Evolution and Recent Advances in MIS in Head and Neck Cancers: A Comprehensive Review

A. Basu, J. Kumar, Areendam Barua
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Abstract

Minimally invasive approaches like Endoscopic and Robotics in head and neck cancers has got a wide area of application in managing Oral cavity, pharyngeal, hypopharyngeal, Laryngeal tumours, Sinus & Base of skull tumours and Thyroid &Parathyroid tumours. Transoral approaches allow easy access to these secluded sites and removal of tumours with minimal complications. Till today surgery has remained the only curative modality in head and neck cancer. With the availability of Endoscopy, laparoscopy and Robotic systems patients requiring major surgeries for small tumours can now be offered surgery with limited human resources, good aesthetic& cosmetic outcome with better patient compliance. The MIS is still a grey area of head and neck surgeries so we like to have a comprehensive review on the evolution and recent advances in MIS.
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头颈部肿瘤MIS的演变与最新进展:综述
内镜和机器人技术等微创方法在治疗口腔、咽、下咽、喉部肿瘤、鼻窦和颅底肿瘤以及甲状腺和甲状旁腺肿瘤方面得到了广泛的应用。经口入路可以方便地进入这些隐蔽的部位并以最小的并发症切除肿瘤。直到今天,手术仍然是头颈癌的唯一治疗方式。随着内窥镜,腹腔镜和机器人系统的可用性,需要进行小肿瘤大手术的患者现在可以在有限的人力资源下进行手术,良好的美学和美容效果以及更好的患者依从性。在头颈部手术中,MIS仍然是一个灰色地带,因此我们希望对MIS的发展和最新进展进行全面的回顾。
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