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

Publikation

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

Wissenschaftlicher Artikel/Review - 12.05.2011

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

Zitation

Hartl D, Genden E, Terris D, Snyderman C, Sesterhenn A, Rodrigo J, Suárez C, Stöckli S, Takes R, Silver C, Ferlito A, Rinaldo A. Minimally invasive techniques for head and neck malignancies: current indications, outcomes and future directions. Eur Arch Otorhinolaryngol 2011; 268:1249-57.

Art

Wissenschaftlicher Artikel/Review (Englisch)

Zeitschrift

Eur Arch Otorhinolaryngol 2011; 268

Veröffentlichungsdatum

12.05.2011

eISSN (Online)

1434-4726

Seiten

1249-57

Kurzbeschreibung/Zielsetzung

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.