Transoral Endoscopic Surgery: New Surgical Techniques for Oropharyngeal Cancer

Ryan J. Li, Jeremy D. Richmon

Research output: Contribution to journalReview articlepeer-review

29 Scopus citations

Abstract

Surgery of oropharyngeal cancer has evolved from large, open transcervical and transmandibular approaches to minimally invasive transoral endoscopic techniques. Transoral laser microsurgery and transoral robotic surgery allow complete oncologic resection through the mouth with minimal cosmetic deformity and optimal speech and swallow function. With a significant increase in the incidence of oropharyngeal cancers, there is a growing role for up-front surgery, especially in young, healthy patients with human papillomavirus-associated squamous cell carcinoma. This article explores the development of transoral endoscopic surgery, its role in the multidisciplinary treatment of patients with oropharyngeal cancer, and oncologic and functional outcomes.

Original languageEnglish (US)
Pages (from-to)823-844
Number of pages22
JournalOtolaryngologic Clinics of North America
Volume45
Issue number4
DOIs
StatePublished - Aug 2012
Externally publishedYes

Keywords

  • Oropharyngeal cancer
  • Oropharynx
  • TLMS
  • TORS
  • Tongue base
  • Tonsil
  • Transoral laser microsurgery
  • Transoral robotic surgery

ASJC Scopus subject areas

  • Otorhinolaryngology

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