Feasibility and relevance of level I substation node counts in oropharyngeal carcinoma

Rassekh, Christopher H.; O’Malley, Bert W.; Bewley, Arnaud F.; Montone, Kathleen T.; LiVolsi, Virginia A.; Weinstein, Gregory S.

doi:10.1002/hed.24356

Cited by 9 publications

(1 citation statement)

References 24 publications

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“…Studies have shown an occult metastasis rate of up to 5%–8% in level 1 nodes in oropharyngeal carcinoma 13 . We acknowledge that intraoperative frozen specimen of level 1B may miss microscopic tumor due to limited sampling and some tissue loss, but final permanent specimens in all our patients did not show any signs of malignancy.…”

Section: Discussionmentioning

confidence: 53%

Transoral robotic submandibular gland transposition to reconstruct radical tonsillar resection defects

et al. 2021

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Significant dysphagia, pain, and risk of bleeding occur after transoral robotic surgery (TORS) radical tonsillectomy. We present a novel surgical technique utilizing robotically assisted submandibular gland transposition (SMGT) to reconstruct the radical tonsillar defect. A 48‐year‐old male with p16+ tonsillar squamous cell carcinoma underwent deep TORS radical tonsillectomy, contralateral tonsillectomy, ipsilateral neck dissection, and TORS‐assisted reconstruction of the radical defect with ipsilateral SMGT. Postoperatively, the patient experienced minimal pain and was discharged on postoperative day (POD) 3 tolerating a soft diet. There were no episodes of postoperative bleeding. This procedure was performed in five other cases as well. Transoral robotic SMGT can be used successfully to repair deep TORS radical tonsillectomy defects and may theoretically reduce dysphagia, pain, and the risk of hemorrhage.

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Section: Discussionmentioning

confidence: 53%