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Transoral robotic surgery for head and neck malignancies: Imaging features in presurgical workup
Author(s) -
Kwan Benjamin Y.M.,
Khan Nazir Mohammed,
Almeida John R.,
Goldstein David,
Paleri Vinidh,
Forghani Reza,
Yu Eugene
Publication year - 2019
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25887
Subject(s) - transoral robotic surgery , medicine , head and neck , head and neck cancer , radiology , surgery , medical physics , radiation therapy
The objective of this article was to review the indications for transoral robotic surgery (TORS) in head and neck malignancies. The role of imaging in patient selection will be specifically reviewed. TORS is a recently developed technique that allows minimally invasive surgeries to be performed in the head and neck. TORS has a role in the de‐escalation of oropharyngeal cancers, which allows for lower doses of chemoradiation therapy (this is a technique currently in clinical trials). Additionally, this technique allows for less invasive surgery and decreases associated complications. TORS can also be performed at other subsites. Cross‐sectional imaging has a prominent role to help identify suitable candidates for this type of surgery. This article will review important anatomy and staging related to TORS. Additionally, the key imaging features for patient selection (indications and contraindications) will be presented along with case illustrations.