TY - JOUR
T1 - Transoral robotic-assisted free flap reconstruction after radiation therapy in hypopharyngeal carcinoma
T2 - Report of two cases
AU - Hans, Stéphane
AU - Jouffroy, Thomas
AU - Veivers, David
AU - Hoffman, Caroline
AU - Girod, Angélique
AU - Badoual, Cécile
AU - Rodriguez, Jose
AU - Brasnu, Daniel
PY - 2013/8/1
Y1 - 2013/8/1
N2 - The objective was to assess the feasibility and safety of transoral robotic surgery (TORS)-assisted free flap reconstruction for hypopharyngeal carcinoma after radiation therapy. The study evaluated the feasibility, surgical margins, the need for a tracheotomy, a nasogastric tube as well as surgery-related complications. Two patients underwent TORS-assisted free flap reconstruction after radiation therapy. The resection margins were free of tumor in both patients. A tracheotomy was performed in one patient who had been decannulated on the sixth postoperative day. One patient resumed satisfactory oral feeding in the fourth postoperative month and the second patient on postoperative day 7. No intraoperative complication and one postoperative complication (neck hematoma) were reported. After a follow-up period of 24 and 30 months, no local recurrence was observed. TORS is feasible for hypopharyngeal resection and assisted free flap reconstruction after radiation therapy. It represents a further step in the development of minimally invasive surgery for the treatment of head and neck cancers with laryngeal preservation.
AB - The objective was to assess the feasibility and safety of transoral robotic surgery (TORS)-assisted free flap reconstruction for hypopharyngeal carcinoma after radiation therapy. The study evaluated the feasibility, surgical margins, the need for a tracheotomy, a nasogastric tube as well as surgery-related complications. Two patients underwent TORS-assisted free flap reconstruction after radiation therapy. The resection margins were free of tumor in both patients. A tracheotomy was performed in one patient who had been decannulated on the sixth postoperative day. One patient resumed satisfactory oral feeding in the fourth postoperative month and the second patient on postoperative day 7. No intraoperative complication and one postoperative complication (neck hematoma) were reported. After a follow-up period of 24 and 30 months, no local recurrence was observed. TORS is feasible for hypopharyngeal resection and assisted free flap reconstruction after radiation therapy. It represents a further step in the development of minimally invasive surgery for the treatment of head and neck cancers with laryngeal preservation.
KW - Free flap reconstruction
KW - Hypopharyngeal carcinoma
KW - Transoral robotic surgery
UR - http://www.scopus.com/inward/record.url?scp=84879899746&partnerID=8YFLogxK
U2 - 10.1007/s00405-013-2566-1
DO - 10.1007/s00405-013-2566-1
M3 - Article
C2 - 23712763
AN - SCOPUS:84879899746
SN - 0937-4477
VL - 270
SP - 2359
EP - 2364
JO - European Archives of Oto-Rhino-Laryngology
JF - European Archives of Oto-Rhino-Laryngology
IS - 8
ER -