Tumors in the throat, base of the tongue, and tonsils can be a technical challenge to reach and have traditionally been removed through surgeries requiring a large neck incision and cutting of the bottom jaw. These types of surgeries often require long hospital stays, and extensive rehabilitation and may result in difficulty in swallowing and speaking. Advances in surgical equipment have made it possible to reach these tumors through the mouth by using robotic technology and minimally invasive techniques. The surgical approach allows for a guided endoscope to provide a high-resolution, 3D image of the back of the mouth and throat which is a difficult area to reach with conventional tools. With two robotically-guided instruments that act as a surgeon’s arms, tumors are able to be dissected free from surrounding tissue safely. Patients who may benefit most from robotic procedures include those with early-stage tumors with limited lymph node involvement in the neck. Approximately 20 to 30 percent of patients with oropharyngeal (tonsils and tongue base) tumors may be considered ideal candidates for the procedure. Patients with certain tumors of the larynx and throat may also be candidates. Patients who smoke tobacco or have Human Papillomavirus (HPV) negative tumors are especially encouraged to receive surgical treatment for their cancer as these cancers often do not respond as well to radiation and chemotherapy.
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