Tongue base tumor, open surgery or transoral robotic surgery?

doi:10.19438/j.cjoms.2022.06.002

Abstract

Abstract: Tongue base tumors are common in oral and maxillofacial surgery. The anatomical location of tongue base tumor is deep and difficult to treat, there is no consensus on the choice of surgical treatment. This article aimed to summarize the research progress in tongue base tumors, analyze and compare the treatment methods, summarize their advantages and disadvantages, and provide reference for clinical diagnosis and treatment of tongue base tumors.

Key words: Tongue base tumor, Open surgery, Transoral robotic surgery

CLC Number:

R739.8

XI Qing. Tongue base tumor, open surgery or transoral robotic surgery?[J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(6): 527-533.

References

[1] Desai P.Cancer control efforts in the Indian subcontinent[J]. Jpn J Clin Oncol, 2002, 32(Suppl): S13-16.
[2] 李五一, 霍红, 杨大海, 等. 等离子射频辅助经口内镜微创切除浅表舌根肿瘤[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(5): 332-336.
Li WY, Huo H, Yang DH, et al.Transoral coblation-assisted endoscopic minimally invasive surgery for superficial tongue base tumours[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2017, 52(5): 332-336.
[3] Sayin I, Fakhoury R, Prasad VM, et al.Transoral robotic surgery for base of tongue neoplasms[J]. B-ENT, 2015 (Suppl 24): 45-50.
[4] 王祎, 叶茂昌, 李容新, 等. 经下颌骨正中离断外旋入路切除舌根癌以及同期重建舌根的临床研究[J]. 临床口腔医学杂志, 2016,32(2):100-103.
Wang Y, Ye MC, Li RX, et al.The clinical study of mandibular median interruption and external rotation approach for resection of carcino-ma of root of the tongue and simultaneous reconstruction[J]. Journal of Clinical Stomatology, 2016,32(2):100-103.
[5] 许莉, 陈伟, 季俊峰, 等. 达芬奇手术机器人辅助CO₂激光切除下咽舌根肿瘤2例[J]. 山东大学耳鼻喉眼学报, 2013, 27(5): 1-3,7.
Xu L, Chen W, Ji JF, et al.Resection of tumors at the tongue base and the hypopharynx by Da Vinci robotic system assisted with CO₂ laser (2 cases report)[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2013, 27(5): 1-3,7.
[6] 贾俊. 口咽癌手术径路的选择及处理[C].第九次全国口腔颌面-头颈肿瘤学术研讨会论文集. 2015:24-24.
Jia J.Surgical path selection and management of oropharyngeal carcinoma[C]. Proceedings of the 9th National Symposium on Oral and Maxillofacial Head and Neck Tumors. 2015:24-24.
[7] 邱连升, 林泼水. 下颌骨外旋径路切除晚期口咽癌的临床研究—附6例报告[J]. 中国耳鼻咽喉颅底外科杂志, 2005, 11(3): 144-146.
Qiu LS, Lin PS.Clinical study on mandibular swing approach for resection of advanced-stagy oropharyngeal carcinoma (a report of 6 cases)[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 2005, 11(3): 144-146.
[8] 唐瞻贵, 仝向娟, 张雷, 等. 舌根、咽旁肿瘤外科手术径路比较研究[J]. 中国耳鼻咽喉颅底外科杂志, 2003, 9(3): 152-154.
Tang ZG, Tong XJ, Zhang L, et al.Comparative study on surgical approaches for tumors involving the tongue base and parapharyngeal area[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 2003, 9(3): 152-154.
[9] Thawley SE, Panje WR.Comprehensive management of head neck tumors[M]. Philadelphia: W.B. Saunders Company, 1987.
[10] Weber PC, Johnson JT, Myers EN.The suprahyoid approach for squamous cell carcinoma of the base of tongue[J]. Laryngoscope, 1992, 102(6): 637-640.
[11] Chen EY, Lim J, Boss EF, et al.Transoral approach for direct and complete excision of vallecular cysts in children[J]. Int J Pediatr Otorhinolaryngol, 2011, 75(9): 1147-1151.
[12] Leuin S, Cunningham M, Volk MS, et al.Transhyoid approach to excision of recurrent vallecular pseudocysts[J]. Laryngoscope, 2008, 118(1): 124-127.
[13] 席庆, 张明, 冯琳, 等. 9例经口入路机器人手术在口腔颌面外科应用报道[J]. 中国口腔颌面外科杂志, 2020, 18(4): 365-368.
Xi Q, Zhang M, Feng L, et al.Application of transoral robotic surgery in oral and maxillofacial surgery: a report of 9 cases[J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(4): 365-368.
