Clinical Scorecard: Mitigating Hemorrhage and Surgical Risks in Transoral Robotic Surgery for Oropharyngeal Procedures: Findings from an International Survey
At a Glance
Category
Detail
Condition
Transoral Robotic Surgery (TORS)
Key Mechanisms
Minimally invasive access, enhanced visualization, and reduced operative times.
Target Population
Patients undergoing oropharyngeal procedures.
Care Setting
Head and neck surgical centers.
Key Highlights
Prophylactic neck vessel ligation performed by about 60% of surgeons.
Routine tracheotomy is uncommon, used in 4-9% of cases.
Postoperative care varies, with most patients hospitalized for ≥4 days.
Lingual artery ligation is more frequent in base of tongue procedures.
Local flap reconstruction is more common after lateral oropharyngectomy.
Guideline-Based Recommendations
Diagnosis
Management
Utilize prophylactic neck vessel ligation to mitigate bleeding risks.
Monitoring & Follow-up
Monitor postoperative hospitalization duration and nasogastric tube use.
Risks
Intraoperative and perioperative complications, particularly bleeding.
Patient & Prescribing Data
Patients undergoing TORS for oropharyngeal procedures.
Variability in management strategies reflects the lack of standardized protocols.
Clinical Best Practices
Implement individualized perioperative management strategies based on patient risk factors.
Consider the anatomy of specific oropharyngeal subsites when planning surgical approaches.
A cross-sectional metagenomic study found greater oral microbiome richness among adults with chronic rhinosinusitis, particularly nonallergic chronic rhinosinusitis, while associations with asthma, airway inflammation, and most lung-function measures were inconsistent.
