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Troise S, Arena A, Barone S, Raccampo L, Salzano G, Abbate V, Bonavolontà P, Romano A, Sembronio S, Robiony M, Califano L, Dell'Aversana Orabona G. Transoral robotic surgery in maxillofacial surgery: Systematic review of literature on current situation and future perspectives. Curr Probl Surg 2024; 61:101504. [PMID: 39098337 DOI: 10.1016/j.cpsurg.2024.101504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 05/14/2024] [Accepted: 05/15/2024] [Indexed: 08/06/2024]
Affiliation(s)
- Stefania Troise
- Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy.
| | - Antonio Arena
- Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy
| | - Simona Barone
- Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy
| | - Luca Raccampo
- Department of Medicine, Maxillofacial Surgery Department, Academic Hospital of Udine, University of Udine, Udine, Italy
| | - Giovanni Salzano
- Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy
| | - Vincenzo Abbate
- Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy
| | - Paola Bonavolontà
- Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy
| | - Antonio Romano
- Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy
| | - Salvatore Sembronio
- Department of Medicine, Maxillofacial Surgery Department, Academic Hospital of Udine, University of Udine, Udine, Italy
| | - Massimo Robiony
- Department of Medicine, Maxillofacial Surgery Department, Academic Hospital of Udine, University of Udine, Udine, Italy
| | - Luigi Califano
- Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy
| | - Giovanni Dell'Aversana Orabona
- Department of Neurosciences, Maxillofacial Surgery Unit, Reproductive and Odontostomatological Sciences, University Federico II of Naples, Naples, Italy
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Chen Y, Zhong NN, Cao LM, Liu B, Bu LL. Surgical margins in head and neck squamous cell carcinoma: A narrative review. Int J Surg 2024; 110:3680-3700. [PMID: 38935830 PMCID: PMC11175762 DOI: 10.1097/js9.0000000000001306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2023] [Accepted: 02/26/2024] [Indexed: 06/29/2024]
Abstract
Head and neck squamous cell carcinoma (HNSCC), a prevalent and frequently recurring malignancy, often necessitates surgical intervention. The surgical margin (SM) plays a pivotal role in determining the postoperative treatment strategy and prognostic evaluation of HNSCC. Nonetheless, the process of clinical appraisal and assessment of the SMs remains a complex and indeterminate endeavor, thereby leading to potential difficulties for surgeons in defining the extent of resection. In this regard, we undertake a comprehensive review of the suggested surgical distance in varying circumstances, diverse methods of margin evaluation, and the delicate balance that must be maintained between tissue resection and preservation in head and neck surgical procedures. This review is intended to provide surgeons with pragmatic guidance in selecting the most suitable resection techniques, and in improving patients' quality of life by achieving optimal functional and aesthetic restoration.
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Affiliation(s)
- Yang Chen
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology
| | - Nian-Nian Zhong
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology
| | - Lei-Ming Cao
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology
| | - Bing Liu
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology
- Department of Oral & Maxillofacial – Head Neck Oncology, School & Hospital of Stomatology, Wuhan University, Wuhan, People’s Republic of China
| | - Lin-Lin Bu
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology
- Department of Oral & Maxillofacial – Head Neck Oncology, School & Hospital of Stomatology, Wuhan University, Wuhan, People’s Republic of China
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Chang CC, Chen CH, Hsieh TL, Chang KH, Huang JY, Lin FCF, Tsai SCS. Clinical Characteristics and Treatment Outcomes of Oral Cancers Using Transoral Robotic Surgery in an Endemic Region. Cancers (Basel) 2023; 15:4896. [PMID: 37835589 PMCID: PMC10571799 DOI: 10.3390/cancers15194896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 09/29/2023] [Accepted: 10/04/2023] [Indexed: 10/15/2023] Open
Abstract
Oral cancer poses a major health challenge in Taiwan, consistently ranking among the highest globally in both incidence and cancer-related mortality. Transoral robotic surgery (TORS) has potential advantages over open surgery, but its long-term oncologic outcomes are not well established. In this study, we sought to elucidate the role of TORS in improving treatment outcomes among oral cancer patients. A case-control study with propensity score matching was conducted in a single teaching hospital in Taiwan. It included 72 oral cancer patients in each group to analyze and compare survival outcomes between the surgical approaches. The TORS group demonstrated a higher negative resection margin rate, a lower mortality risk and better overall survival than the open-surgery group. Multivariate Cox regression analysis confirmed TORS's association with a reduced risk of death. Kaplan-Meier survival analysis and log-rank tests indicated significantly better survival outcomes for the TORS group across all cancer stages. Moreover, the TORS group exhibited improved overall survival rates for stage III and IV patients compared to the conventional open-surgery group. In conclusion, this study suggests that TORS may offer better overall survival rates and potential advantages over conventional surgery for oral cancer treatment.
