TY - JOUR
T1 - Minimally invasive techniques for head and neck malignancies
T2 - Current indications, outcomes and future directions
AU - Hartl, Dana M.
AU - Ferlito, Alfio
AU - Silver, Carl E.
AU - Takes, Robert P.
AU - Stoeckli, Sandro J.
AU - Suárez, Carlos
AU - Rodrigo, Juan P.
AU - Sesterhenn, Andreas M.
AU - Snyderman, Carl H.
AU - Terris, David J.
AU - Genden, Eric M.
AU - Rinaldo, Alessandra
PY - 2011/9
Y1 - 2011/9
N2 - The trend toward minimally invasive surgery, appropriately applied, has evolved over the past three decades to encompass all fields of surgery, including curative intent cancer surgery of the head and neck. Proper patient and tumor selection are fundamental to optimizing oncological and functional outcomes in such a personalized approach to cancer treatment. Training, experience, and appropriate technological equipment are prerequisites for any type of minimally invasive surgery. The aim of this review was to provide an overview of currently available techniques and the evidence justifying their use. Much evidence is in favor of routine use of transoral laser resection, transoral robot-assisted surgery, transnasal endoscopic resection, sentinel node biopsy, and endoscopic neck surgery for selected malignant tumors, by experienced surgical teams. Technological advances will enhance the scope of this type of surgery in the future and physicians need to be aware of the current applications and trends.
AB - The trend toward minimally invasive surgery, appropriately applied, has evolved over the past three decades to encompass all fields of surgery, including curative intent cancer surgery of the head and neck. Proper patient and tumor selection are fundamental to optimizing oncological and functional outcomes in such a personalized approach to cancer treatment. Training, experience, and appropriate technological equipment are prerequisites for any type of minimally invasive surgery. The aim of this review was to provide an overview of currently available techniques and the evidence justifying their use. Much evidence is in favor of routine use of transoral laser resection, transoral robot-assisted surgery, transnasal endoscopic resection, sentinel node biopsy, and endoscopic neck surgery for selected malignant tumors, by experienced surgical teams. Technological advances will enhance the scope of this type of surgery in the future and physicians need to be aware of the current applications and trends.
KW - Endoscopic resection
KW - Head and neck malignancies
KW - Sentinel node biopsy
KW - Transoral laser microsurgery
KW - Transoral robot-assisted surgery
UR - http://www.scopus.com/inward/record.url?scp=80052781934&partnerID=8YFLogxK
U2 - 10.1007/s00405-011-1620-0
DO - 10.1007/s00405-011-1620-0
M3 - Review article
C2 - 21562814
AN - SCOPUS:80052781934
SN - 0937-4477
VL - 268
SP - 1249
EP - 1257
JO - European Archives of Oto-Rhino-Laryngology
JF - European Archives of Oto-Rhino-Laryngology
IS - 9
ER -