Transoral robotic approach to carcinoma of unknown primary

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Transoral robotic approach to carcinoma of unknown primary.

BACKGROUND The management of carcinoma of unknown primary (CUP) is one of the challenging conditions in head and neck oncologic surgery. Despite various diagnostic tools, the primary tumor site in more than half of cases remains unidentified. The purpose of this study was to assess the feasibility and efficiency of utilizing transoral robotic surgery (TORS) for the diagnosis and treatment of CU...

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Functional and quality-of-life outcomes of transoral robotic surgery for carcinoma of unknown primary.

OBJECTIVES/HYPOTHESIS To determine speech, eating, aesthetics, social disruption, and overall quality-of-life outcomes over a year period in patients who underwent transoral robotic surgery as part of carcinoma of unknown primary diagnosis and treatment. STUDY DESIGN Observational prospective study. METHODS Twenty-two patients who underwent transoral robotic surgery for the management of ca...

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Cost-effectiveness of transoral robotic surgery in the unknown primary: corrigendum and response to comments.

The commentator has identified errors in Table 6 (see Corrected Table 6). An error in the “Hospital Cost” formula produced the discrepancy in the value for the “Sequential EUA/TORS” strategy, the cost of EUA/tonsillectomy for all patients plus TORS cost for the 70% whose primary was not found. The corrections do not change the order of the strategies’ costs or effectiveness but do markedly affe...

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Cost-effectiveness of transoral robotic surgery in the unknown primary: the problem of extended dominance.

Dr Byrd and colleagues have published a cost-effectiveness analysis of transoral robotic surgery (TORS) in patients with an unknown primary. Using “proportion of primary sites identified” as the marker of effectiveness, the authors examine 3 strategies: evaluation under anesthesia (EUA) and tonsillectomy, EUA/tonsillectomy followed by TORS base-of-tongue resection (sequential EUA/TORS), and EUA...

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Transoral robotic surgery for advanced oropharyngeal carcinoma.

OBJECTIVES To determine the oncologic and functional outcomes in patients undergoing primary transoral robotic surgery followed by adjuvant therapy as indicated with a minimum of 18-month follow-up for advanced oropharyngeal carcinoma. DESIGN Prospective single-center cohort study. SETTING Academic university health system and tertiary referral center. PATIENTS Forty-seven adults with new...

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ژورنال

عنوان ژورنال: Head & Neck

سال: 2013

ISSN: 1043-3074

DOI: 10.1002/hed.23385