scholarly journals A new paradigm for the diagnosis and management of unknown primary tumors of the head and neck: A role for transoral robotic surgery

2012 ◽  
Vol 123 (1) ◽  
pp. 146-151 ◽  
Author(s):  
Vikas Mehta ◽  
Paul Johnson ◽  
Andrew Tassler ◽  
Seungwon Kim ◽  
Robert L. Ferris ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Head And Neck ◽  
Transoral Robotic Surgery ◽  
Unknown Primary ◽  
New Paradigm ◽  
Primary Tumors ◽  
Diagnosis And Management ◽  
Unknown Primary Tumors

Cervical Lymph Nodes and Unknown Primary Tumors of the Head and Neck

2016 ◽  
pp. 67-78 ◽  
Author(s):  
Snehal G. Patel ◽  
William M. Lydiatt ◽  
John A. Ridge ◽  
Christine M. Glastonbury ◽  
Suresh K. Mukherji ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Head And Neck ◽  
Unknown Primary ◽  
Cervical Lymph Nodes ◽  
Primary Tumors ◽  
Unknown Primary Tumors

Transoral robotic surgery for carcinoma of unknown primary in the head and neck

2015 ◽  
Vol 112 (7) ◽  
pp. 697-701 ◽  
Author(s):  
Stephen Y. Kang ◽  
Peter T. Dziegielewski ◽  
Matthew O. Old ◽  
Enver Ozer
Keyword(s):  
Robotic Surgery ◽  
Head And Neck ◽  
Transoral Robotic Surgery ◽  
Unknown Primary ◽  
Carcinoma Of Unknown Primary

scholarly journals Transoral robotic surgery for the benefit of patients with head and neck cancer of unknown primary: our experience at St George’s University Hospital, London

2020 ◽  
Vol 102 (6) ◽  
pp. 442-450
Author(s):  
R Mistry ◽  
A Walker ◽  
D Kim ◽  
E Ofo
Keyword(s):  
Robotic Surgery ◽  
Head And Neck ◽  
Primary Tumour ◽  
Head And Neck Carcinoma ◽  
Transoral Robotic Surgery ◽  
Unknown Primary ◽  
Carcinoma Of Unknown Primary ◽  
Identification Rate ◽  
Base Of Tongue ◽  
Neck Carcinoma

Introduction Head and neck carcinoma of unknown primary represents 1–5% of all head and neck cancers and presents a diagnostic and therapeutic dilemma. In approximately 40% of cases, a primary tumour location remains unknown despite investigation. With advancements in our understanding of the role of high-risk human papilloma virus in head and neck cancer, transoral robotic surgery presents an option for diagnosis and therapy. Materials and methods This is a retrospective case series from a single centre. Case notes were reviewed for 28 patients who had transoral robotic surgery for head and neck carcinoma of unknown primary between May 2015 and July 2019. Results Transoral robotic surgery identified an oropharyngeal primary tumour in 19 of 28 (67.8%) patients. All oropharyngeal primaries were p16 positive. The base of tongue identification rate was 63.2%. Median length of inpatient stay postoperatively was 1.0 day. Normal oral intake resumed within 48 hours in 96% (27/28) of patients. Three patients (10.3%) suffered minor postoperative bleeds that were all managed conservatively. Discussion The base of tongue primary identification rate (63.2%) in this series is consistent with that previously reported (43–63%; 95% confidence interval). Primary tumour identification rate if a patient is p16 positive is 86.3% (19/22), with 100% of these being oropharyngeal. We suggest future investigation into p16 status as a means of stratifying patients with head and neck carcinoma of unknown primary for transoral robotic surgery. Conclusion Transoral robotic base of tongue mucosectomy (or lingual tonsillectomy) is a promising technique that offers a high yield of positive identification for the primary tumour. It is well tolerated with minimal associated morbidity. Our findings are comparable with those in the current literature.

Transoral Robotic Surgery: A New Paradigm in the Treatment of Head and Neck Cancer and Reconstructive Surgery

2011 ◽  
Vol 145 (2_suppl) ◽  
pp. P24-P25
Author(s):  
Derrick T. Lin ◽  
Eric M. Genden ◽  
J. Scott Magnuson ◽  
Jesse Selber
Keyword(s):  
Head And Neck Cancer ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Reconstructive Surgery ◽  
Transoral Robotic Surgery ◽  
New Paradigm

Post-operative therapy following transoral robotic surgery for unknown primary cancers of the head and neck

Oral Oncology ◽  
2017 ◽  
Vol 72 ◽  
pp. 150-156 ◽  
Author(s):  
Sapna A. Patel ◽  
Aarthi Parvathaneni ◽  
Upendra Parvathaneni ◽  
Jeffrey J. Houlton ◽  
Ron J. Karni ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Head And Neck ◽  
Operative Therapy ◽  
Transoral Robotic Surgery ◽  
Unknown Primary
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