2013
DOI: 10.1001/jamaoto.2013.3866
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Abstract: This study demonstrates that TORS offers an alternative surgical approach to recurrent tumors of the oropharynx with acceptable oncologic outcomes and better functional outcomes than traditional open surgical approaches. This adds to the growing amount of clinical evidence to support the use of TORS in selected patients with recurrent oropharyngeal SCC as a feasible and oncologically sound method of treatment.

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Cited by 165 publications
(82 citation statements)
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“…Transoral robotic surgery (TORS) has become a viable option for select recurrent OPSCC with decreased reported morbidity including shorter hospital stays, margin control, and decreased tracheostomies and gastrostomy tubes. 28 Based on extent of recurrent disease, minimally invasive surgery for locoregional disease may not always be possible. It was not used in the majority of locoregional recurrences reviewed herein (n=4), thus improvement in overall survival associated with salvage surgery was likely not dependent on minimally invasive techniques.…”
Section: Discussionmentioning
confidence: 99%
“…Transoral robotic surgery (TORS) has become a viable option for select recurrent OPSCC with decreased reported morbidity including shorter hospital stays, margin control, and decreased tracheostomies and gastrostomy tubes. 28 Based on extent of recurrent disease, minimally invasive surgery for locoregional disease may not always be possible. It was not used in the majority of locoregional recurrences reviewed herein (n=4), thus improvement in overall survival associated with salvage surgery was likely not dependent on minimally invasive techniques.…”
Section: Discussionmentioning
confidence: 99%
“…To date, such limited approaches have been shown to provide good oncologic and functional results when performed in selected patients and by experienced surgeons 17. Nevertheless, the advantages of transoral robotic surgery for enhancing the surgical field visualization in oropharyngeal tumors and for improving the postoperative outcomes as compared to open approaches have been confirmed by numerous authors since the first descriptions by Weinstein and O'Malley 1, 2, 3, 4, 18, 19, 20. To date, a retropharyngeal ICA has, however, been considered to be a contraindication for TORS due to the risk of a catastrophic vascular injury 10, 21.…”
Section: Discussionmentioning
confidence: 99%
“…In particular, the intimate involvement of oropharyngeal neoplasms with functionally vital tissues has led to significant morbidity after open surgical treatment. 1 As a result, radiotherapy (RT) or chemoradio-therapy (CRT) have been used increasingly as primary treatments for OPSCC. 2 Transoral robotic surgery (TORS) has emerged as a viable treatment option for OPSCC.…”
mentioning
confidence: 99%