Head & Neck | Role of Transoral Robotic Surgery in Oropharyngeal Carcinoma | Mr Mriganka De скачать в хорошем качестве

Head & Neck | Role of Transoral Robotic Surgery in Oropharyngeal Carcinoma | Mr Mriganka De

Role of Transoral Robotic Surgery in Oropharyngeal Carcinoma Mr Mriganka De, Consultant Head & Neck Surgeon, University Hospitals Birmingham NHS Foundation Trust Moderator: Mr Peter Deutsch, ST5 ENT Registrar, Birmingham Heartlands Hospital West Midlands ENT Teaching, 21st May 2020 Background of TORS 2:06 2:33 Tongue Base Outcomes 3:24 Tonsil Outcomes Relevant literature 3:55 Fabrice Denis et al: RT vs concomitant CRT in Advanced staged Orophraynx carcinoma 5:50 The changing spectrum of management of Oropharyngeal Tumour 7:26 Watkinson et al: Conservation surgery in the management of T1 and T2 oropharyngeal SCC 8:18 A paradigm shift for head and neck cancers - FDA approval 2009 (early oropharyngeal Ca) 8:39 Christopher Holsinger et al: Transoral Lateral Oropharyngectomy for Tonsillar SCC 9:30 Huet PC 1951: Steps of Lateral oropharyngectomy 9:58 Petra Ambrosch et al: Clinical staging of oropharyngeal carcinoma 10:17 K Ubayasiri et el : TOMCAT 10:49 J Jose et al: Transoral endoscopic videoassisted lateral oropharyngeal resection 11:25 TORS versus CRT 13:27 TORS trials 15:07 PATHOS trial 20:59 The 8 T's of Transoral access 21:13 Investigations 22:07 TORS instruments 22:28 Pre-op imaging TORS Anatomy 23:50 Anatomy: Palatine Tonsil 23:58 Anatomy: Blood supply and innervation to the Tonsil 24:41 Anatomy: Layers of the Oropharynx 25:05 Anatomy: Blood supply and innervation to the Tongue Base 25:40 Transoral view of the parapharyngeal space 26:53 Anatomy: Variations of the Ascending palatine artery in the parapharyngeal space 28:39 Anatomy: Variations of the ECA in the parapharyngeal space 29:24 Anatomy: Styloglossus and stylopharyngeus muscles 30:35 Clinical relevance: Why preserve the Glossopharyngeal nerve? 30:56 Steps of lateral oropharyngectomy 37:17 Classification for transoral lateral oropharyngectomy 38:24 Tongue Base relations 40:10 Tongue Base Anatomy and Lingual Artery 40:13 Tongue base resection steps 42:00 Reduction on catastrophic haemorrhage in TORS 43:55 Anatomical Variations in Ascending pharyngeal artery 46:00 Tongue base mucosectomy 47:38 Complication of TORS 48:32 TORS program 52:43 TORS theatre layout 55:48 Derby TORS experience 56:14 Birmingham TORS experience 57:01 Q&A