Transoral Surgery: The Developing Paradigm of Minimally Invasive Organ and Function Preserving Surgery

[摘要] Many techniques have emerged for transoral head–neck oncosurgery with the promise of being minimally invasive and organ and function preserving, these include transoral laser surgery [TLM], transoral robotic surgery (TORS), and transoral ultrasonic surgery (TOUSS). While these are often portrayed as competing technologies, they are in fact complementary technologies, which all derive their advantages primarily by being in the transoral paradigm. Transoral “inside-out” surgery preserves the pharyngeal architecture, the mucosal sensations, and the coordinated motor swallow and thereby preserve aspiration free swallowing function much better and reliably than with open surgery.

[学科分类] 皮肤病学