[14] 于文俊, 席庆. 达芬奇机器人在口腔颌面外科中的应用[J]. 中华老年口腔医学杂志, 2021, 19(6): 360-364.
Yu WJ, Xi Q.Application of Da Vinci robot in oral and maxillofacial surgery[J]. Chinese Journal of Geriatric Dentistry, 2021, 19(6): 360-364.
[15] Arora A, Chaidas K, Garas G, et al.Outcome of TORS to tongue base and epiglottis in patients with OSA intolerant of conventional treatment[J]. Sleep Breath, 2016, 20(2): 739-747.
[16] 宋西成, 潘新良, 栾信庸, 等. 口外径路切除舌根良性肿瘤的临床评价[J]. 山东大学基础医学院学报, 2004, 18(2): 107-108.
Song XC, Pan XL, Luan XY, et al.The clinical evaluation for removing the benign tumor of tongue base with the surgery approaches outside oral cavity[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2004, 18(2): 107-108.
[17] Ying B, Wu S, Yan S, et al.Intraoral multistage mandibular angle ostectomy: 10 years' experience in mandibular contouring in Asians[J]. J Craniofac Surg, 2011, 22(1): 230-232.
[18] Kayhan FT, Yigider AP, Koc AK, et al.Treatment of tongue base masses in children by transoral robotic surgery[J]. Eur Arch Otorhinolaryngol, 2017, 274(9): 3457-3463.
[19] 杨梦雪, 文忠. 激光微创手术在下咽癌中的应用研究进展[J]. 中国耳鼻咽喉颅底外科杂志, 2019, 25(3): 327-332.
Yang MX, Wen Z.Advances in minimally invasive surgery for hypopharyngeal carcinoma[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 2019, 25(3): 327-332.
[20] Peretti G, Piazza C, Cocco D, et al.Transoral CO₂ laser treatment for Tis-T3 glottic cancer: The University of Brescia experience on 595 patients[J]. Head Neck, 2010, 32(8): 977-983.
[21] Hinni ML, Salassa JR, Grant DG, et al.Transoral laser microsurgery for advanced laryngeal cancer[J]. Arch Otolaryngol Head Neck Surg, 2007, 133(12):1198-1204.
[22] Aubry K, Yachine M, Perez A, et al.Transoral robotic surgery for head and neck cancer: a series of 17 cases[J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2011, 128(6): 290-296.
[23] Weinstein GS, O’Malley BW Jr, Cohen MA, et al. Transoral robotic surgery for advanced oropharyngeal carcinoma[J]. Arch Otolaryngol Head Neck Surg, 2010, 136(11): 1079-1085.
[24] Park YM, Kim WS, Byeon HK, et al.Surgical techniques and treatment outcomes of transoral robotic supraglottic partial laryngectomy[J]. Laryngoscope, 2013, 123(3): 670-677.
[25] O'Malley BW Jr, Weinstein GS, Snyder W, et al. Transoral robotic surgery (TORS) for base of tongue neoplasms[J]. Laryngoscope, 2006, 116(8):1465-1472.
[26] Hockstein NG, Nolan JP, O'Malley BW Jr, et al. Robotic microlaryngeal surgery: a technical feasibility study using the daVinci surgical robot and an airway mannequin[J]. Laryngoscope, 2010, 115(5): 780-785.
[27] Hockstein NG, O'Malley BW Jr, Weinstein GS. Assessment of intraoperative safety in transoral robotic surgery[J]. Laryngoscope, 2006, 116(2): 165-168.
[28] Erkul E, Duvvuri U, Mehta D, et al.Transoral robotic surgery for the pediatric head and neck surgeries[J]. Eur Arch Otorhinolaryngol, 2017, 274(3): 1747-1750.
[29] Montevecchi F, Bellini C, Meccariello G, et al.Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration[J]. Eur Arch Otorhinolaryngol, 2017, 274(2): 1161-1166.
[30] Wine TM, Duvvuri U, Maurer SH, et al.Pediatric transoral robotic surgery for oropharyngeal malignancy: a case report[J]. Int J Pediatr Otorhinolaryngol, 2013, 77(7): 1222-1226.
[31] Kokot N, Mazhar K, O’Dell K, et al. Transoral robotic resection of oropharyngeal synovial sarcoma in a pediatric patient[J]. Int J Pediatr Otorhinolaryngol, 2013, 77(6): 1042-1044.
[32] Genden EM, Desai S, Sung CK.Transoral robotic surgery for the management of head and neck cancer: a preliminary experience[J]. Head Neck, 2009, 31(3): 283-289.
[33] Dowthwaite SA, Franklin JH, Palma DA, et al.The role of transoral robotic surgery in the management of oropharyngeal cancer: a review of the literature[J]. ISRN Oncol, 2012: 945162.
