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Comparison of oncologic and functional outcomes after transoral robotic lateral oropharyngectomy versus conventional surgery for T1 to T3 tonsillar cancer.

Authors
 Sei Young Lee  ;  Young Min Park  ;  Hyung Kwon Byeon  ;  Eun Chang Choi  ;  Se-Heon Kim 
Citation
 Head & Neck, Vol.36(8) : 1138-1145, 2014 
Journal Title
 Head & Neck 
ISSN
 1043-3074 
Issue Date
2014
Abstract
BACKGROUND: We performed transoral robotic surgery (TORS) or conventional surgery via a transoral or mandibulotomy approach in patients with tonsillar cancer and prospectively analyzed the oncologic outcomes and functional recovery of the 3 groups. METHODS: Between May 2008 and October 2011, 57 patients were enrolled in this prospective study. RESULTS: Although there was no significant difference in the survival rate of the TORS group (100%) and the conventional surgery group (96.7%), a higher rate of margin negativity was observed in the TORS group, especially in cases in which the tumor extends inferiorly. Patients who received TORS or conventional transoral procedures showed more rapid recovery of swallowing, shorter hospitalization, and shorter operation time than the mandibulotomy group. CONCLUSION: Despite the weakness of this nonrandomized trial and the differences in T classification, TORS seemed to have distinct advantages over conventional transoral surgery and other conventional open surgery, but further studies are needed.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/hed.23424/abstract
DOI
10.1002/hed.23424
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
김세헌(Kim, Se Heon)
박영민(Park, Young Min) ORCID logo https://orcid.org/0000-0002-7593-8461
변형권(Byeon, Hyung Kwon)
최은창(Choi, Eun Chang)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/99883
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