Transoral Robotics Supracricoid Hemilaryngopharyngectomy
Traditional open surgical approaches for hypopharyngeal carcinomas carry a great risk of developing treatment-related morbidity. Transoral robotic surgery (TORS) is an established treatment modality for head and neck cancer and can minimise this morbidity. Owing to the access and improved flexibilit...
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| Format: | Article |
| Language: | English |
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Istanbul University Press
2024-12-01
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| Series: | The Turkish Journal of Ear Nose and Throat |
| Subjects: | |
| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/0C29CE6794AB4CC783A4FCC93E4A7D21 |
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| _version_ | 1850193918341152768 |
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| author | Çağatay Oysu Orhan Asya |
| author_facet | Çağatay Oysu Orhan Asya |
| author_sort | Çağatay Oysu |
| collection | DOAJ |
| description | Traditional open surgical approaches for hypopharyngeal carcinomas carry a great risk of developing treatment-related morbidity. Transoral robotic surgery (TORS) is an established treatment modality for head and neck cancer and can minimise this morbidity. Owing to the access and improved flexibility of the robotic system, hypopharyngeal tumours can now be reached and successfully treated with organ preservation, resulting in adequate function, especially in swallowing and phonation. In this study, we describe the surgical technique and clinical and oncological results for supracricoid hemilaryngopharyngectomy performed by transoral robotic surgery (TORS SCHLP) in a patient with hypopharyngeal carcinoma extending to the arytenoid mucosa. An interarytenoid sagittal cut extending to the cricoid cartilage was made. The epiglottis was split via a laterally placed vertical incision at the tumour-bearing side, extending to the anterior commissure. The inner perichondrium of the thyroid cartilage was peeled off. A horizontal cut in the postcricoid region was made, paying close attention to the safe surgical margins. A final cut, parallel to the cricoid cartilage, was made using curved scissors and the tumour was removed en bloc. In conclusion, TORS SCHLP should be considered for resectable tumours to avoid the undesirable consequences of open surgical resection. |
| format | Article |
| id | doaj-art-0d71ea0fc0d24c76b3696943f760f2cc |
| institution | OA Journals |
| issn | 2602-4837 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Istanbul University Press |
| record_format | Article |
| series | The Turkish Journal of Ear Nose and Throat |
| spelling | doaj-art-0d71ea0fc0d24c76b3696943f760f2cc2025-08-20T02:14:07ZengIstanbul University PressThe Turkish Journal of Ear Nose and Throat2602-48372024-12-0134414114410.26650/Tr-ENT.2024.1535198123456Transoral Robotics Supracricoid HemilaryngopharyngectomyÇağatay Oysu0https://orcid.org/0000-0002-6756-8456Orhan Asya1https://orcid.org/0000-0003-0366-3099Marmara Üniversitesi, İstanbul, TürkiyeMarmara Üniversitesi, İstanbul, TürkiyeTraditional open surgical approaches for hypopharyngeal carcinomas carry a great risk of developing treatment-related morbidity. Transoral robotic surgery (TORS) is an established treatment modality for head and neck cancer and can minimise this morbidity. Owing to the access and improved flexibility of the robotic system, hypopharyngeal tumours can now be reached and successfully treated with organ preservation, resulting in adequate function, especially in swallowing and phonation. In this study, we describe the surgical technique and clinical and oncological results for supracricoid hemilaryngopharyngectomy performed by transoral robotic surgery (TORS SCHLP) in a patient with hypopharyngeal carcinoma extending to the arytenoid mucosa. An interarytenoid sagittal cut extending to the cricoid cartilage was made. The epiglottis was split via a laterally placed vertical incision at the tumour-bearing side, extending to the anterior commissure. The inner perichondrium of the thyroid cartilage was peeled off. A horizontal cut in the postcricoid region was made, paying close attention to the safe surgical margins. A final cut, parallel to the cricoid cartilage, was made using curved scissors and the tumour was removed en bloc. In conclusion, TORS SCHLP should be considered for resectable tumours to avoid the undesirable consequences of open surgical resection.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/0C29CE6794AB4CC783A4FCC93E4A7D21robotic surgeryhypopharyngeal cancertors |
| spellingShingle | Çağatay Oysu Orhan Asya Transoral Robotics Supracricoid Hemilaryngopharyngectomy The Turkish Journal of Ear Nose and Throat robotic surgery hypopharyngeal cancer tors |
| title | Transoral Robotics Supracricoid Hemilaryngopharyngectomy |
| title_full | Transoral Robotics Supracricoid Hemilaryngopharyngectomy |
| title_fullStr | Transoral Robotics Supracricoid Hemilaryngopharyngectomy |
| title_full_unstemmed | Transoral Robotics Supracricoid Hemilaryngopharyngectomy |
| title_short | Transoral Robotics Supracricoid Hemilaryngopharyngectomy |
| title_sort | transoral robotics supracricoid hemilaryngopharyngectomy |
| topic | robotic surgery hypopharyngeal cancer tors |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/0C29CE6794AB4CC783A4FCC93E4A7D21 |
| work_keys_str_mv | AT cagatayoysu transoralroboticssupracricoidhemilaryngopharyngectomy AT orhanasya transoralroboticssupracricoidhemilaryngopharyngectomy |