Transoral Robotic Surgery for Residual and Recurrent Oropharyngeal Cancers

Vinidh Paleri; John Hardman; Grainne Brady; Ajith George; Cyrus Kerawala

doi:10.1016/j.otc.2020.07.016

Transoral Robotic Surgery for Residual and Recurrent Oropharyngeal Cancers

Otolaryngol Clin North Am. 2020 Dec;53(6):1091-1108. doi: 10.1016/j.otc.2020.07.016.

Authors

Vinidh Paleri¹, John Hardman², Grainne Brady³, Ajith George⁴, Cyrus Kerawala⁵

Affiliations

¹ Head and Neck Unit, The Royal Marsden NHS Foundation Trust, Fulham Road, London SW3 6JJ, UK; The Institute of Cancer Research, Brompton Road, London SW3 6JJ, UK. Electronic address: vinidh.paleri@rmh.nhs.uk.
² Head and Neck Unit, The Royal Marsden NHS Foundation Trust, Fulham Road, London SW3 6JJ, UK; North London, UK.
³ Department of Speech, Language and Swallowing, The Royal Marsden NHS Foundation Trust, Fulham Road, London SW3 6JJ, UK.
⁴ University Hospitals North Midlands, North Staffordshire, England; Keele University Medical School, Staffordshire, UK.
⁵ Head and Neck Unit, The Royal Marsden NHS Foundation Trust, Fulham Road, London SW3 6JJ, UK; University of Winchester, Winchester, UK.

PMID: 33127041
DOI: 10.1016/j.otc.2020.07.016

Abstract

Transoral robotic surgery (TORS) is a well-established treatment option for treatment-naïve oropharyngeal cancer. For residual, recurrent, and new primary oropharyngeal tumors emerging in previously irradiated fields, the global experience of management with TORS is limited. This article discusses current concepts on this topic, offers a deeper insight into the transoral anatomy for these cases, and covers the specific complexities of resections in the various subsites of the oropharynx. It provides practical tips on reconstruction, recovery, and rehabilitation as well as offering a synthesis of the current evidence and exploring future trends.

Keywords: Cancer; Head and neck; Recurrence; Robotics; Surgery.

Publication types

Review

MeSH terms

Humans
Natural Orifice Endoscopic Surgery / methods*
Neoplasm Recurrence, Local / surgery
Oropharyngeal Neoplasms / pathology
Oropharyngeal Neoplasms / surgery*
Recovery of Function
Robotic Surgical Procedures / methods*
Treatment Outcome