{Reference Type}: Journal Article
{Title}: Complications including dysphagia following transoral non-robotic surgery for pharyngeal and laryngeal squamous cell carcinoma: A retrospective multicenter study.
{Author}: Ushiro K;Watanabe Y;Kishimoto Y;Kawai Y;Fujimura S;Asato R;Tsujimura T;Hori R;Kumabe Y;Yasuda K;Tamaki H;Iki T;Kitani Y;Kurata K;Kojima T;Takata K;Kada S;Takebayashi S;Shinohara S;Hamaguchi K;Miyazaki M;Ikenaga T;Maetani T;Harada H;Haji T;Omori K;
{Journal}: Auris Nasus Larynx
{Volume}: 51
{Issue}: 3
{Year}: 2024 Jun 27
{Factor}: 2.119
{DOI}: 10.1016/j.anl.2024.03.005
{Abstract}: <B>OBJECTIVE: </B>Transoral surgery is a minimally invasive treatment but may cause severe dysphagia at a lower rate than chemoradiotherapy.<BR><B>METHODS: </B>We compared clinical information, surgical complications, and swallowing function in patients who underwent transoral nonrobotic surgery for laryngo-pharyngeal squamous cell carcinoma between 2015 and 2021 in a multicenter retrospective study.<BR><B>RESULTS: </B>Six hundred and forty patients were included. Postoperative bleeding was observed in 20 cases (3.1%), and the risk factor was advanced T category. Postoperative laryngeal edema was observed in 13 cases (2.0%), and the risk factors were prior radiotherapy, advanced T stage, and concurrent neck dissection in patients with resected HPC. Dysphagia requiring nutritional support was observed in 29 cases (4.5%) at 1 month postoperatively and in 19 cases (3.0%) at 1 year postoperatively, respectively. The risk factors for long-term dysphagia were prior radiotherapy and advanced T category. Short-term risk factors for dysphagia were prior radiotherapy, advanced T category, and concurrent neck dissection, while long-term risk factors for dysphagia were only prior radiotherapy and advanced T category.<BR><B>CONCLUSIONS: </B>Prior radiotherapy, advanced T stage, and concurrent neck dissection increased the incidence of postoperative laryngeal edema and short-term dysphagia, but concurrent neck dissection did not affect long-term dysphagia. Such features should be considered when considering the indication for transoral surgery and postoperative management.