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Revisiting vascular contraindications for transoral robotic surgery for oropharyngeal cancer.


ABSTRACT: Objective:We analyzed the outcomes for patients with a retropharyngeal internal carotid artery (ICA) who underwent a transoral robotic surgery (TORS) procedure involving a cervical-transoral robotic oropharyngectomy course with free flap reconstruction. Methods:Patients were included in the prospective multicentric trial NCT02517125. These patients were scheduled to undergo surgery for an oropharyngeal localization. By pre-operative CT scan and MRI it was determined that they had a retropharyngeal internal carotid artery. Results:Three patients had a retropharyngeal ICA: a patient with a 35 mm synovial sarcoma of the tonsillar fossa, a patient with a T2N2b squamous-cell carcinoma (SCC) of the glossotonsillar sulcus, and a patient with a T3N0 SCC of the tonsillar fossa in a previously irradiated field. These patients encountered neither preoperative nor postoperative complications. Conclusions:In our experience, TORS for oropharyngeal cancers appears to be feasible in patients with a retropharyngeal ICA, provided that the procedure has been adapted for complex situations. Level of evidence:4.

SUBMITTER: Gorphe P 

PROVIDER: S-EPMC5915826 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature

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Revisiting vascular contraindications for transoral robotic surgery for oropharyngeal cancer.

Gorphe Philippe P   Auperin Anne A   Honart Jean-François JF   Ton Van Jean J   El Bedoui Sophie S   Bidault François F   Temam Stéphane S   Kolb Frédéric F   Qassemyar Quentin Q  

Laryngoscope investigative otolaryngology 20180325 2


<h4>Objective</h4>We analyzed the outcomes for patients with a retropharyngeal internal carotid artery (ICA) who underwent a transoral robotic surgery (TORS) procedure involving a cervical-transoral robotic oropharyngectomy course with free flap reconstruction.<h4>Methods</h4>Patients were included in the prospective multicentric trial NCT02517125. These patients were scheduled to undergo surgery for an oropharyngeal localization. By pre-operative CT scan and MRI it was determined that they had  ...[more]

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