Transoral Robotic Surgery and the Unknown Primary

被引：15
|
作者：
Ofo, Enyinnaya [1 ,2 ]
Spiers, Harry [3 ]
Kim, Dae [1 ]
Duvvuri, Umamaheswar [4 ]
机构：
[1] St Georges Univ Hosp NHS Fdn Trust, London, England
[2] Kingston Hosp NHS Fdn Trust, London, England
[3] St Georges Univ London, Med Sch, London, England
[4] Univ Pittsburgh, Dept Otolaryngol, Eye & Ear Inst, Vet Affairs Pittsburgh Hlth Syst, Pittsburgh, PA 15260 USA
来源：
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY HEAD AND NECK SURGERY | 2018年 / 80卷 / 3-4期
关键词：
Carcinoma of unknown primary; Robotic head and neck surgery; Tongue base mucosectomy; Transoral robotic surgery; Lingual tonsillectomy; Head and neck cancer; SQUAMOUS-CELL CARCINOMA; LYMPH-NODE METASTASES; PRIMARY TUMORS; LASER MICROSURGERY; PRIMARY ORIGIN; PRIMARY HEAD; TONGUE BASE; NECK; MANAGEMENT; TONSILLECTOMY;
D O I：
10.1159/000490596
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Carcinoma of unknown primary (CUP) comprises approximately 1%-5% of all head and neck malignancies. Primary site detection rates for metastatic cervical squamous cell carcinoma (SCC) remain variable, with current diagnostic imaging unable to identify all tumours. Prevailing evidence suggests that most head and neck CUP are located in the oropharynx. Diagnostic surgical efforts have been directed at sampling the entire oropharynx. Present techniques that make this possible include transoral robotic surgery (TORS). TORS Lingual tonsillectomy or tongue base mucosectomy performed in the setting of head and neck CUP increases the detection rate of occult tumour. The indication, surgical technique, evidence base, and controversies of performing TORS in the context of the unknown primary are presented.
引用
收藏
页码：148 / 155
页数：8
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