Transoral Lateral Oropharyngectomy/Radical Tonsillectomy for Cancer of the Tonsil: Anatomy, Principles and Techniques

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dc.contributor.authorFagan, Johan
dc.contributor.authorKoch, Wayne
dc.contributor.editorFagan, Johan
dc.date.accessioned2026-07-14T13:04:32Z
dc.date.available2026-07-14T13:04:32Z
dc.date.issued2025-05-19
dc.description.abstractIn high income countries, early (T1/2) tonsil cancers are commonly resected by lateral oropharyngectomy (radical tonsillectomy) employing transoral CO2 laser microsurgery or transoral robotic surgery (TORS) techniques. Yet most surgeons in the world do not have access to CO2 laser or TORS. In such centers early tonsil cancers are often resected by simple tonsillectomy. However, dissecting along the tonsillar capsule and not including the pharyngeal constrictors as the deep margin often results in close or involved deep margins necessitating adjuvant (chemo)radiation. Because cancers of the tonsil are in a direct line-of-sight for the surgeon when using a simple tonsillectomy gag, there is little reason why the surgical principles that apply to lateral oropharyngectomy by transoral CO2 laser or TORS techniques should not be employed to lateral oropharyngectomy performed with headlight/diathermy, or microscope/diathermy, or loupes/head-light/diathermy techniques to secure adequate resection margins.
dc.identifier.apacitationFagan, J., & Koch, W. (2025). Transoral Lateral Oropharyngectomy/Radical Tonsillectomy for Cancer of the Tonsil: Anatomy, Principles and Techniques. In J. Fagan. (Ed.), <i>Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery</i> (pp.16). Cape Town, South Africa: University of Cape Town. http://hdl.handle.net/11427/43542en_ZA
dc.identifier.chicagocitationFagan, Johan, and Wayne Koch. "Transoral Lateral Oropharyngectomy/Radical Tonsillectomy for Cancer of the Tonsil: Anatomy, Principles and Techniques" In <i>OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY</i>, edited by Johan Fagan., 16. Cape Town, South Africa: University of Cape Town. 2025. http://hdl.handle.net/11427/43542.en_ZA
dc.identifier.citationFagan, J. & Koch, W. 2025. Transoral Lateral Oropharyngectomy/Radical Tonsillectomy for Cancer of the Tonsil: Anatomy, Principles and Techniques. In <i>Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery</i>. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 16. http://hdl.handle.net/11427/43542 .en_ZA
dc.identifier.ris TY - Chapter in Book AU - Fagan, Johan AU - Koch, Wayne AB - In high income countries, early (T1/2) tonsil cancers are commonly resected by lateral oropharyngectomy (radical tonsillectomy) employing transoral CO2 laser microsurgery or transoral robotic surgery (TORS) techniques. Yet most surgeons in the world do not have access to CO2 laser or TORS. In such centers early tonsil cancers are often resected by simple tonsillectomy. However, dissecting along the tonsillar capsule and not including the pharyngeal constrictors as the deep margin often results in close or involved deep margins necessitating adjuvant (chemo)radiation. Because cancers of the tonsil are in a direct line-of-sight for the surgeon when using a simple tonsillectomy gag, there is little reason why the surgical principles that apply to lateral oropharyngectomy by transoral CO2 laser or TORS techniques should not be employed to lateral oropharyngectomy performed with headlight/diathermy, or microscope/diathermy, or loupes/head-light/diathermy techniques to secure adequate resection margins. CY - Cape Town, South Africa DA - 2025-05-19 DB - OpenUCT DP - University of Cape Town ED - Fagan, Johan J1 - Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery KW - TORS, Radical Tonsillectomy, Transoral Resection, Oropharyngeal Cancer, Tonsil Cancer, Lateral Pharyngectomy, CO2 Laser LK - https://open.uct.ac.za PP - Cape Town, South Africa PY - 2025 T1 - Transoral Lateral Oropharyngectomy/Radical Tonsillectomy for Cancer of the Tonsil: Anatomy, Principles and Techniques TI - Transoral Lateral Oropharyngectomy/Radical Tonsillectomy for Cancer of the Tonsil: Anatomy, Principles and Techniques UR - http://hdl.handle.net/11427/43542 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/43542
dc.identifier.vancouvercitationFagan J, Koch W. Transoral Lateral Oropharyngectomy/Radical Tonsillectomy for Cancer of the Tonsil: Anatomy, Principles and Techniques. In Fagan J, editor.. Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. Cape Town, South Africa: University of Cape Town; 2025. p.16. [cited yyyy month dd]. http://hdl.handle.net/11427/43542.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.pagination16
dc.subjectTORS, Radical Tonsillectomy, Transoral Resection, Oropharyngeal Cancer, Tonsil Cancer, Lateral Pharyngectomy, CO2 Laser
dc.titleTransoral Lateral Oropharyngectomy/Radical Tonsillectomy for Cancer of the Tonsil: Anatomy, Principles and Techniques
dc.typeChapter in Book
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