Avoidance of primary site adjuvant radiotherapy following transoral robotic surgery: a cohort study

2022 ◽  
Author(s):  
Laurent Fradet ◽  
Emma Charters ◽  
Kan Gao ◽  
Catriona Froggatt ◽  
Carsten Palme ◽  
...  
Keyword(s):  
Cohort Study ◽  
Robotic Surgery ◽  
Adjuvant Radiotherapy ◽  
Transoral Robotic Surgery ◽  
Primary Site

Days alive and out of hospital following transoral robotic surgery: Cohort study of 262 patients with head and neck cancer

Head & Neck ◽  
2021 ◽  
Author(s):  
Mikkel H. H. Larsen ◽  
Susanne I. Scott ◽  
Hani I. Channir ◽  
Anne K. Ø. Madsen ◽  
Birgitte W. Charabi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Head And Neck Cancer ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Transoral Robotic Surgery

Benefits of omitting primary site radiation therapy after transoral robotic surgery: Only time will tell

2017 ◽  
Vol 7 (3) ◽  
pp. e157-e158 ◽  
Author(s):  
Eric Ojerholm ◽  
J. Nicholas Lukens ◽  
Peter H. Ahn ◽  
Geoffrey Geiger ◽  
Samuel Swisher-McClure ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Robotic Surgery ◽  
Transoral Robotic Surgery ◽  
Primary Site

Transoral Robotic Surgery–Assisted Endoscopy With Primary Site Detection and Treatment in Occult Mucosal Primaries

2017 ◽  
Vol 143 (3) ◽  
pp. 267 ◽  
Author(s):  
Kyle M. Hatten ◽  
Bert W. O’Malley ◽  
Andres M. Bur ◽  
Mihir R. Patel ◽  
Christopher H. Rassekh ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Transoral Robotic Surgery ◽  
Primary Site

scholarly journals Finding/identifying primaries with neck disease (FIND) clinical trial protocol: a study integrating transoral robotic surgery, histopathological localisation and tailored deintensification of radiotherapy for unknown primary and small oropharyngeal head and neck squamous cell carcinoma

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e035431 ◽  
Author(s):  
John R de Almeida ◽  
Christopher W Noel ◽  
Maria Veigas ◽  
Rosemary Martino ◽  
Douglas B Chepeha ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Robotic Surgery ◽  
Cell Carcinoma ◽  
Head And Neck ◽  
Squamous Cell ◽  
Combined Treatment ◽  
Transoral Robotic Surgery ◽  
Primary Site ◽  
Unknown Primary ◽  
Patient Reported

IntroductionCarcinomas of unknown primary site (CUP) of the head and neck have historically been worked up and managed heterogeneously. Failure to identify a primary site may result in large radiotherapy mucosal volumes. Transoral approaches such as Transoral Robotic Surgery (TORS) may improve the yield of identifying hidden primaries. We aim to assess the oncological and functional outcomes of a combined treatment approach with TORS and tailored radiotherapy.Methods and analysisTwenty-five patients with metastatic squamous cell carcinoma to the neck without clinical or radiographic evidence of a primary site will be enrolled in a phase II trial. Patients will undergo a diagnostic or therapeutic approach with TORS based on specific algorithms incorporating tailored radiotherapy according to the location and laterality of the primary tumour. The primary outcome is to evaluate the out-of-field failure rate over a 2-year period. Secondary outcomes include identification rates, survival outcomes, patient reported outcomes and functional swallowing outcomes.Ethics and disseminationThe University Health Network Research Ethics Board approved this study (ID 15–9767). The results will be published in an open access journal.Trial registration numberNCT03281499.

The omission of intentional primary site radiation following transoral robotic surgery in 59 patients: No local‐regional failures

Head & Neck ◽  
2021 ◽  
Author(s):  
Vishal R. Dhere ◽  
Chase E. Escott ◽  
Sibo Tian ◽  
Jeffrey M. Switchenko ◽  
James P. Bell ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Transoral Robotic Surgery ◽  
Primary Site

scholarly journals Lack of Adjuvant Radiotherapy May Increase Risk of Retropharyngeal Node Recurrence in Patients with Squamous Cell Carcinoma of the Head and Neck after Transoral Robotic Surgery

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Waleed F. Mourad ◽  
Dukagjin M. Blakaj ◽  
Rafi Kabarriti ◽  
Rebekah Young ◽  
Rania A. Shourbaji ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Robotic Surgery ◽  
Cell Carcinoma ◽  
Head And Neck ◽  
Squamous Cell ◽  
Adjuvant Radiotherapy ◽  
Transoral Robotic Surgery ◽  
Pet Ct ◽  
Pet Ct Scan

Purpose. Transoral robotic surgery (TORS) has increased in popularity in the management of squamous cell carcinoma of the head and neck. However, TORS does not address the neck or retropharyngeal nodes (RPN). In the current report, we highlight the impact of the lack of adjuvant radiotherapy on RPN recurrence after TORS.Materials and Methods. A 58-year-old Caucasian male presented with squamous cell carcinoma of the head and neck of unknown primary. He was offered radiotherapy as a definitive management for clinical stage T0N2aM0, stage IVA, but he opted to left neck dissection. Follow-up PET-CT scan revealed recurrence in the left base of tongue and right level II lymph node. He was offered radiotherapy which he declined and opted to TORS and right neck dissection. Follow-up PET-CT scan showed recurrence in left RPN for which he underwent salvage concurrent chemoradiotherapy to 70 Gy.Results. After a followup of 9 months from the date of salvage chemoradiotherapy completion, the patient is with no evidence of disease.Conclusions. TORS followed by adjuvant radiotherapy seems reasonable in the context of squamous cell carcinoma of the head and neck due to the odds of RPN involvement. Further reports are warranted to optimize post-TORS adjuvant treatment.

Transoral Robotic Surgery for Parapharyngeal Space Masses: Indications and Results

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Christopher Rassekh ◽  
Shayanne Lajud ◽  
Courtney Shires ◽  
Laurie Loevner ◽  
Ara Chalian ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Parapharyngeal Space ◽  
Transoral Robotic Surgery

Outcomes of Transoral Robotic Surgery for Parapharyngeal Space Salivary Gland Neoplasms

2015 ◽  
Vol 76 (S 01) ◽  
Author(s):  
Christopher Rassekh ◽  
Gregory Weinstein ◽  
Laurie Loevner ◽  
Ara Chalian ◽  
Bert O'Malley
Keyword(s):  
Salivary Gland ◽  
Robotic Surgery ◽  
Parapharyngeal Space ◽  
Transoral Robotic Surgery ◽  
Salivary Gland Neoplasms
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