1,721,055 research outputs found

    Contemporary management of primary parapharyngeal space tumors

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    López, F., Suárez, C., Vander Poorten, V., Mäkitie, A., Nixon, I.J., Strojan, P., Hanna, E.Y., Rodrigo, J.P., de Bree, R., Quer, M., Takes, R.P., Bradford, C.R., Shaha, A.R., Sanabria, A., Rinaldo, A., Ferlito, A

    Current therapeutic options for low-risk papillary thyroid carcinoma: scoping evidence review

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    Sanabria, A., Pinillos, P., Lira, R.B., Shah, J.P., Tufano, R.P., Zafereo, M.E., Nixon, I.J., Randolph, G.W., Simo, R., Vander Poorten, V., Rinaldo, A., Medina, J.E., Khafif, A., Angelos, P., Mäkitie, A.A., Shaha, A.R., Rodrigo, J.P., Hartl, D.M., Kowalski, L.P., Ferlito, A

    Transoral Robotic Surgery (TORS) Using the Da Vinci Xi: a Prospective Analysis of Feasibility and Safety

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    Introduction: The Da Vinci Xi robot has not been FDA approved for transoral surgical treatment (TORS) of head and neck cancers, resulting in limited data in the literature with regards to feasibility, safety and postoperative outcomes. We report feasibility and safety of Xi-TORS. Methods: In a prospective observational study, patients undergoing TORS with the Xi robot were consecutively included. The objective was evaluating feasibility and safety of Xi-TORS. Results: Sixty-one patients were included and adequate tumor exposure with macroscopically complete resection was obtained in 59 cases (success rate 96.7%). Of these 59 patients, 52 (88.1%) underwent TORS as a primary treatment and 7 (11.9%) were treated in a salvage setting. Most frequent indications were oropharyngeal squamous cell carcinoma (n = 25) and carcinoma of unknown primary (CUP) (n = 19). Mean robot docking time was 20.3 minutes and mean transoral robot time was 48.4 minutes. In 47.5% of patients, 44 peroperative difficulties were encountered. These were most frequently mild (86.4% of reported difficulties) as they only prolonged surgery without intervention interruption and were most often related to tumor exposure and/or robot setup (61.4%). No serious peroperative difficulties with adverse effect on procedure and/or patients were observed. Peroperative complications occurred in 20.3% of patients and most frequently consisted of minor dental damage (n = 5) and peroperative hemorrhage which was controlled transorally (n = 2). Serious complications were creation of an unintended TORS site-dissected neck fistula (n = 1) and iatrogenic mandibular fracture (n = 1). Postoperative hemorrhage at the TORS site and in the neck occurred in 11.9% and 5.1% of patients respectively. No postoperative deaths were encountered. Mean hospital stay was 9.9 days and readmission rate was 10.2%. Conclusion: Xi-TORS proves to be feasible and safe, with a high success rate, a low peroperative complication rate and postoperative hemorrhage rates within normal expectations. However, a high rate of mild peroperative technical difficulties are reported, most often related to exposure and/or robot setup. With the introduction of the Da Vinci Single Port system, a substantial decline in exposure/set-up related issues during TORS is expected, but this needs further confirmation

    Update on olfactory neuroblastoma

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    Lopez F., Agaimy A., Franchi A., Suárez C., Vander Poorten V., Mäkitie A.A., Homma A., Eisbruch A., Olsen K.D., Saba N.F., Nuyts S., Snyderman C., Beitler J.J., Corry J., Hanna E., Hellquist H., Rinaldo A., Ferlito A

    Management of the facial nerve in parotid cancer: preservation or resection and reconstruction

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    Guntinas-Lichius, O., Silver, C.E., Thielker, J., Bernal-Sprekelsen, M., Bradford, C.R., De Bree, R., Kowalski, L.P., Olsen, K.D., Quer, M., Rinaldo, A., Rodrigo, J.R., Sanabria, A., Shaha, A.R., Takes, R.P., Vander Poorten, V., Zbären, P., Ferlito, A

    Surgical margins in head and neck cancer: Intra- and postoperative considerations

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    Thomas Robbins, K., Triantafyllou, A., Suárez, C., López, F., Hunt, J.L., Strojan, P., Williams, M.D., Braakhuis, B.J.M., de Bree, R., Hinni, M.L., Kowalski, L.P., Rinaldo, A., Rodrigo, J.P., Vander Poorten, V., Nixon, I.J., Takes, R.P., Silver, C.E., Ferlito, A

    Adenoid cystic carcinoma of the head and neck - An update

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    Coca-Pelaz, A., Rodrigo, J.P., Bradley, P.J., Vander Poorten, V., Triantafyllou, A., Hunt, J.L., Strojan, P., Rinaldo, A., Haigentz, M., Jr., Takes, R.P., Mondin, V., Teymoortash, A., Thompson, L.D.R., Ferlito, A

    Transoral laser microsurgery for glottic cancer in the elderly: Efficacy and safety

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    Rodrigo, J.P., García-Velasco, F., Ambrosch, P., Vander Poorten, V., Suárez, C., Coca-Pelaz, A., Strojan, P., Hutcheson, K., Folz, B.J., Bernal-Sprekelsen, M., Rinaldo, A., Silver, C.E., Ferlito, A

    Recurrent laryngeal nerve intraoperative neuromonitoring indications in non-thyroid and non-parathyroid surgery

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    Brunet A., Rovira A., Quer M., Sanabria A., Guntinas-Lichius O., Zafereo M., Hartl D.M., Coca-Pelaz A., Shaha A.R., Marie J.-P., Vander Poorten V., Piazza C., Kowalski L.P., Randolph G.W., Shah J.P., Rinaldo A., Simo R

    Intraoperative Imaging Techniques to Improve Surgical Resection Margins of Oropharyngeal Squamous Cell Cancer: A Comprehensive Review of Current Literature

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    de Kleijn B.J., Heldens G.T.N., Herruer J.M., Sier C.F.M., Piazza C., de Bree R., Guntinas-Lichius O., Kowalski L.P., Vander Poorten V., Rodrigo J.P., Zidar N., Nathan C.-A., Tsang R.K., Golusinski P., Shaha A.R., Ferlito A., Takes R.P
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