Transoral robotic resection of oropharyngeal synovial sarcoma in a pediatric patient

• Published in: International journal of pediatric otorhinolaryngology Vol. 77; no. 6; pp. 1042 - 1044
• Main Authors: Kokot, N, Mazhar, K, O’Dell, K, Huang, N, Lin, A, Sinha, U.K
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier Ireland Ltd 01.06.2013
• Subjects: Adolescent; Female; Follow-Up Studies; Humans; Laryngoscopy - methods; Minimally Invasive Surgical Procedures - methods; Oropharynx - pathology; Oropharynx - surgery; Otolaryngology; Pediatrics; Pharyngeal Neoplasms - diagnosis; Pharyngeal Neoplasms - surgery; Pharyngectomy - methods; Risk Assessment; Robotics - methods; Sarcoma, Synovial - diagnosis; Sarcoma, Synovial - surgery; Synovial cell sarcoma; Tomography, X-Ray Computed - methods; Trans Oral Robotic Surgery; Treatment Outcome; Synovial cell sarcoma; Trans Oral Robotic Surgery
• ISSN: 0165-5876; 1872-8464
• DOI: 10.1016/j.ijporl.2013.03.022

Abstract Localized synovial cell sarcomas are treated with surgical resection followed by chemo-radiation. Surgical resection of synovial sarcoma of the oropharynx and hypopharynx involves lip-splitting mandibulotomy resulting in treatment related morbidity. We report the successful use of Trans Oral Robotic Surgery for resection of localized synovial sarcoma of the lateral pharyngeal wall in a 15 year old patient. We were able to achieve negative surgical margins and avoid open surgery with its associated morbidity. At 2 years follow-up, patient is disease free, with no deficits in speech or swallowing functions and no cosmetic deformity.