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Oncological and Functional Outcomes for Transoral Robotic Surgery vs Radiotherapy in T1-2 N0-1 p16+ Oropharyngeal Carcinoma

Lee, Chang Woo; Jia, Wei; Norman, Roanna; Dando, Alex; Swain, Susan; Hilder, Francesca; Flubacher, Maxine; ... King, Emma V; + view all (2025) Oncological and Functional Outcomes for Transoral Robotic Surgery vs Radiotherapy in T1-2 N0-1 p16+ Oropharyngeal Carcinoma. The Journal of Laryngology & Otology pp. 1-36. 10.1017/S0022215125000350. (In press).

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Abstract

Objective: Oncological and functional outcomes for T1-2 N0-1 (TNMv8) p16-positive oropharyngeal squamous cell carcinoma patients were analysed, according to treatment: either transoral robotic surgery (TORS) (Surgery group – TORS and neck dissection ± adjuvant radiotherapy/chemoradiotherapy), or primary radiotherapy/chemoradiotherapy (Oncology group). Methods: Single-centre retrospective observational study.// Results: The 2-year disease-free survival rate was 88% for the Oncology group (n=42), and 95% for the Surgery group (n=44). The 2-year overall survival rate was 98% for the Oncology group and 100% for the Surgery group. The functional swallowing outcome at 2-years posttreatment was similar in both groups. Subgroup analysis showed patients treated with surgery-only with no adjuvant treatment had the best functional outcome whilst patients treated with surgery and post-operative chemoradiotherapy had the worst functional outcome.// Conclusion: The overall oncological and functional outcomes at 2-years were similar in both groups. Patients treated with surgery-only had the best functional outcome without compromised oncological outcome.

Type: Article
Title: Oncological and Functional Outcomes for Transoral Robotic Surgery vs Radiotherapy in T1-2 N0-1 p16+ Oropharyngeal Carcinoma
DOI: 10.1017/S0022215125000350
Publisher version: https://doi.org/10.1017/S0022215125000350
Language: English
Additional information: This version is the author-accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Oncology, Oropharynx, Swallowing, Head and Neck Cancer, Head and Neck Surgery
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
URI: https://discovery.ucl.ac.uk/id/eprint/10207375
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