Functional Outcomes After Transoral Plus Lateral Pharyngotomy Approach for Advanced Oral and Oropharyngeal Tumors

Author:

Colevas Sophia M.1ORCID,Merfeld Emily C.2,Pflum Zachary E.1,Gessert Thomas G.1,Wieland Aaron M.1,Glazer Tiffany A.1,Burr Adam R.2,Harari Paul M.2,Hartig Gregory K.2

Affiliation:

1. Department of Surgery, Division of Otolaryngology–Head and Neck Surgery University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA

2. Department of Human Oncology University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA

Abstract

AbstractObjectiveThe aim of this study was to evaluate our institutional experience with the combined transoral plus lateral pharyngotomy (TO+LP) approach in a subset of patients with advanced or recurrent oral and oropharyngeal malignancy.Study DesignA retrospective study of procedures utilizing TO+LP for cancer resection between January 2007 and July 2019.SettingTertiary academic medical center.MethodsThirty‐one patients underwent a TO+LP approach for the resection of oral and oropharyngeal tumors. Functional and oncologic outcomes were analyzed.ResultsEighteen (58.1%) patients were treated with TO+LP for recurrent disease. Twenty‐nine required free tissue transfer and 2 (6.5%) had positive margins. The median time to decannulation was 22 days (range 6‐100 days). Thirteen (41.9%) patients still required enteral feeding at their most recent follow‐up. Patients without a history of prior radiation were decannulated sooner (p = .009) and were less likely to require enteral feeding at the first postoperative follow‐up (p = .034) than those who had prior head and neck radiotherapy.ConclusionA TO+LP approach can be used to achieve good functional and oncologic results for selected patients with advanced or recurrent oral and oropharyngeal cancer when minimally invasive options such as transoral robotic surgery, transoral laser microsurgery, or radiotherapy are not possible.

Publisher

Wiley

Subject

Otorhinolaryngology,Surgery

Reference28 articles.

1. The mandibulotomy: Friend or foe? Safety outcomes and literature review

2. The lip-splitting mandibulotomy: Aesthetic and functional outcomes

3. On lateral pharyngotomy for the extirpation of malignant tumors of the tonsillar region;Pilcher LSI;Ann Surg,1886

4. A method of lateral pharyngotomy for the exposure of large growths of the epilaryngeal region;Trotter W;Proc R Soc Med,1920

5. Resection of selected invasive squamous cell carcinoma of the pyriform sinus by means of the lateral pharyngotomy approach: The partial lateral pharyngectomy

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