دورية أكاديمية
أعرض في EDS

Functional Outcomes After Transoral Plus Lateral Pharyngotomy Approach for Advanced Oral and Oropharyngeal Tumors.

التفاصيل البيبلوغرافية
العنوان: Functional Outcomes After Transoral Plus Lateral Pharyngotomy Approach for Advanced Oral and Oropharyngeal Tumors.
المؤلفون: Colevas SM; Department of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA., Merfeld EC; Department of Human Oncology University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA., Pflum ZE; Department of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA., Gessert TG; Department of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA., Wieland AM; Department of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA., Glazer TA; Department of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA., Burr AR; Department of Human Oncology University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA., Harari PM; Department of Human Oncology University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA., Hartig GK; Department of Human Oncology University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA.
المصدر: OTO open [OTO Open] 2023 Feb 23; Vol. 7 (1), pp. e35. Date of Electronic Publication: 2023 Feb 23 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation Country of Publication: United States NLM ID: 101717942 Publication Model: eCollection Cited Medium: Internet ISSN: 2473-974X (Electronic) Linking ISSN: 2473974X NLM ISO Abbreviation: OTO Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2023- : [Hoboken, NJ] : Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation
Original Publication: [Thousand Oaks, CA] : Sage Publications, [2017]-
مستخلص: Objective: The aim of this study was to evaluate our institutional experience with the combined transoral plus lateral pharyngotomy (TO+LP) approach in a subset of patients with advanced or recurrent oral and oropharyngeal malignancy.
Study Design: A retrospective study of procedures utilizing TO+LP for cancer resection between January 2007 and July 2019.
Setting: Tertiary academic medical center.
Methods: Thirty-one patients underwent a TO+LP approach for the resection of oral and oropharyngeal tumors. Functional and oncologic outcomes were analyzed.
Results: Eighteen (58.1%) patients were treated with TO+LP for recurrent disease. Twenty-nine required free tissue transfer and 2 (6.5%) had positive margins. The median time to decannulation was 22 days (range 6-100 days). Thirteen (41.9%) patients still required enteral feeding at their most recent follow-up. Patients without a history of prior radiation were decannulated sooner ( p  = .009) and were less likely to require enteral feeding at the first postoperative follow-up ( p  = .034) than those who had prior head and neck radiotherapy.
Conclusion: A TO+LP approach can be used to achieve good functional and oncologic results for selected patients with advanced or recurrent oral and oropharyngeal cancer when minimally invasive options such as transoral robotic surgery, transoral laser microsurgery, or radiotherapy are not possible.
Competing Interests: The authors have no conflicts of interest to disclose.
(© 2023 The Authors. OTO Open published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation.)
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فهرسة مساهمة: Keywords: head and neck cancer; lateral pharyngotomy; oropharyngeal cancer; radiation therapy; surgical salvage
تواريخ الأحداث: Date Created: 20230331 Latest Revision: 20230401
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10046711
DOI: 10.1002/oto2.35
PMID: 36998565
قاعدة البيانات: MEDLINE
الوصف
تدمد:2473-974X
DOI:10.1002/oto2.35