Transoral Robotic Surgery

Describe the operating room set up of a DaVinci Transoral Robotic surgery.

Is TORS worth the cost?

Reference(s):

Weinstein, G. S., O’Malley, B. W. J., Desai, S. C., & Quon, H. (2009). Transoral robotic surgery: does the ends justify the means? Current Opinion in Otolaryngology & Head and Neck Surgery, 17(2), 126–131.

What is the normal dose of radiation used as primary treatment for oropharyngeal cancer? What are the major side effects and at what dose are they seen?

Describe the most common traditional open surgical techniques utilized to treat oropharyngeal cancer.

Swallowing and quality of life issues after oropharnyngeal cancer treatment.

Is TORS results comparable to XRT or chemoXRT?

Reference(s):

White, H. N., Moore, E. J., Rosenthal, E. L., Carroll, W. R., Olsen, K. D., Desmond, R. A., & Magnuson, J. S. (2010). Transoral robotic-assisted surgery for head and neck squamous cell carcinoma: one- and 2-year survival analysis. Archives of Otolaryngology–Head & Neck Surgery, 136(12), 1248–1252.

Post treatment complications of TORS.

Reference(s):

Moore, E. J., Olsen, K. D., & Kasperbauer, J. L. (2009). Transoral robotic surgery for oropharyngeal squamous cell carcinoma: a prospective study of feasibility and functional outcomes. The Laryngoscope, 119(11), 2156–2164.

Role of deintensified post-operative radiation after TORS.

Reference(s):

Weinstein, G. S., Quon, H., O’Malley, B. W. J., Kim, G. G., & Cohen, M. A. (2010). Selective neck dissection and deintensified postoperative radiation and chemotherapy for oropharyngeal cancer: a subset analysis of the University of Pennsylvania transoral robotic surgery trial. The Laryngoscope, 120(9), 1749–1755.

Options for reconstruction of TORS defects.

Reference(s):

Garfein, E. S., Greaney, P. J. J., Easterlin, B., Schiff, B., & Smith, R. V. (2011). Transoral robotic reconstructive surgery reconstruction of a tongue base defect with a radial forearm flap. Plastic and Reconstructive Surgery, 127(6), 2352–2354.

TORS and Sleep apnea.

Reference(s):

Vicini, C, Dallan, I, Canzi, P, Frassineti, S, et al. (2012). Transoral robotic surgery of the tongue base in obstructive sleep Apnea-Hypopnea sydrome: anatomic considerations and clinical experience. Head Neck, 34(1), 15-22.

TORS and supraglottic laryngectomy.

Reference(s):

Weinstein, G. S., O’Malley, B. W. J., Snyder, W., & Hockstein, N. G. (2007). Transoral robotic surgery: supraglottic partial laryngectomy. The Annals of Otology, Rhinology, and Laryngology, 116(1), 19–23.

Should concurrent neck dissection be performed at same time as TORS?

Reference(s):

Moore, E. J., Olsen, K. D., & Martin, E. J. (2011). Concurrent neck dissection and transoral robotic surgery. The Laryngoscope, 121(3), 541–544.