Transoral Robotic Oropharyngectomy (TORS) Surgical Technique for Cancers of Tonsil and Base of Tongue

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dc.contributor.authorMeyer, Charles. D.
dc.contributor.authorLarson, Andrew. R.
dc.contributor.authorRichmon, Jeremy. D.
dc.contributor.authorHolcomb, Andrew. J.
dc.contributor.editorFagan, Johan
dc.date.accessioned2026-07-14T13:02:41Z
dc.date.available2026-07-14T13:02:41Z
dc.date.issued2025-05-18
dc.description.abstractIn this chapter the authors describe the use of transoral robotic surgery (TORS) for excision of tonsil and base of tongue (BOT) tumours, including patient selection, preoperative workup, operative management, and perioperative care. As of 2015, The Centers for Disease Control and Prevention (CDC) reported 18,917 new cases of oropharyngeal cancers (OPSCC) annually. This burden of disease has increased in recent decades with the rapid increase of human papillomavirus (HPV) associated squamous cell carcinoma (SCC), which is now found in 70% of new cases in the United States of America and Europe. Traditionally, surgical management of OPSCC required either transoral resection or open approaches, including suprahyoid (transhyoid) pharyngotomy, lip-split mandibulotomy (mandibular swing), or pull-through techniques that utilise a transcervical visor incision. While these approaches provide excellent surgical access, they may cause significant functional impairment.
dc.identifier.apacitationMeyer, Charles. D., Larson, Andrew. R., Richmon, Jeremy. D., & Holcomb, Andrew. J. (2025). Transoral Robotic Oropharyngectomy (TORS) Surgical Technique for Cancers of Tonsil and Base of Tongue. In J. Fagan. (Ed.), <i>Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery</i> (pp.21). Cape Town, South Africa: University of Cape Town. http://hdl.handle.net/11427/43541en_ZA
dc.identifier.chicagocitationMeyer, Charles. D., Andrew. R. Larson, Jeremy. D. Richmon, and Andrew. J. Holcomb. "Transoral Robotic Oropharyngectomy (TORS) Surgical Technique for Cancers of Tonsil and Base of Tongue" In <i>OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY</i>, edited by Johan Fagan., 21. Cape Town, South Africa: University of Cape Town. 2025. http://hdl.handle.net/11427/43541.en_ZA
dc.identifier.citationMeyer, Charles. D., Larson, Andrew. R., Richmon, Jeremy. D. & Holcomb, Andrew. J. 2025. Transoral Robotic Oropharyngectomy (TORS) Surgical Technique for Cancers of Tonsil and Base of Tongue. In <i>Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery</i>. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 21. http://hdl.handle.net/11427/43541 .en_ZA
dc.identifier.ris TY - Chapter in Book AU - Meyer, Charles. D. AU - Larson, Andrew. R. AU - Richmon, Jeremy. D. AU - Holcomb, Andrew. J. AB - In this chapter the authors describe the use of transoral robotic surgery (TORS) for excision of tonsil and base of tongue (BOT) tumours, including patient selection, preoperative workup, operative management, and perioperative care. As of 2015, The Centers for Disease Control and Prevention (CDC) reported 18,917 new cases of oropharyngeal cancers (OPSCC) annually. This burden of disease has increased in recent decades with the rapid increase of human papillomavirus (HPV) associated squamous cell carcinoma (SCC), which is now found in 70% of new cases in the United States of America and Europe. Traditionally, surgical management of OPSCC required either transoral resection or open approaches, including suprahyoid (transhyoid) pharyngotomy, lip-split mandibulotomy (mandibular swing), or pull-through techniques that utilise a transcervical visor incision. While these approaches provide excellent surgical access, they may cause significant functional impairment. CY - Cape Town, South Africa DA - 2025-05-18 DB - OpenUCT DP - University of Cape Town ED - Fagan, Johan J1 - Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery KW - TORS, Transoral Robotic Surgery, Technique, Tonsil, Base of Tongue, Cancer, Resection LK - https://open.uct.ac.za PP - Cape Town, South Africa PY - 2025 T1 - Transoral Robotic Oropharyngectomy (TORS) Surgical Technique for Cancers of Tonsil and Base of Tongue TI - Transoral Robotic Oropharyngectomy (TORS) Surgical Technique for Cancers of Tonsil and Base of Tongue UR - http://hdl.handle.net/11427/43541 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/43541
dc.identifier.vancouvercitationMeyer Charles D, Larson Andrew R, Richmon Jeremy D, Holcomb Andrew J. Transoral Robotic Oropharyngectomy (TORS) Surgical Technique for Cancers of Tonsil and Base of Tongue. In Fagan J, editor.. Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. Cape Town, South Africa: University of Cape Town; 2025. p.21. [cited yyyy month dd]. http://hdl.handle.net/11427/43541.en_ZA
dc.language.isoen
dc.publisherUniversity of Cape Town
dc.publisher.departmentDivision of Otorhinolaryngology
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.locationCape Town, South Africa
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.sourceOpen Access Atlas of Otolaryngology, Head & Neck Operative Surgery
dc.source.pagination21
dc.subjectTORS, Transoral Robotic Surgery, Technique, Tonsil, Base of Tongue, Cancer, Resection
dc.titleTransoral Robotic Oropharyngectomy (TORS) Surgical Technique for Cancers of Tonsil and Base of Tongue
dc.typeChapter in Book
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