The role of transoral surgery in the diagnosis of the carcinoma of unknown origin of the head and neck.
Journal
Current opinion in otolaryngology & head and neck surgery
ISSN: 1531-6998
Titre abrégé: Curr Opin Otolaryngol Head Neck Surg
Pays: United States
ID NLM: 9417024
Informations de publication
Date de publication:
01 Apr 2023
01 Apr 2023
Historique:
entrez:
13
3
2023
pubmed:
14
3
2023
medline:
15
3
2023
Statut:
ppublish
Résumé
The aim of this article is to update readers on the most recent evidence on the role of trans oral surgery (TOS) in the diagnosis of carcinoma of the unknown primary of the head and neck. Tongue base mucosectomy has an important role in identifying the primary in patients who have had negative imaging, PET CT scans and ipsilateral tonsillectomy. In patients with bilateral nodal disease, tongue base mucosectomy should precede tonsillectomy. There are several unanswered questions that remain regarding sequencing of operations and use of intraoperative frozen section. An evidence-based approach to diagnosis is important to ensure the highest detection rates, and least morbidity, in patients with head and neck carcinoma of the unknown primary.
Identifiants
pubmed: 36912225
doi: 10.1097/MOO.0000000000000880
pii: 00020840-202304000-00011
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
129-133Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
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