Salvage Transoral Robotic Surgery for Recurrent or Residual Head and XXXX : A Single Institution Experience.

@entity1 @entity548 @entity190 @entity260 @entity734 @entity213
BACKGROUND: The present study was conducted to evaluate the technical feasibility, safety and adequacy of surgical margins with salvage transoral robotic surgery (TORS) for recurrent or residual head and @entity213 @entity1 . MATERIALS AND METHODS: Thirty @entity1 who underwent salvage TORS using the 'DaVinci' robot were enrolled in the study and data related to their surgical time, complications and functional outcome were recorded. RESULTS: The feasibility of salvage TORS in our study was observed to be 100%. Positive margins were encountered in only 6.7% of @entity1 . Mean @entity190 was 23.3 ml with no @entity1 requiring blood transfusion. @entity260 in the form of primary @entity548 requiring active surgical intervention occurred in 13.3%. Oral feeding could be started as early as the 3rd postoperative day in a few @entity1 , with nasogastric tubes being removed on the 12th postoperative day. Long term gastrostomy tube dependency was seen in 10% cases. Median survival of @entity1 was 19 months. CONCLUSIONS: Salvage TORS is a safe, effective and feasible option in the management of treatment failure cases. It offers an alternative surgical approach with unexpected benefits in terms of tracheostomy tube use, Ryle's tube and @entity734 .
