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Lingual tonsil lymphatic tissue regrowth in patients undergoing transoral robotic surgery
Author(s) -
Iannella Giannicola,
Magliulo Giuseppe,
Montevecchi Filippo,
De Vito Andrea,
Polimeni Antonella,
De Vincentiis Marco,
Meccariello Giuseppe,
D'Agostino Giovanni,
Gobbi Riccardo,
Cammaroto Giovanni,
Stomeo Francesco,
Pang Kenny P.,
Rotenberg Brian,
Vicini Claudio
Publication year - 2019
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27775
Subject(s) - medicine , tonsil , lymphatic system , palatine tonsil , grading (engineering) , surgery , retrospective cohort study , tonsillectomy , pathology , civil engineering , engineering
Objectives/Hypothesis To evaluate a possible regrowth of lingual tonsil lymphatic tissue in patients submitted to lingual tonsil resection with transoral robotic surgery (TORS). Study Design Retrospective Study. Methods Medical records of patients surgically treated by means of TORS to remove excessive lymphatic tissue of the lingual tonsil were retrospectively reviewed. Postoperative endoscopic data after long‐term follow‐up were analyzed to investigate possible lymphatic tissue regrowth. Preoperative and postoperative lingual tonsil lymphatic tissue were classified according to the standardized Friedman's grading scale ranging from 0 to 4. Results Sixty‐eight patients (41 male and 27 female; mean age = 51.3 years) were considered suitable for the study analysis. Clinical regrowth was observed in six (8.8%) patients: four (5.9%) and two (2.9%) patients with grade 2 and 3 lymphatic hypertrophy, respectively. No correlation between the grade of regrowth, the time interval from surgery, and the volume of lymphatic tissue removed was found. Conclusions The lymphatic tissue regrowth after TORS resection appears to be very low. Level of Evidence 4 Laryngoscope , 129:2652–2657, 2019