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Early lesions (T1/2)
The pharyngeal constrictors as deep margin
Healing via
secondary intention
Temporary G-tube in few cases (depending on the extension of resection)
Full recovery of swallowing function by 6 months post-operatively in 80% of patients
More complicated peri-operative hemorrhage management
More thermal damage for the use of unipolar cautery than for a laser
Costs and scarce data on oncological results
Intraoperative exposure
Coverage with local flap/fibrin sealant to prevent hemorrhage
Park et al, Oral Oncol (2010)
Verges et al, Otolaryngol Head Neck Surg 2012
Kucur et al, Head Neck 2015
Durmus et al, J Craniofac Surg 2015
The future combination of CO2
laser with robotic arms will solve
the lack of precision
Dziegielewski et al, J Surg Oncol 2015
Only preliminary results…
TRANSORAL ROBOTIC SURGERY
mercoledì 29 giugno 16