{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T06:53:55Z","timestamp":1785912835506,"version":"3.56.0"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,5]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n Transoral robotic surgery is increasingly used for selected base-of-tongue tumours, but is often impractical in patients with severe trismus and remains cost prohibitive. Conventional transmandibular approaches are associated with significant morbidity. We describe a transpharyngeal technique incorporating hyoid suspension to address these limitations.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective series of patients undergoing transpharyngeal resection\u00a0for base-of-tongue carcinoma is presented. The technique includes neck dissection\u00a0with vascular control, lateral-inferior pharyngotomy, tumour excision under direct visualisation and reconstruction with pectoralis major myocutaneous flap with routine hyoid suspension. Hypoglossal nerve preservation was undertaken where oncologically appropriate.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Fifteen previously untreated patients were treated, including 12 with severe trismus. Clear margins were achieved in 13 cases. Reconstruction was performed with a pectoralis major myocutaneous flap in 13 patients. Most patients achieved decannulation and oral feeding within 30 days.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Transpharyngeal resection\u00a0with hyoid suspension is a feasible and cost-effective alternative to transoral robotic surgery in selected base-of-tongue cancers, particularly in patients with severe trismus.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s0022215126104484","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T11:08:15Z","timestamp":1772017695000},"page":"508-512","source":"Crossref","is-referenced-by-count":1,"title":["How I do it: transpharyngeal resection\u00a0of base of tongue cancer with hyoid suspension"],"prefix":"10.1017","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6035-1265","authenticated-orcid":false,"given":"Nirav P.","family":"Trivedi","sequence":"first","affiliation":[{"name":"Shanku's Medicity Hospital Mehsana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit N.","family":"Rathod","sequence":"additional","affiliation":[{"name":"Shanku's Medicity Hospital Mehsana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishant","family":"Upadhyay","sequence":"additional","affiliation":[{"name":"Shanku's Medicity Hospital Mehsana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pochamallu","family":"Bayra","sequence":"additional","affiliation":[{"name":"Shanku's Medicity Hospital Mehsana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"S0022215126104484_ref10","doi-asserted-by":"publisher","DOI":"10.25259\/IJDVL_371_20"},{"key":"S0022215126104484_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcma.2011.03.007"},{"key":"S0022215126104484_ref8","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25836"},{"key":"S0022215126104484_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2010.04.005"},{"key":"S0022215126104484_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23424"},{"key":"S0022215126104484_ref11","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1177\/000348949009900410","article-title":"Cancer of the tongue base treated by a transpharyngeal approach","volume":"99","author":"Cunningham","year":"1990","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"S0022215126104484_ref7","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/72852974"},{"key":"S0022215126104484_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.10.054"},{"key":"S0022215126104484_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/0003489417691297"},{"key":"S0022215126104484_ref1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27958"},{"key":"S0022215126104484_ref3","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13206039"},{"key":"S0022215126104484_ref2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12101014"},{"key":"S0022215126104484_ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-024-02227-z"},{"key":"S0022215126104484_ref14","first-page":"444","article-title":"Improving swallowing after total glossectomy with laryngeal preservation","volume":"5","author":"Cristalli","year":"2021","journal-title":"Multidiscip Cancer Invest"}],"container-title":["The Journal of Laryngology & Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215126104484","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T06:38:03Z","timestamp":1785911883000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215126104484\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,25]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["S0022215126104484"],"URL":"https:\/\/doi.org\/10.1017\/s0022215126104484","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,25]]}}}