Transoral robotic surgery with free flap reconstruction: Functional outcomes of 241 patients at a single institution.
Head Neck
; 46(7): 1601-1613, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38600736
ABSTRACT
BACKGROUND:
Transoral robotic surgery (TORS) for oropharyngeal malignancy optimizes oncologic outcomes while preserving functionality. This study identifies patterns of functional recovery after TORS with free flap reconstruction (FFR).METHODS:
Retrospective cohort study at a tertiary care center of patients with primary oropharyngeal tumors treated with TORS with FFR between 2010 and 2022. Patients were categorized into adjuvant chemoradiation or radiation, or no adjuvant therapy (NAT). Functional outcomes were measured by functional oral intake scale (FOIS).RESULTS:
241 patients were included. FOIS declined at first postoperative appointment (median = 7.0 to 2.0, IQR = [7.0, 7.0], [2.0, 4.0]), and progressively improved to 6.0 (5.0, 6.0) after 1 year, with NAT having the highest FOIS (7.0, p < 0.05). Predictors of poor long-term FOIS included RT and hypoglossal nerve (CN XII) involvement (p < 0.05).CONCLUSIONS:
TORS with FFR leads to good long-term function with minimal intake restrictions. Radiation therapy and CN XII involvement increase risk of worse functional outcomes.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Orofaríngeas
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Procedimentos de Cirurgia Plástica
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Retalhos de Tecido Biológico
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Procedimentos Cirúrgicos Robóticos
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article