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Transoral robotic photodynamic therapy for the oropharynx

机译:经口机器人光动力疗法治疗口咽

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摘要

Photodynamic therapy (PDT) has been used for head and neck carcinomas with little experience in the oropharynx due to technical challenges in achieving adequate exposure. We present the case of a patient with a second right tonsil carcinoma following previous treatment with transoral robotic surgery (TORS) and postoperative chemoradiation for a left tonsil carcinoma. Repeat TORS for the right tonsil carcinoma reviewed multiple positive surgical margins. The power output from the robotic camera was modified to facilitate safe intraoperative three dimensional visualization of the tumor bed. The robotic arms facilitated clear exposure of the tonsil and tongue base with stable administration of the fluence. Real-time measurements confirmed stable photobleaching with augmentation of the prescribed light fluence secondary to light scatter in the oropharynx. We report a potential new role using TORS for exposure and accurate PDT in the oropharynx.
机译:光动力疗法(PDT)已被用于头颈部癌,由于在实现充分暴露方面存在技术挑战,因此在口咽中经验很少。我们介绍了第二例右扁桃体癌患者,此前曾接受经口机器人手术(TORS)治疗和左扁桃体癌术后放化疗。对右侧扁桃体癌重复进行TORS,回顾了多个阳性手术切缘。修改了机器人摄像机的输出功率,以促进肿瘤床的安全术中三维可视化。机械臂在稳定注量的情况下促进了扁桃体和舌根的清晰暴露。实时测量证实了稳定的光漂白,并增加了口咽中光散射后的指定光通量。我们报告了使用TORS进行口暴露和准确的PDT在口咽中的潜在新作用。

著录项

  • 来源
    《Photodiagnosis and Photodynamic Therapy》 |2011年第1期|p.64-67|共4页
  • 作者单位

    Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, United States,Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, United States;

    Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, United States;

    Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, United States;

    Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, United States;

    Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, United States;

    Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, United States;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    transoral robotic surgery; photofrin pdt; oropharynx;

    机译:经口机器人手术;photofrin pdt;口咽;

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