Skip to main content

Minimally Invasive Techniques: Transoral Robotic Surgery and Photodynamic Therapy

  • Chapter
  • First Online:
  • 1599 Accesses

Abstract

Chemoradiation is the standard at many cancer centers for the treatment of oropharyngeal cancers. Transoral robotic surgery (TORS) has reintroduced surgery as a viable option for patients with cancers of the tonsil and tongue base. Some cancers that were previously resected with midline mandibulotomies are now taken out completely from a less invasive transoral route. TORS can be used to resect tumors of the tonsil, tongue base, supraglottic structures, parapharyngeal space, nasopharynx, and some glottic tumors [1, 4, 10, 11, 13]. Its use in the oral cavity is limited, but it can be used to remove retromolar trigone tumors [5].

This is a preview of subscription content, log in via an institution.

References

  1. Arshad H, Durmus K, Ozer E. Transoral robotic resection of selected parapharyngeal space tumors. Eur Arch Otorhinolaryngol. 2013;270(5):1737–40. doi:10.1007/s00405-012-2217-y.

    Article  PubMed  Google Scholar 

  2. Biel MA. Photodynamic therapy treatment of early oral and laryngeal cancers. Photochem Photobiol. 2007;83(5):1063–8.

    Article  CAS  Google Scholar 

  3. Biel MA. Photodynamic therapy of head and neck cancers. Methods Mol Biol. 2010;635:281–93.

    Article  Google Scholar 

  4. Carrau RL, Prevedello DM, de Lara D, Durmus K, Ozer E. Combined transoral robotic surgery and endoscopic endonasal approach for the resection of extensive malignancies of the skull base. Head Neck. 2013;35(11):E351–8. doi:10.1002/hed.23238.

    Article  PubMed  Google Scholar 

  5. Durmus K, Apuhan T, Ozer E. Transoral robotic surgery for retromolar trigone tumours. Acta Otorhinolaryngol Ital. 2013;33(6):425–7.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Dziegielewski PT, Teknos TN, Durmus K, Old M, Agrawal A, Kakarala K, Marcinow A, Ozer E. Transoral robotic surgery for oropharyngeal cancer: long-term quality of life and functional outcomes. JAMA Otolaryngol Head Neck Surg. 2013;139(11):1099–108. doi:10.1001/jamaoto.2013.2747.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Ghanem TA. Transoral robotic-assisted microvascular reconstruction of the oropharynx. Laryngoscope. 2011;121(3):580–2. doi:10.1002/lary.21428.

    Article  PubMed  Google Scholar 

  8. Hurtuk AM, Marcinow A, Agrawal A, Old M, Teknos TN, Ozer E. Quality-of-life outcomes in transoral robotic surgery. Otolaryngol Head Neck Surg. 2012;146(1):68–73. doi:10.1177/0194599811421298.

    Article  PubMed  Google Scholar 

  9. O’Malley Jr BW, Weinstein GS, Snyder W, Hockstein NG. Transoral robotic surgery (TORS) for base of tongue neoplasms. Laryngoscope. 2006;116(8):1465–72. doi:10.1097/01.mlg.0000227184.90514.1a.

    Article  PubMed  Google Scholar 

  10. Ozer E, Alvarez B, Kakarala K, Durmus K, Teknos TN, Carrau RL. Clinical outcomes of transoral robotic supraglottic laryngectomy. Head Neck. 2013;35(8):1158–61. doi:10.1002/hed.23101.

    Article  PubMed  Google Scholar 

  11. Shafirstein G, Rigual NR, Arshad H, Cooper MT, Bellnier DA, Wilding G, Tan W, Merzianu M, Henderson BW. Photodynamic therapy with 3-(1′-hexyloxyethyl) pyropheophorbide a (HPPH) for early stage cancer of the larynx- phase Ib study. Head Neck. 2015. doi:10.1002/hed.24003.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Weinstein GS, O’Malley Jr BW, Snyder W, Sherman E, Quon H. Transoral robotic surgery: radical tonsillectomy. Arch Otolaryngol Head Neck Surg. 2007;133(12):1220–6.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hassan Arshad .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Arshad, H. (2017). Minimally Invasive Techniques: Transoral Robotic Surgery and Photodynamic Therapy. In: Kuriakose, M.A. (eds) Contemporary Oral Oncology. Springer, Cham. https://doi.org/10.1007/978-3-319-43854-2_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-43854-2_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43852-8

  • Online ISBN: 978-3-319-43854-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics