Pull-through resection without free-flap reconstruction for lateral wall oropharyngeal cancer. (27th May 2020)

• Record Type: Journal Article
• Authors: Matsumoto, Fumihiko; Kobayashi, Kenya; Omura, Go; Matsumura, Satoko; Matsumoto, Yoshifumi; Fukasawa, Masahiko; Yoshimoto, Seiichi
• Is Part Of: Japanese journal of clinical oncology. Volume 50:Number 9(2020)
• Page Start: 1018
• Page End: 1022
• Publication Date: 2020-05-27
• Subjects: oropharyngeal cancer -- pull-through -- mandibular swing -- lip-splitting -- reconstruction; Oncology -- Periodicals; Cancer -- Periodicals; 616.994005
• DOI: 10.1093/jjco/hyaa079
• Languages: English
• ISSNs: 0368-2811

Abstract

Abstract: Background: While transoral robotic surgery (TORS) is widely used for the management of lateral wall oropharyngeal carcinomas (OPC), open surgical techniques are still used in some cases. A pull-through method for open surgical resections of OPC has recently been introduced. We improved on this method by eliminating the need for subsequent free-flap reconstruction. Methods: 16 patients with lateral wall OPC underwent pull-through resections. After resection, we used the digastric muscle, stylohyoid muscles, submandibular gland and the surrounding tissues to block the neck and oral cavity and to avoid reconstruction. Results: This novel technique was performed without major complications or morbidities. The average post-operative hospital stay was 14.6 ± 6.1 days, and the average duration until initiation of oral intake post-operation was 6.5 ± 2.9 days. Oncological outcomes, post-operative course and function were acceptable. Conclusions: Our novel method provides an efficient and less invasive surgical technique than conventional open approaches. Abstract : Pull-through resection without reconstruction is more effective and less invasive than conventional open approaches for OPC and a particularly useful option in regions where TORS has not yet become widespread.