Improving exposure for transoral oropharyngeal surgery with the floor of mouth window: a cadaveric feasibility study
Abstract Background Transoral robotic and laser surgery is rising in popularity due to the increasing incidence of Human Papilloma Virus (HPV) related oropharyngeal cancer. However, adequate exposure of the tongue base remains a major hurdle in many cases. This study introduces a novel surgical tech...
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40463-019-0383-2 |
| _version_ | 1797972871741440000 |
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| author | Jeffson Chung Adam Bender-Heine H. Wayne Lambert |
| author_facet | Jeffson Chung Adam Bender-Heine H. Wayne Lambert |
| author_sort | Jeffson Chung |
| collection | DOAJ |
| description | Abstract Background Transoral robotic and laser surgery is rising in popularity due to the increasing incidence of Human Papilloma Virus (HPV) related oropharyngeal cancer. However, adequate exposure of the tongue base remains a major hurdle in many cases. This study introduces a novel surgical technique called the Floor of Mouth Window, which can be used to improve tongue base exposure at the time of transoral surgery. Methods This is a preclinical anatomic cadaver study. Seven fresh cadavers were used for this study. Exposure of the tongue base was compared between conventional mouth gags – the Feyh-Kastenbauer and McIvor – and our novel procedure, the Floor of Mouth Window. Exposure was compared subjectively using endoscopic and extracorporeal photographs, as well as objective measurements of inter-incisor distance, and oral cavity volume. Results The exposure achieved by the Floor of Mouth Window technique was superior to the mouth gags. Inter-incisor distance and oral cavity volume measurements were all more favorable with the Floor of Mouth Window. This technique allowed for successful transoral laser tongue base and tonsil resection without the use of gags or scopes. Conclusion The Floor of Mouth Window is an adjunctive procedure that simply and reliably improved exposure for transoral oropharyngeal surgery in this cadaveric feasibility study. This improved exposure may help increase the adoption of transoral surgery and reduce the number of aborted cases due to anatomic limitations. |
| first_indexed | 2024-04-11T03:55:08Z |
| format | Article |
| id | doaj.art-5c694926b52541ee8a115aedd7530e1b |
| institution | Directory Open Access Journal |
| issn | 1916-0216 |
| language | English |
| last_indexed | 2024-04-11T03:55:08Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj.art-5c694926b52541ee8a115aedd7530e1b2023-01-02T00:47:36ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162019-11-014811710.1186/s40463-019-0383-2Improving exposure for transoral oropharyngeal surgery with the floor of mouth window: a cadaveric feasibility studyJeffson Chung0Adam Bender-Heine1H. Wayne Lambert2Department of Otolaryngology – Head & Neck Surgery, West Virginia UniversityDepartment of Otolaryngology – Head & Neck Surgery, West Virginia UniversityDepartment of Pathology, Anatomy and Laboratory Medicine, West Virginia UniversityAbstract Background Transoral robotic and laser surgery is rising in popularity due to the increasing incidence of Human Papilloma Virus (HPV) related oropharyngeal cancer. However, adequate exposure of the tongue base remains a major hurdle in many cases. This study introduces a novel surgical technique called the Floor of Mouth Window, which can be used to improve tongue base exposure at the time of transoral surgery. Methods This is a preclinical anatomic cadaver study. Seven fresh cadavers were used for this study. Exposure of the tongue base was compared between conventional mouth gags – the Feyh-Kastenbauer and McIvor – and our novel procedure, the Floor of Mouth Window. Exposure was compared subjectively using endoscopic and extracorporeal photographs, as well as objective measurements of inter-incisor distance, and oral cavity volume. Results The exposure achieved by the Floor of Mouth Window technique was superior to the mouth gags. Inter-incisor distance and oral cavity volume measurements were all more favorable with the Floor of Mouth Window. This technique allowed for successful transoral laser tongue base and tonsil resection without the use of gags or scopes. Conclusion The Floor of Mouth Window is an adjunctive procedure that simply and reliably improved exposure for transoral oropharyngeal surgery in this cadaveric feasibility study. This improved exposure may help increase the adoption of transoral surgery and reduce the number of aborted cases due to anatomic limitations.http://link.springer.com/article/10.1186/s40463-019-0383-2Transoral robotic surgeryTransoral laser microsurgeryOropharyngeal carcinoma |
| spellingShingle | Jeffson Chung Adam Bender-Heine H. Wayne Lambert Improving exposure for transoral oropharyngeal surgery with the floor of mouth window: a cadaveric feasibility study Journal of Otolaryngology - Head and Neck Surgery Transoral robotic surgery Transoral laser microsurgery Oropharyngeal carcinoma |
| title | Improving exposure for transoral oropharyngeal surgery with the floor of mouth window: a cadaveric feasibility study |
| title_full | Improving exposure for transoral oropharyngeal surgery with the floor of mouth window: a cadaveric feasibility study |
| title_fullStr | Improving exposure for transoral oropharyngeal surgery with the floor of mouth window: a cadaveric feasibility study |
| title_full_unstemmed | Improving exposure for transoral oropharyngeal surgery with the floor of mouth window: a cadaveric feasibility study |
| title_short | Improving exposure for transoral oropharyngeal surgery with the floor of mouth window: a cadaveric feasibility study |
| title_sort | improving exposure for transoral oropharyngeal surgery with the floor of mouth window a cadaveric feasibility study |
| topic | Transoral robotic surgery Transoral laser microsurgery Oropharyngeal carcinoma |
| url | http://link.springer.com/article/10.1186/s40463-019-0383-2 |
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