Page 12 - Head and neck surgery
P. 12

In the absence of an identifiable primary, patients

                    would undergo neck dissection followed by

                    wide-field radiotherapy spanning the skull base
                    and lower neck with the hope of eradicating

                    small primary tumours within the upper

                    aerodigestive tract.





                    With         TORS,         tonsillar         tissue        within         the

                    oropharynx, in particular lingual tonsils in the
                    tongue base can be removed as a last resort to

                    identify the primary within the oropharynx.

                    Tongue base mucosectomy eliminates sampling
                    error associated with random tongue base

                    biopsy.                                                                             Video showing TORS bilateral tongue base mucosectomy
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