Effect of palatine tonsil tumor resection on postoperative velopharyngeal insufficiency in transoral surgery

Background Velopharyngeal insufficiency (VPI) is a known complication of transoral surgery (TOS) for oropharyngeal HPV‐mediated squamous cell carcinoma. Controversy exists regarding adequate resection margins for balancing functional and oncologic outcomes. Methods This retrospective study was exemp...

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Bibliographic Details
Published in:Head & neck 2024-05, Vol.46 (5), p.1178-1188
Main Authors: Wistermayer, Paul R., Brown, Adam E., Cave, Taylor B., Chang, Brent A., Hinni, Michael L., Hayden, Richard E., Klusovsky, Laura E., McGary, Alyssa, Nagel, Thomas H.
Format: Article
Language:English
Subjects:
Multivariate analysis
Palate
palate preservation
Patients
Pharynx
Risk factors
robotic surgery
Squamous cell carcinoma
Surgery
Throat cancer
TORS
TORS technique
transoral surgery
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Summary:Background Velopharyngeal insufficiency (VPI) is a known complication of transoral surgery (TOS) for oropharyngeal HPV‐mediated squamous cell carcinoma. Controversy exists regarding adequate resection margins for balancing functional and oncologic outcomes. Methods This retrospective study was exempted by the IRB. Patients who underwent TOS from January 2017 to October 2022 were included. Patient characteristics, treatment details, and oncologic and functional outcomes were evaluated. Results Fifty‐five patients were included. Mean and median follow‐up was 34 months. 98% of patients were AJCC stage I/II. Recurrence‐free survival was 96% with no local recurrences. Univariate analysis demonstrated an association between VPI and pT stage (p = 0.035), medial pterygoid resection (p = 0.049), and palatal attachment sacrifice (p 
ISSN:1043-3074
1097-0347
1097-0347
DOI:10.1002/hed.27741