Wine Todd M, Duvvuri Umamaheswar, Maurer Scott H, Mehta Deepak K
Department of Otolaryngology, University of Pittsburgh School of Medicine, United States.
Int J Pediatr Otorhinolaryngol. 2013 Jul;77(7):1222-6. doi: 10.1016/j.ijporl.2013.04.024. Epub 2013 May 13.
The treatment of oropharyngeal malignancy is associated with numerous functional morbidities. Transoral robotic surgery has been used with increased frequency in adult oropharyngeal malignancy. The benefits include decreased surgical morbidity and improved functional outcomes. Use of transoral robotic has been limited in children. This case represents our experience with a 17-month old child who was diagnosed with a high-grade undifferentiated sarcoma of the soft palate. She was able to be successfully treated with transoral robotic surgery as a part of her multimodal therapy, representing the first case of transoral robotic surgery for an oropharyngeal malignancy in a young child.
口咽恶性肿瘤的治疗与众多功能障碍相关。经口机器人手术在成人口咽恶性肿瘤中的应用频率日益增加。其益处包括手术并发症减少和功能预后改善。经口机器人手术在儿童中的应用一直有限。本病例介绍了我们对一名17个月大儿童的治疗经验,该儿童被诊断为软腭高级别未分化肉瘤。作为其多模式治疗的一部分,她通过经口机器人手术成功治愈,这是小儿口咽恶性肿瘤经口机器人手术的首例病例。