6 / 24
Page 38
Notes:
conferenceseries
.com
Volume 7, Issue 3 (Suppl)
Otolaryngol (Sunnyvale), an open access journal
ISSN:2161-119X
Head, Neck and Plastic Surgery 2017
June 19-20, 2017
June 19-20, 2017 Philadelphia, USA
5
th
Global Summit and Expo on
Head, Neck and Plastic Surgery
Floor of mouth window improves surgical access for trans-oral cancer surgery
Jeffson Chung, Adam Bender Heine
and
H Wayne Lambert
West Virginia University, USA
Statement of the Problem:
The increasing incidence of HPV associated oropharyngeal cancer has sparked interest inminimally
invasive transoral surgery as a primary treatment modality. However, proper surgical exposure and access to the tongue base
is difficult to achieve. Many complex oral retraction systems have been developed in attempt to solve this problem but none
work consistently or efficiently.
Methodology:
This cadaveric study introduces the floor of mouth window: A simple adjunctive procedure done at the time of
transoral resection and concurrent neck dissection that greatly improves surgical access to the tongue base while eliminating
the need for oral retractors. It involves passing the oral tongue through the floor of mouth into the neck dissection field, thereby
creating space for robotic or laser instruments to perform cancer resection. The floor of mouth is closed primarily in layers at
the end of the procedure.
Findings:
This study compares the tongue base exposure achievable with existing oral retractors to that achievable utilizing
this novel technique. Our finding is that superior surgical exposure is attainable without retractors using the floor of mouth
window.
Conclusion & Significance:
We believe this technique may have a major impact on the management of oropharyngeal cancers
because having a simple, reproducible method to access the tongue base will encourage greater adoption of transoral surgery
as a treatment modality. It is a technique that can be helpful regardless of any future advances in robot or laser technology.
Furthermore, this technique reduces the reliance on multiple complicated and expensive retraction systems. Finally, the
improved exposure and visualization of the tongue base attainable by this new procedure may facilitate clear surgical margins
and thus maximize the potential for cure, which is ultimately the objective of all head and neck surgeons.
Biography
Jeffson Chung is the Head and Neck Oncologic Surgeon with an appointment of Assistant Professor at West Virginia University, USA. He has research interests in
head and neck cancer treatment outcomes, functional outcomes, technology in the ENT practice and telemedicine.
Jeffson.chung@hsc.wvu.eduJeffson Chung et al., Otolaryngol (Sunnyvale) 2017, 7:3 (Suppl)
DOI: 10.4172/2161-119X-C1-016