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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Transoral robotic surgery: a 4-year learning experience in a single Danish Cancer Centre

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  1. Development of depression in patients with oral cavity cancer: a systematic review

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  2. Association between head and neck cancer and sexually transmitted diseases: a Danish nationwide, case-control study

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  3. Current state of evidence for endolymphatic sac surgery in Menière's disease: a systematic review

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  4. Dynamic soft tissue changes in the orbit after a blowout fracture

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  1. Development of depression in patients with oral cavity cancer: a systematic review

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  2. Chronic rhinosinusitis in COPD: A prevalent but unrecognized comorbidity impacting health related quality of life

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  3. Face masks for the prevention of COVID-19 - Rationale and design of the randomised controlled trial DANMASK-19

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  4. Association between head and neck cancer and sexually transmitted diseases: a Danish nationwide, case-control study

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  5. Circulating tumour DNA alterations as biomarkers for head and neck cancer: a systematic review

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Background: The main indication for transoral robotic surgery (TORS) has been the primary treatment of oropharyngeal squamous cell carcinoma (OPSCC). In the western world this is highly relevant due to the increasing incidence of human papillomavirus (HPV)-positive OPSCC. In Denmark, TORS was implemented in 2013 for use in the protocolled primary treatment of OPSCC.Aims/objectives: To perform a year-by-year comparative analysis of indications for TORS, hospitalization and complication rates to identify optimal future indications for TORS.Methods and materials: This is a retrospective single-centre case review from 2013-2017. Data were collected from patient files through electronic health care systems.Results: Since 2013, there has been a change of indications from performing benign and salvage surgery to mainly primary treatment of OPSCC and diagnostic use in patients with cancer of unknown primary (CUP). The overall complication rates have reduced considerably over time.Conclusions and significance: Lower complication rates may be explained by improved surgical experience, through better patient selection and changes in indications for TORS. Future applications of TORS will be in the management of CUP and as part of a Danish national randomized clinical trial aiming to compare long-term functional outcomes after treatment of early-stage OPSCC with TORS versus radiation treatment.

Original languageEnglish
JournalActa Oto-Laryngologica
Volume140
Issue number2
Pages (from-to)157-162
Number of pages6
ISSN0001-6489
DOIs
Publication statusPublished - Feb 2020

    Research areas

  • complications indications learning curve, HPV, oropharyngeal cancer, Transoral robotic surgery, unknown primary

ID: 59839663