title: Transoral robotic surgery for the management of oropharyngeal minor salivary gland tumors.
abstract: BACKGROUND
  In this study we report our preliminary experience with the use of transoral robotic surgery (TORS) for the management of minor salivary gland malignancies of the oropharynx and outcomes.
  
  
  METHODS
  This was a retrospective review of 10 patients followed over a 5-year period at a single tertiary academic medical center. Patient, tumor, clinicopathologic, functional, and oncologic outcomes were collected and analyzed.
  
  
  RESULTS
  All cancers treated were either T1 (40%) or T2 (60%). Negative margins were achieved in all patients. Four patients received adjuvant radiation therapy (40%). No patients experienced surgical complications and all had excellent functional outcomes. Mean follow-up was 24 months (range, 2-60 months) with locoregional and distant control achieved in 8 patients (80%) and 9 patients (90%), respectively.
  
  
  CONCLUSIONS
  Minor salivary malignancies of the oropharynx are a surgical disease. Short-term follow-up data demonstrate feasibility, low morbidity, good functional, and oncologic results for TORS management of these malignancies.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Mount Sinai School of Medicine, New York, New York.
authors.forename: Nathaniel L
authors.initials: NL
authors.lastname: Villanueva
authors.forename: John R
authors.initials: JR
authors.lastname: de Almeida
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Sikora
authors.forename: Brett A
authors.initials: BA
authors.lastname: Miles
authors.forename: Eric M
authors.initials: EM
authors.lastname: Genden
mesh_terms: D000046:Academic Medical Centers; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D007150:Immunohistochemistry; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D009055:Mouth; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D037981:Neck Dissection / Q000379:methods; D009959:Oropharyngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D011379:Prognosis; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D012371:Robotics / Q000379:methods*; D012468:Salivary Gland Neoplasms / Q000401:mortality / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D012470:Salivary Glands, Minor / Q000473:pathology* / Q000601:surgery; D016019:Survival Analysis; D016896:Treatment Outcome
keywords: TORS; minor salivary gland cancer; oropharyngeal cancer; oropharynx; transoral robotic surgery