التفاصيل البيبلوغرافية
| العنوان: |
Transoral robotic surgery with radial forearm free flap reconstruction: case control analysis. |
| المؤلفون: |
Biron, Vincent L., O'Connell, Daniel A., Barber, Brittany, Clark, Jessica M., Andrews, Colin, Jeffery, Caroline C., Côté, David W. J., Harris, Jeffrey, Seikaly, Hadi |
| المصدر: |
Journal of Otolaryngology -- Head & Neck Surgery; 3/14/2017, Vol. 46, p1-7, 7p |
| مصطلحات موضوعية: |
MANDIBLE surgery, TREATMENT effectiveness, ACADEMIC medical centers, CHI-squared test, FACIAL bones, SURGICAL flaps, FOREARM, LIPS, LONGITUDINAL method, RESEARCH funding, STATISTICAL sampling, SQUAMOUS cell carcinoma, SURGICAL complications, PLASTIC surgery, TRACHEOTOMY, COST analysis, SURGICAL robots, CASE-control method, OROPHARYNGEAL cancer, MANN Whitney U Test, SURGERY |
| مصطلحات جغرافية: |
ALBERTA |
| مستخلص: |
Background: The resection of large oropharyngeal tumors traditionally involves a lip-splitting mandibulotomy for adequate margin visualization and free flap reconstruction of the surgical defect. Transoral robotic surgery (TORS) has emerged as a technique that can resect large and complex oropharyngeal tumors, avoiding a lip-splitting approach. The aim of this study is to compare the lip-splitting mandibulotomy approach versus TORS for the management of advanced stage oropharyngeal carcinomas. Methods: Prospectively collected data from 18 patients with advanced stage oropharyngeal squamous cell carcinoma (OPSCC) who received TORS with radial forearm free flap reconstruction (RFFF) was compared to a matched cohort of 39 patients who received a lip-splitting mandibulotomy and RFFF. Patients were matched for stage, p16 positivity, smoking, age and gender. Length of hospital stay (LOHS), tracheostomy decanulation time, operative time, surgical margin status, and post-operative complications were compared between groups. Results: Patients who received TORS with RFFF had a significantly lower mean LOHS, compared to patients who were treated by lip-splitting mandibulotomy and RFFF (14.4 vs 19.7 days, = 0.03). No significant differences p were seen between groups in terms of operative time, tracheostomy decannulation time, margin positivity and post-operative complications. Conclusion: TORS with radial forearm free flap reconstruction is a safe, effective and cost-saving alternative to the lip-splitting mandibulotomy approach for the treatment of advanced stage OPSCC. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
