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Transoral robotic surgery for the treatment of oropharyngeal squamous cell carcinomaPalmer, William 24 July 2018 (has links)
Squamous cell carcinoma (SCC) of the oropharynx affects nearly 50,000 individuals in the United States each year, and, with the rising incidence of the human papillomavirus (HPV), the number of patients diagnosed with SCC is expected to continue to grow (American Cancer Society 2018; Coughlan and Frick 2012). Oropharyngeal squamous cell carcinoma (OPSCC) has traditionally been treated with wide surgical extirpation often involving removal of portions of the oral cavity, pharynx, and jaw; this kind of surgery can be disfiguring and has been associated with significant post-operative complications (Brickman and Gross 2014). In the late 20th century, clinicians began favoring the use of chemoradiation therapy instead of surgery in an effort to spare patients the morbidity associated with surgical techniques at the time (Mercante et al. 2015). While chemoradiation offers excellent survival for patients with SCC, this therapeutic strategy has been observed to have its own debilitating post-treatment side effects (Hamilton and Paleri 2017). An important advancement in the management of OPSCC occurred about 20 years ago with the advent of transoral robotic surgery (TORS), a surgical technique that uses a robotic system to operate through the natural opening of the mouth. Proponents of TORS suggest that the technology improves on conventional surgery and may provide patients with functional outcomes superior to those seen with chemoradiation with no sacrifice in survival (Yeh et al. 2015; Hay et al. 2017). This review investigates the validity of the concept that TORS has significant advantages in the modern-day treatment of OPSCC. This report includes three components. First, the TORS technology, its advantages, and its drawbacks are explained. Second, relevant medical literature is reviewed to provide an understanding of the rationale for utilizing TORS in the treatment of OPSCC. Review and analysis of published reports show that TORS can provide patients with excellent post-operative function, good quality of life, and acceptable survival rates. Notable exceptions include patients with advanced disease. Third, this review discusses future studies that will better inform caregivers about the utility of TORS in the treatment of OPSCC. TORS is a relatively new technology that seems to offer the possibility of helping to improve the lives of patients with OPSCC.
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Funktionelle und onkologische Resultate der transoralen Laserchirurgie beim Zungengrundtumor / Oncologic and functional results after transoral laser microsurgery of tongue base carcinomaIskandar, Mei 10 December 2015 (has links)
No description available.
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Stellenwert der transoralen CO2-Lasermikrochirurgie bei der Rezidiv-Behandlung glottischer Frühkarzinome nach primärer Strahlentherapie / Transoral laser microsurgery for recurrence after primary radiotherapy of early glottic cancerAydin, Tomas 22 May 2017 (has links)
No description available.
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La chondrolaryngoplastie par approche transvestibulaire endoscopique : une chirurgie sans cicatrice pour les femmes transgenresGascon, Laurence 08 1900 (has links)
Une cicatrice apparente au cou après une chondrolaryngoplastie chez une femme transgenre a le pouvoir d’agir comme stigmatisation pour cette population et peut provoquer une détresse psychologique importante. L’approche sans cicatrice du cou antérieur a été décrite dans les dernières années comme sécuritaire et efficace pour la chirurgie thyroïdienne, via une approche endoscopique transvestibulaire. À notre connaissance, cette approche est encore très peu étudiée pour la chondrolaryngoplastie. Avec cette étude, nous avons cherché à détailler et évaluer la faisabilité d'une chondrolaryngoplastie via une approche transvestibulaire.
Trois cadavres mâles ont été utilisés pour cette étude. Une approche endoscopique transvestibulaire, utilisant trois trocarts insérés dans la région vestibulaire, a été réalisée. Une dissection mousse dans le plan sous-platysmal et la division des muscles de la sangle ont été effectuées pour exposer le cartilage thyroïdien. Une laryngoscopie directe a été réalisée avec une lame Mac standard. Une aiguille a ensuite été insérée à travers la peau et le cartilage thyroïdien afin de confirmer le niveau de la commissure antérieure sur le cartilage thyroïdien avant de poursuivre. Enfin, le cartilage thyroïdien a été poli à l'aide d'un microdébrideur et l’étendue a été guidée par l'apparence du cou antérieur et la position de l'aiguille.
Le cartilage thyroïdien des trois cadavres était significativement réduit après l’intervention et la commissure antérieure a été préservée.
Cette approche transvestibulaire est une technique réalisable pour la chondrolaryngoplastie, permet une chirurgie sans cicatrice cervicale et permet au chirurgien de confirmer la position de la commissure antérieure avant de procéder à l’intervention. Nous pensons qu'il s'agit d'une chirurgie prometteuse pour les femmes transgenres. / An apparent neck scar following chondrolaryngoplasty can cause significant psychological distress. For thyroid surgery, a scarless transvestibular endoscopic approach to the anterior neck has already been described as safe and efficient. With this study, we sought to describe and assess the feasibility of a transvestibular approach for chondrolaryngoplasty.
Three male cadavers were used for this study. A transvestibular endoscopic approach, using three trocarts inserted in the vestibular region of the inferior lip was performed. A blunt dissection in the subplatysmal plane with division of the strap muscles was completed to expose the thyroid cartilage. A direct laryngoscopy was performed with a standard Mac blade. A needle was then inserted through the skin and the thyroid cartilage to confirm the level of the anterior commissure on the thyroid cartilage before proceeding. Finally, the laryngeal prominence was reduced using a powered shaver. The amount of cartilage to be removed was guided by the appearance of the anterior neck and the position of the needle.
The thyroid cartilage appeared significantly reduced after the procedure and the attachment of the anterior commissure was safely preserved.
This transvestibular approach is a feasible technique for chondrolaryngoplasty, allows a scarless surgery and allows the surgeon to confirm the position of the anterior commissure before proceeding. We believe this is a promising surgery for transgender women.
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Safety and Feasibility of Surgery for Oropharyngeal Cancers During the SARS-CoV-2-PandemicGorphe, Philippe, Grandbastien, Bruno, Dietz, Andreas, Duvvuri, Umamaheswar, Ferris, Robert L., Golusinski, Wojciech, Holsinger, Floyd Christopher, Hosal, Sefik, Lawson, George, Mehanna, Hisham, Paleri, Vinidh, Shaw, Richard, Succo, Giovanni, Leemanns, C. René, Simon, Christian 28 March 2023 (has links)
No description available.
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Onkologische Ergebnisse sowie objektive und subjektive Erfassung der Kehlkopffunktion nach organerhaltender lasermikrochirurgischer Resektion und adjuvanter Radio(chemo)therapie bei lokal fortgeschrittenen Larynxkarzinomen / Eine Analyse der Therapieergebnisse an der Universitätsmedizin Göttingen / Oncological results, objective and subjective registration of larynx function after organ-preservation with transoral laser microsurgery and adjuvant radio(chemo)therapy for locally advanced laryngeal cancerEwen, Andreas 13 October 2010 (has links)
No description available.
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