Transoral Robotic surgery - excision of Tongue base Tumour with the Entire Hyoid bone in a Salvage Setting

Surender Dabas; Nandini N Menon; Reetesh Ranjan; Bikas Gurung; Himanshu Shukla; Sukirti Tiwari; Ashwani Sharma

doi:10.1007/s12070-022-03355-z

Transoral Robotic surgery - excision of Tongue base Tumour with the Entire Hyoid bone in a Salvage Setting

Indian J Otolaryngol Head Neck Surg. 2023 Jun;75(2):1071-1075. doi: 10.1007/s12070-022-03355-z. Epub 2022 Dec 17.

Authors

Surender Dabas¹, Nandini N Menon¹, Reetesh Ranjan¹, Bikas Gurung¹, Himanshu Shukla¹, Sukirti Tiwari¹, Ashwani Sharma¹

Affiliation

¹ Department of Surgical Oncology, BLK - MAX Superspeciality hospital, Delhi, India.

PMID: 37275013
PMCID: PMC10235351 (available on 2024-06-01)
DOI: 10.1007/s12070-022-03355-z

Abstract

Objectives - Transoral robotic surgery (TORS) is an already well established modality of treatment for early stage oropharyngeal cancer. This case report will throw light on the role of TORS as a treatment option for oropharyngeal cancer in a salvage setting. Methods - This is a case of a 69 year old patient who was a follow up case of carcinoma base of tongue, status - post concurrent chemoradiation who presented with residual disease at the primary site. Results - TORS was used as a successful treatment modality for base of tongue carcinoma in a salvage setting. The surgical procedure included removal of the entire hyoid bone in toto along with the tumour which is not reported in literature. The procedure also helped us in achieving an R0 resection. Conclusion - TORS should be considered as an important management modality for tongue base tumours in upfront as well as salvage setting.

Keywords: Base of tongue carcinoma; Excision of hyoid; Oropharyngeal cancer; Salvage TORS; Transoral robotic surgery.

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