DOI: 10.1097/01.prs.0000371802.58729.30

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Issn Print: 0032-1052

Publication Date: 2010/06/01


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66C: TRANS-ORAL ROBOTIC RECONSTRUCTION OF OROPHARYNGEAL DEFECTS: A CASE SERIES

JC Selber; G Robb; JM Serletti; G Weinstein; R Weber; C Holsinger

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Excerpt

Traditionally, access to oropharyngeal tumors is through a transmandibular approach, but such access can be very morbid. Chemoradiation has gained ground as primary treatment, but carries a high rate of dysphagia, dyshponia, chronic pain and xerostomia. Minimally invasive approaches provide the benefit of locoregional control without the morbidity of chemoradiation or a trans-mandibular approach. Minimally invasive resections create a reconstructive challenge because they often require free flaps for anatomic restoration and the inset requires suturing in a narrow, tight space with limited line of site. Trans-oral robotically assisted reconstruction is the logical solution.
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