Transoral Robotic Surgery of the Parapharyngeal Space: A Case Series and Systematic Review
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摘要Background

The purpose of this study was to evaluate the current use of transoral robotic surgery (TORS) in the treatment of parapharyngeal space (PPS) neoplasms through a case series and systematic analysis.

Methods

A case series review of 4 patients was combined with a PubMed, Web of Science, and Scopus search that identified 82 reports. Fifty-three articles remained after screening for duplicates, finally, 8 reports with adequate patient data were included. Statistical analyses and graphical representations were performed with Microsoft Excel (Redmond, WA) and GraphPad Prism software (La Jolla, CA).

Results

Forty-four patients had TORS resection of PPS neoplasms. Overall, mean length of stay was 3.0 days with mean time to oral diet of 1.0 day. There were no recurrences but there was a mean follow-up time of only 18.5 months. Twenty-nine of these neoplasms (65.9%) were pleomorphic adenomas of which 7 (24%) had unintended capsule violation or tumor fragmentation during surgery and 2 patients had pharyngeal dehiscence that was managed conservatively. There were no neurovascular complications.

Conclusion

TORS is a viable approach to resection of neoplasms of the PPS with minimal surgical morbidity. However, further long-term evaluation, especially for pleomorphic adenomas, is needed to define patient selection and the role of TORS for PPS salivary gland neoplasms.
著者CHAN Jason Ying Kuen Jason, TSANG Raymond Ky, EISELE David W, RICHMON Jeremy D
期刊名稱Head and Neck
出版年份2015
月份2
卷號37
期次2
出版社John Wiley & Sons, Inc.
出版地United States of America
頁次293 - 298
國際標準期刊號1043-3074
語言英式英語
關鍵詞Transoral robotic Surgery (TORS), Parapharyngeal space, Pleomorphic adenoma

上次更新時間 2020-25-11 於 03:28