A novel combined transoral and transcervical surgical approach for recurrent metastatic medullary thyroid cancer to the parapharyngeal space

Lajud, Shayanne A.; Aponte-Ortiz, Jaime A.; Garratón, Miguel; Giraldez, Laureano

doi:10.1007/s11701-019-00930-5

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…Moritani (6) reported several complications in parapharyngeal space surgery via a transcervical approach, including 11% of patients with palatal weakness, 2% with Horner's syndrome, 2% with tongue weakness and facial nerve weakness, and 1% with limited elevation of shoulders. Recently, transoral robotic surgery for PPLN metastases has been introduced, indicating that this instrument may play an essential role in the future (19). However, this technique has some limitations preventing it from becoming widely accepted, including increased expenditure and a lack of force feedback.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Video-Assisted Surgical Management for Parapharyngeal Metastases From Papillary Thyroid Carcinoma: A Case Series Report

Chen

et al. 2019

Front. Oncol.

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Background: Papillary thyroid carcinoma (PTC) is the most prevalent cancer type in the endocrine system. Metastases to parapharyngeal lymph nodes (PPLNs) are rare. Herein, we reported a case series of PTC patients with PPLN metastases operated on by using the minimally invasive video-assisted (MIVA) technique to evaluate the safety and effectiveness of this technique.Method: In this single-institutional study, six consecutive PTC patients with PPLN metastases between January 2012 and July 2018 were enrolled. All PPLNs were managed by the MIVA technique.Result: Six patients (three women and three men) who underwent surgery were enrolled in the current study. The median age of patients was 40.5 years (39–66). Five patients (83.3%) were diagnosed with primary PTC with PPLN metastases, and one patient had PTC recurrence in the PPLNs 17 years after her first PTC surgery. Surgical treatment was successful in all patients, and the median operative time and bleeding volume were 185 (100–280) min and 85 (30–120) ml, respectively. None of the patients experienced post-operative complications except for one patient who experienced dysphagia, which resolved within 3 months. During a median follow-up of 15 months (10–31), none of the patients exhibited recurrence or persistent disease.Conclusion: The MIVA transcervical approach was technically feasible and reliable, with less invasiveness for PTC patients with PPLN metastases. Future studies are needed to accumulate more experience, investigate the indications of the technique, and determine the long-term oncological safety.

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Section: Discussionmentioning

confidence: 99%

Minimally Invasive Video-Assisted Surgical Management for Parapharyngeal Metastases From Papillary Thyroid Carcinoma: A Case Series Report

Chen

et al. 2019

Front. Oncol.

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“…This is not only due to the difficulty of access, but also due to the presence of numerous postoperative complications [9]. Transoral access provides a direct path to tumors through the oropharynx [10,11]. When using the transoral method of approach, there are almost no typical postoperative complications characteristic of transmandibular and transcervical approach options [3,11].…”

Section: S Ect Io N хVi I M Edi Ca L Sc I E Nce S and P Ubl Imentioning

confidence: 99%

Optimization of the Transoral Method of Access in Patients With Neoplasms of the Parapharyngeal Space

Zabolotna

Tsvirinko

Kizim

et al. 2022

GoS

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Primary tumors of the parapharyngeal space are rare and account for up to 0.5% of all neoplasms of the head and neck. 70-80% of these neoplasms are benign, 20-30% are malignant ones. Surgical treatment is the main method of treatment of tumors. The influence of a modified transoral access method on the presence of complications in the postoperative period was investigated. A comparison of various methods of transoral access in patients was carried out, by studying the presence of local complications and quality of life. The advantages of the modified transoral method of access are shown. The obtained results are discussed.

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Parapharyngeal space ectopic thyroid with eutopic papillary thyroid cancer: A case report

Chen,

Shen,

Lian

et al. 2023

Oral Oncology

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A novel combined transoral and transcervical surgical approach for recurrent metastatic medullary thyroid cancer to the parapharyngeal space

Cited by 6 publications

References 12 publications

Minimally Invasive Video-Assisted Surgical Management for Parapharyngeal Metastases From Papillary Thyroid Carcinoma: A Case Series Report

Minimally Invasive Video-Assisted Surgical Management for Parapharyngeal Metastases From Papillary Thyroid Carcinoma: A Case Series Report

Optimization of the Transoral Method of Access in Patients With Neoplasms of the Parapharyngeal Space

Parapharyngeal space ectopic thyroid with eutopic papillary thyroid cancer: A case report

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