Transoral Robotic surgery - excision of Tongue base Tumour with the Entire Hyoid bone in a Salvage Setting

• Published in: Indian journal of otolaryngology, and head, and neck surgery Vol. 75; no. 2; pp. 1071 - 1075
• Main Authors: Dabas, Surender, Menon, Nandini N, Ranjan, Reetesh, Gurung, Bikas, Shukla, Himanshu, Tiwari, Sukirti, Sharma, Ashwani
• Format: Journal Article
• Language: English
• Published: New Delhi Springer India 01.06.2023; Springer Nature B.V
• Subjects: Clinical Report; Head and Neck Surgery; Medicine; Medicine & Public Health; Oral cancer; Otorhinolaryngology; Robotic surgery; Throat cancer; Tongue; Salvage TORS; Base of tongue carcinoma; Oropharyngeal cancer; Excision of hyoid; Transoral robotic surgery
• ISSN: 2231-3796; 0973-7707
• DOI: 10.1007/s12070-022-03355-z

Objectives – Transoral robotic surgery (TORS) is an already well established modality of treatment for early stage oropharyngeal cancer. This case report will throw light on the role of TORS as a treatment option for oropharyngeal cancer in a salvage setting. Methods – This is a case of a 69 year old patient who was a follow up case of carcinoma base of tongue, status - post concurrent chemoradiation who presented with residual disease at the primary site. Results – TORS was used as a successful treatment modality for base of tongue carcinoma in a salvage setting. The surgical procedure included removal of the entire hyoid bone in toto along with the tumour which is not reported in literature. The procedure also helped us in achieving an R0 resection. Conclusion – TORS should be considered as an important management modality for tongue base tumours in upfront as well as salvage setting.