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Affiliation(s)
- Chia-Chun Chang
- Department of Otolaryngology, Tungs’ Taichung MetroHarbor Hospital, Taichung 43503, Taiwan; (C.-C.C.); (C.-H.C.); (T.-L.H.)
| | - Chung-Hsiung Chen
- Department of Otolaryngology, Tungs’ Taichung MetroHarbor Hospital, Taichung 43503, Taiwan; (C.-C.C.); (C.-H.C.); (T.-L.H.)
| | - Tsai-Ling Hsieh
- Department of Otolaryngology, Tungs’ Taichung MetroHarbor Hospital, Taichung 43503, Taiwan; (C.-C.C.); (C.-H.C.); (T.-L.H.)
- Department of Medical Research, Tungs’ Taichung MetroHarbor Hospital, Taichung 43503, Taiwan;
| | - Kuang-Hsi Chang
- Department of Medical Research, Tungs’ Taichung MetroHarbor Hospital, Taichung 43503, Taiwan;
- Jenteh Junior College of Medicine, Nursing and Management, Miaoli 35664, Taiwan
| | - Jing-Yang Huang
- Department of Medical Research, Chung Shan Medical University Hospital, Taichung 40201, Taiwan;
- Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
| | - Frank Cheau-Feng Lin
- Department of Surgery, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
- School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
| | - Stella Chin-Shaw Tsai
- Department of Otolaryngology, Tungs’ Taichung MetroHarbor Hospital, Taichung 43503, Taiwan; (C.-C.C.); (C.-H.C.); (T.-L.H.)
- Superintendents’ Office, Tungs’ Taichung MetroHarbor Hospital, Taichung 43503, Taiwan
- Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung 40227, Taiwan
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Anaesthesia for transoral robotic surgery. BJA Educ 2022; 22:118-123. [PMID: 35211329 PMCID: PMC8847838 DOI: 10.1016/j.bjae.2021.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/01/2021] [Indexed: 11/22/2022] Open
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Mahmutović L, Bilajac E, Hromić-Jahjefendić A. Meet the Insidious Players: Review of Viral Infections in Head and Neck Cancer Etiology with an Update on Clinical Trials. Microorganisms 2021; 9:1001. [PMID: 34066342 PMCID: PMC8148100 DOI: 10.3390/microorganisms9051001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 04/21/2021] [Accepted: 04/23/2021] [Indexed: 12/11/2022] Open
Abstract
Head and neck cancers (HNC) occur in the upper aerodigestive tract and are among the most common cancers. The etiology of HNC is complex, involving many factors, including excessive tobacco and alcohol consumption; over the last two decades, oncogenic viruses have also been recognized as an important cause of HNC. Major etiological agents of nasopharynx carcinoma and oropharyngeal carcinoma include Epstein-Barr virus (EBV) and human papillomaviruses (HPVs), both of which are able to interfere with cell cycle control. Additionally, the association of hepatitis C and hepatitis B infection was observed in oral cavity, oropharyngeal, laryngeal, and nasopharyngeal cancers. Overall prognoses depend on anatomic site, stage, and viral status. Current treatment options, including radiotherapy, chemotherapy, targeted therapies and immunotherapies, are distributed in order to improve overall patient prognosis and survival rates. However, the interplay between viral genome sequences and the health, disease, geography, and ethnicity of the host are crucial for understanding the role of viruses and for development of potential personalized treatment and prevention strategies. This review provides the most comprehensive analysis to date of a vast field, including HNC risk factors, as well as viral mechanisms of infection and their role in HNC development. Additionally, currently available treatment options investigated through clinical practice are emphasized in the paper.
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Affiliation(s)
| | | | - Altijana Hromić-Jahjefendić
- Genetics and Bioengineering Department, Faculty of Engineering and Natural Sciences, International University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina; (L.M.); (E.B.)
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