OBJECTIVES To report the utilization of a new transoral surgery system, i.e. transoral videolaryngoscopic surgery (TOVS) with a navigation system, for the removal of a metastatic retropharyngeal lymph node (RPLN). CASE REPORT An 86-year-old woman with tongue cancer (cT2N0M0) underwent partial glossectomy and left selective neck dissection. Three months postoperatively, a left metastatic RPLN ...

Recent advances now permit resection of many pharyngeal tumors through the open mouth, an approach that can greatly reduce the morbidity of surgical exposure. These transoral techniques are being rapidly adopted by the surgical community and hold considerable promise. On November 6-7, 2011, the National Cancer Institute sponsored a Clinical Trials Planning Meeting to address how to further inve...

Objective: Various pathologies can occur at the craniovertebral junction (CVJ). Posterior decompression with occipitocervical fixation improve many of these conditions, but anterior is required in some cases. Anterior a CVJ lesion very difficult to perform. The transoral approach has been considered gold standard, it disadvantage deep and limited operative field, complications are associated th...

Aim . To evaluate advantages and disadvantages of transoral ultrasonography (US) in tongue cancer. Materials methods US was performed 165 patients between the ages 15 85 years with malignant tumors mobile (74 (44.9 %) women, 91 (55.1 men). Among patients, 144 had primary tumor. The study also included 21 (12.7 recurrent tumor which clinically could be represented by a true recurrence (tumor dev...

Vascular lesions of the oropharynx may impair swallowing and breathing functions, bleed repeatedly, or cause airway compromise. Conservative management with steroids, interferon, or propranolol may be attempted, but surgery is often needed. Surgical approaches traditionally involved open procedures; however, with the growth of transoral robotic surgery, a new approach is available. This report ...

Benign tumors of the esophagus are uncommon, representing <0.5% of esophageal tumors. Fibrolipomas are a subset of benign fibrovascular tumors, which present with dysphagia, odynophagia, and substernal fullness. These intraluminal tumors can become elongated and molded into a long pedunculated polyp by constant peristaltic movements. They can cause esophageal obstruction if large and long enoug...