Minimally invasive techniques for head and neck malignancies: Current indications, outcomes and future directions

Dana M. Hartl, Alfio Ferlito, Carl E. Silver, Robert P. Takes, Sandro J. Stoeckli, Carlos Suárez, Juan P. Rodrigo, Andreas M. Sesterhenn, Carl H. Snyderman, David J Terris, Eric M. Genden, Alessandra Rinaldo

Research output: Contribution to journalReview article

16 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1249-1257
Number of pages9
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume268
Issue number9
DOIs
StatePublished - Sep 1 2011

Keywords

  • Endoscopic resection
  • Head and neck malignancies
  • Sentinel node biopsy
  • Transoral laser microsurgery
  • Transoral robot-assisted surgery

ASJC Scopus subject areas

  • Otorhinolaryngology

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    Hartl, D. M., Ferlito, A., Silver, C. E., Takes, R. P., Stoeckli, S. J., Suárez, C., Rodrigo, J. P., Sesterhenn, A. M., Snyderman, C. H., Terris, D. J., Genden, E. M., & Rinaldo, A. (2011). Minimally invasive techniques for head and neck malignancies: Current indications, outcomes and future directions. European Archives of Oto-Rhino-Laryngology, 268(9), 1249-1257. https://doi.org/10.1007/s00405-011-1620-0