[34] Kayhan FT, Kaya KH, Yazici ZM.Transoral robotic surgery for tongue-base adenoid cystic carcinoma[J]. J Oral Maxillofac Surg, 2011, 69(11): 2904-2908.
[35] Kayhan FT, Kaya KH, Koc AK, et al.Transoral surgery for an infant thyroglossal duct cyst[J]. Int J Pediatr Otorhinolaryngol, 2013, 77(9): 1620-1623.
[36] Hockstein NG, Weinstein GS, O'Malley BW Jr. Maintenance of hemostasis in transoral robotic surgery[J]. ORL J Otorhinolaryngol Relat Spec, 2005, 67(4): 220-224.
[37] Howard BE, Moore EJ, Hinni ML.Lingual thyroidectomy: the Mayo Clinic experience with transoral laser microsurgery and transoral robotic surgery[J]. Ann Otol Rhinol Laryngol, 2014, 123(3): 183-187.
[38] Nam IC, Park JO, Joo YH, et al.Role of primary closure after transoral robotic surgery for tonsillar cancer[J]. Auris Nasus Larynx, 2015, 42(1): 43-48.
[39] Genden EM, Kotz T, Tong CC, et al.Transoral robotic resection and reconstruction for head and neck cancer[J]. Laryngoscope, 2011, 121(8): 1668-1674.
[40] White HN, Moore EJ, Rosenthal EL, et al.Transoral robotic-assisted surgery for head and neck squamous cell carcinoma: one- and 2-year survival analysis[J]. Arch Otolaryngol Head Neck Surg, 2010, 136(12): 1248-1252.
[41] Weinstein GS, Quon H, Newman HJ, et al.Transoral robotic surgery alone for oropharyngeal cancer: an analysis of local control[J]. Arch Otolaryngol Head Neck Surg, 2012, 138(7): 628-634.
[42] Cognetti DM, Luginbuhl AJ, Nguyen AL, et al.Early adoption of transoral robotic surgical program: preliminary outcomes[J]. Otolaryngol Head Neck Surg, 2012, 147(3): 482-488.
[43] Van Abel KM, Moore EJ, Carlson ML, et al.Transoral robotic surgery using the thulium: YAG laser: a prospective study[J]. Arch Otolaryngol Head Neck Surg, 2012, 138(2): 158-166.
[44] 于文俊, 林权泉, 冯琳, 等. 经口入路机器人手术在舌根部肿物的应用[J]. 中华老年口腔医学杂志, 2022, 20(1): 56-61.
Yu WJ, Lin QQ, Feng L, et al.Transoral robotic surgery for base of tongue tumors[J]. Chinese Journal of Geriatric Dentistry, 2022, 20(1): 56-61.
[45] Weinstein G, O'Malley BW Jr, Magnuson J, et al. Transoral robotic surgery: a multicenter study to assess feasibility, safety, and surgical margins[J]. Laryngoscope, 2012, 122(8): 1701-1707.
[46] Li RJ, Richmon JD.Transoral endoscopic surgery: new surgical techniques for oropharyngeal cancer[J]. Otolaryngol Clin North Am, 2012, 45(4): 823-844.
[47] Liu H, Wang Y, Wu C, et al.Robotic compared with open operations for cancers of the head and neck: a systematic review and meta-analysis[J]. Br J Oral Maxillofac Surg, 2019, 57(10): 967-976.
[48] Castellano A, Sharma A.Systematic review of validated quality of life and swallow outcomes after transoral robotic surgery[J]. Otolaryngol Head Neck Surg, 2019, 161(4): 561-567.
[49] Colevas AD, Yom SS, Pfister DG, et al.NCCN guidelines insights: head and neck cancers, version 1.2018[J]. J Natl Compr Canc Netw, 2018, 16(5): 479-490.
[50] Arora A, Kotecha J, Acharya A, et al.Determination of biometric measures to evaluate patient suitability for transoral robotic surgery[J]. Head Neck, 2015, 37(9): 1254-1260.
[51] 孟令照, 房居高, 王建宏,等. 达芬奇机器人经口切除喉及下咽肿瘤的初步经验[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(14):1065-1070.
Meng LZ, Fang JG, Wangj JH, et al.Preliminary experience of transoral robotic surgery in laryngeal and hypopharyngeal tumors with da Vinci surgical system[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2018, 32(14):1065-1070.
[52] Weinstein GS, O'Malley BW Jr, Rinaldo A, et al. Understanding contraindications for transoral robotic surgery (TORS) for oropharyngeal cancer[J]. Eur Arch Otorhinolaryngol, 2015, 272(7): 1551-1552.
[53] Chen MM, Orosco RK, Lim GC, et al.Improved transoral dissection of the tongue base with a next-generation robotic surgical system[J]. Laryngoscope, 2018, 128(1): 78-83.