Artigo Produção Nacional Revisado por pares

Transoral Robotic Surgery for Parapharyngeal Space Tumors

2010; Karger Publishers; Volume: 72; Issue: 6 Linguagem: Inglês

10.1159/000320596

ISSN

1423-0275

Autores

Bert W. O’Malley, Harry Quon, Fernando Danelon Leonhardt, Ara A. Chalian, Gregory S. Weinstein,

Tópico(s)

Head and Neck Surgical Oncology

Resumo

To evaluate the outcomes of patients with parapharyngeal space (PPS) tumors treated with a transoral robotic surgery (TORS) approach.We prospectively enrolled well-defined benign PPS tumors accessible from the oropharynx with no carotid encasement or bone erosion. We designated outcome measures that included technical feasibility of the approach, local tumor control and complication rates. Descriptive statistics were used to summarize the outcome data.With a mean follow-up of 29.9 months (range 12-40 months), a total of 10 patients have been enrolled. TORS was completed in 9 of 10 patients with acceptable operative time and blood loss and no significant complications including hemorrhage, infection, trismus or tumor spillage. Local control has been 100% for 7 patients with pleomorphic adenomas.We confirm the safety and feasibility of the TORS approach for PPS tumors that achieves a high local control and low surgical complication rate. TORS is a viable approach for removing benign tumors and lesions of the PPS.

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