Safety and efficacy of concurrent neck dissection and transoral robotic surgery

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dc.contributor.authorKucur, Cüneyt
dc.contributor.authorDurmuş, Kasım
dc.contributor.authorGün, Ramazan
dc.contributor.authorOld, Matthew O.
dc.contributor.authorAgrawal, Amit
dc.contributor.authorTeknos, Theodoros N.
dc.contributor.authorÖzer, Enver
dc.date.accessioned2024-04-24T15:59:24Z
dc.date.available2024-04-24T15:59:24Z
dc.date.issued2016
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak, Burun ve Boğaz Hastalıkları AnaBilim Dalıen_US
dc.description.abstractBackground. 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.en_US
dc.description.sponsorshipA clinical robotics research grant from Intuitive Surgicalen_US
dc.description.sponsorshipContract grant sponsor: A clinical robotics research grant from Intuitive Surgical was used to support a research assistant.en_US
dc.identifier.citationKucur, 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.
dc.identifier.doi10.1002/hed.24033
dc.identifier.endpageE523en_US
dc.identifier.issn1043-3074
dc.identifier.issn1097-0347
dc.identifier.pmid25783843
dc.identifier.scopus2-s2.0-84935137045
dc.identifier.scopusqualityQ1
dc.identifier.startpageE519en_US
dc.identifier.urihttps://doi.org/10.1002/hed.24033
dc.identifier.urihttps://hdl.handle.net/11468/14039
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/10.1002/hed.24033
dc.identifier.volume38en_US
dc.identifier.wosWOS:000375116400056
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGün, Ramazan
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.relation.ispartofHead and Neck-Journal For The Sciences and Specialties of The Head and Neck
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTransoral robotic surgeryen_US
dc.subjectOropharyngeal carcinomaen_US
dc.subjectConcurrent neck dissectionen_US
dc.subjectPharyngocutaneous fistulaen_US
dc.subjectSquamous cell carcinomaen_US
dc.titleSafety and efficacy of concurrent neck dissection and transoral robotic surgeryen_US
dc.titleSafety and efficacy of concurrent neck dissection and transoral robotic surgery
dc.typeArticleen_US

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