Cuneyt Kucur1,2, Kasim Durmus1, Ramazan Gun1,3, Matthew O Old1, Amit Agrawal1, Theodoros N Teknos1, Enver Ozer1. 1. Department of Otolaryngology-Head and Neck Surgery, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Comprehensive Cancer Center, The Ohio State University Wexner Medical Center, Columbus, Ohio. 2. Department of Otolaryngology, Dumlupinar University, Kutahya, Turkey. 3. Department of Otolaryngology, University of Dicle, Diyarbakir, Turkey.
Abstract
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
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
Authors: Andrew J Holcomb; Rachael Kammer; Allison Holman; Tessa Goldsmith; Vasu Divi; Heather M Starmer; Joseph Zenga; Ryan Li; Urjeet A Patel; Jeremy D Richmon Journal: J Robot Surg Date: 2022-08-07
Authors: Jongmin Won; Jong Won Hong; Mi Jung Kim; In-Sik Yun; Woo Yeol Baek; Won Jai Lee; Dae Hyun Lew; Yoon Woo Koh; Se-Heon Kim Journal: Yonsei Med J Date: 2022-08 Impact factor: 3.052
Authors: Jai Parkash Ramchandani; Aina Brunet; Nikoleta Skalidi; Jack Faulkner; Aleix Rovira; Ricard Simo; Jean-Pierre Jeannon; Asit Arora Journal: OTO Open Date: 2022-10-11