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Feasibility of robot-assisted neck dissection followed by transoral robotic surgery

Authors
 H.K. Byeon  ;  F.C. Holsinger  ;  D.H. Kim  ;  J.W. Kim  ;  J.H. Park  ;  Y.W. Koh  ;  E.C. Choi 
Citation
 British Journal of Oral & Maxillofacial Surgery, Vol.53(1) : 68-73, 2015 
Journal Title
 British Journal of Oral & Maxillofacial Surgery 
ISSN
 0266-4356 
Issue Date
2015
Abstract
Our aim was to evaluate the feasibility of robot-assisted neck dissection (RAND) followed by transoral robotic surgery (TORS) in treatment of cancers of the head and neck, which is expected to improve cosmesis and function. We studied 37 patients with biopsy-confirmed cNO or cN+ tumours of the oropharynx (n=22), hypopharynx (n=8), larynx (n=6), and oral cavity (n=1) who were treated by RAND then TORS from May 2010 to December 2012. Patients' characteristics and clinical details were recorded, together with operative complications and functional variables such as management of the airway and nasogastric or enterogastric feeding. All endoscopic TORS and RAND were successful, with no serious intraoperative complications or need to convert to open operation. All patients were satisfied with the cosmesis according to the answers given to a questionnaire. RAND followed by TORS in some cancers of the head and neck are feasible and showed a clear cosmetic benefit, although the longer operating time is a drawback. Studies of more patients with longer follow-up are required to evaluate long-term oncological and functional outcomes in more detail.
Full Text
http://www.sciencedirect.com/science/article/pii/S0266435614006159
DOI
10.1016/j.bjoms.2014.09.024
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
고윤우(Kho, Yoon Woo)
변형권(Byeon, Hyung Kwon)
최은창(Choi, Eun Chang)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139225
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