title: Conventional transoral surgery for stage I-II squamous cell carcinoma of the tonsillar region.
abstract: BACKGROUND
  The purpose of this study was to review the results of conventional transoral resection and neck dissection for stage I to II squamous carcinoma of the tonsillar region.
  
  
  METHODS
  We conducted a retrospective review of 65 patients (stage I, 21 patients; stage II, 44 patients). Induction chemotherapy and postoperative radiation therapy (RT) were administered in 76.9% and 12.3%, respectively, of these cases.
  
  
  RESULTS
  The postoperative course was uneventful in 96.9% of patients. Five-year actuarial estimates for local recurrence, nodal recurrence, distant metastasis, and survival were 0% to 7.6%, 0% to 7.8%, 0% to 7.3%, and 70.8% to 71.5% for patients with T1 to T2 carcinoma, respectively. Contralateral and retropharyngeal recurrence occurred in only 1 patient.
  
  
  CONCLUSIONS
  Conventional transoral resection with ipsilateral neck dissection provides an alternative approach for patients with stage I to II squamous cell carcinoma (SCC) of the tonsillar region. A primary surgical approach spares the use of radiotherapy to eliminate late effects and to permit its use for subsequent management of metachronous head and neck second primary cancer.
authors.affiliation: Université Paris Descartes Sorbonne Paris Cité, HEGP, Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, AP-HP, 20-40 rue Leblanc, 75015, Paris. ollivier.laccourreye@egp.aphp.fr
authors.forename: Ollivier
authors.initials: O
authors.lastname: Laccourreye
authors.forename: David
authors.initials: D
authors.lastname: Malinvaud
authors.forename: Hatem
authors.initials: H
authors.lastname: Alzahrani
authors.forename: Madeleine
authors.initials: M
authors.lastname: Ménard
authors.forename: Dominique
authors.initials: D
authors.lastname: Garcia
authors.forename: Pierre
authors.initials: P
authors.lastname: Bonfils
authors.forename: F Christopher
authors.initials: FC
authors.lastname: Holsinger
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology* / Q000532:radiotherapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology / Q000401:mortality / Q000473:pathology; D009959:Oropharyngeal Neoplasms / Q000401:mortality / Q000473:pathology* / Q000532:radiotherapy; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010157:Palatal Neoplasms / Q000473:pathology; D011879:Radiotherapy Dosage; D012189:Retrospective Studies; D014067:Tonsillar Neoplasms / Q000473:pathology* / Q000532:radiotherapy