery
Yükleniyor...
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wiley-Blackwell
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background. The literature is scarce regarding transoral robotic surgery (TORS) with simultaneous neck dissection. This study evaluates the safety and efficacy of concurrent neck dissection in oropharyngeal squamous cell carcinoma (SCC) treated with TORS. Methods. Analysis of 113 patients with oropharyngeal SCC treated with TORS and concurrent neck dissection. Results. Six intraoperative communications between the pharynx and neck region were recognized. After pharyngeal mucosal flap advancement, 1 defect was closed primarily and another one was reinforced with acellular dermal matrix. In 1 case, submandibular gland was transposed posteriorly over the sutured defect as a support. One omohyoid and 2 digastric muscular pedicle rotation flaps were used in the remaining 3 patients for the reconstruction of pharyngeal communications. None of the patients developed postoperative pharyngocutaneous fistula. Conclusion. The advantage of TORS oropharyngectomy, when compared with open approaches, is the avoidance of pharyngocutaneous fistula even in the presence of concurrent neck dissection. (C) 2015 Wiley Periodicals, Inc.
Açıklama
Anahtar Kelimeler
Transoral robotic surgery, Oropharyngeal carcinoma, Concurrent neck dissection, Pharyngocutaneous fistula, Squamous cell carcinoma
Kaynak
Head and Neck-Journal For The Sciences and Specialties of The Head and Neck
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
38
Sayı
Künye
Kucur, C., Durmuş, K., Gün, R., Old, M. O., Agrawal, A., Teknos, T. N. ve diğerleri. (2016). Safety and efficacy of concurrent neck dissection and transoral robotic surgery. Head and Neck, 38, E519 - E523.
