Journal of Robotic Surgery

, Volume 4, Issue 2, pp 79–86 | Cite as

Transoral robotic surgery and a paradigm shift in the management of oropharyngeal squamous cell carcinoma

  • Harry Quon
  • Bert W. O’MalleyJr
  • Gregory S. Weinstein
Review Article

Abstract

Efforts to improve upon oncologic results for resectable oropharyngeal carcinoma over the past 40 years have yielded many treatment options. However, the two fundamental approaches, surgical and nonsurgical, have not been compared in a randomized trial. Both approaches can be effective and both can cause treatment-related swallowing complications. Early experience combining technological advancements with conformal radiotherapy and transoral robotic surgery suggests that the risk of swallowing complications may be reduced and that treatment outcomes may be improved through pathologic stratification and risk-adapted adjuvant therapy. This may also be a valid strategy upon which treatment de-intensification may be studied for human-papillomavirus-associated oropharyngeal carcinoma due to its favorable prognosis.

Keywords

Transoral robotic surgery Oropharynx carcinoma Review Treatment paradigm Radiotherapy Concurrent chemotherapy Risk stratification Treatment-related swallowing complications 

Notes

Conflict of interest

None.

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Copyright information

© Springer-Verlag London Ltd 2010

Authors and Affiliations

  • Harry Quon
    • 1
    • 2
    • 3
    • 4
    • 5
  • Bert W. O’MalleyJr
    • 2
    • 3
    • 4
  • Gregory S. Weinstein
    • 2
    • 3
    • 4
  1. 1.Department of Radiation OncologyPhiladelphiaUSA
  2. 2.Department of Otorhinolaryngology–Head and Neck SurgeryPhiladelphiaUSA
  3. 3.Abramson Cancer CenterPhiladelphiaUSA
  4. 4.University of PennsylvaniaPhiladelphiaUSA
  5. 5.Hospital of the University of PennsylvaniaPhiladelphiaUSA

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