Oncological and functional outcomes of transoral surgery for the treatment of oropharyngeal cancer.

BACKGROUND

Currently, most cases of oropharyngeal squamous cell carcinoma (OPSCC) are treated by chemoradiotherapy. However, serious concerns have arisen regarding toxicity and poor functional outcomes. Recently, transoral techniques for resection of selected OPSCC have been developed.

AIMS

To review the outcomes of transoral surgery for OPSCC at our institution.

METHODS

Retrospective review of 12 patients with OPSCC treated with transoral resection. Data on surgical complications, oncological outcomes, and functional outcomes were analysed.

RESULTS

Primary sites were tonsil (9), soft palate (1), base of tongue (1), and posterior pharyngeal wall (1). There were no surgical complications. After the mean follow-up of 19 months, there were no local or regional recurrences. Two patients (one with synchronous lung cancer) died from distant metastases. No patient required gastrostomy tube or had long-term speech or swallowing impairments.

CONCLUSION

Transoral resection is an excellent option for selected patients with OPSCC, offering excellent functional and oncological outcomes.