{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:33:05Z","timestamp":1745469185236,"version":"3.40.4"},"reference-count":12,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ORL"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Objectives: &lt;\/i&gt;&lt;\/b&gt;To report the utilization of a new transoral surgery system, i.e. transoral videolaryngoscopic surgery (TOVS) with a navigation system, for the removal of a metastatic retropharyngeal lymph node (RPLN). &lt;b&gt;&lt;i&gt;Case Report:&lt;\/i&gt;&lt;\/b&gt; An 86-year-old woman with tongue cancer (cT2N0M0) underwent partial glossectomy and left selective neck dissection. Three months postoperatively, a left metastatic RPLN was identified on follow-up magnetic resonance imaging. The metastatic RPLN was successfully excised by TOVS with a navigation system. After postoperative irradiation, she had no recurrence more than 1 year after the surgery. &lt;b&gt;&lt;i&gt;Discussion:&lt;\/i&gt;&lt;\/b&gt; The retropharyngeal space (RPS) is a difficult area to access surgically. A transcervical approach is conventionally used to access the RPS; however, in the present case, scar tissue after neck dissection may have been problematic. Visualization of the RPS by high-definition endoscopy and a navigation system were effective in facilitating the safe performance of the surgery. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; A transoral approach may be a viable choice for surgery of a metastatic RPLN. Surgical indications for a transoral approach to the RPS include that (1) the location of the RPLN is below the level of the hard palate and the pterygoid hamulus and (2) there is only a single lesion, without adhesion to the surrounding tissue.<\/jats:p>","DOI":"10.1159\/000369626","type":"journal-article","created":{"date-parts":[[2015,1,27]],"date-time":"2015-01-27T07:31:07Z","timestamp":1422343867000},"page":"357-363","source":"Crossref","is-referenced-by-count":8,"title":["Transoral Videolaryngoscopic Surgery with a Navigation System for Excision of a Metastatic Retropharyngeal Lymph Node"],"prefix":"10.1159","volume":"76","author":[{"given":"Yuya","family":"Tanaka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Tomifuji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taku","family":"Yamashita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Araki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro","family":"Shiotani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2015,1,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(64)90143-6"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880160212"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.12.1478"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200106000-00031"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1080\/00016480510035421"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1177\/000348941011900403"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1177\/0194599810392148"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21604"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31805819ba"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20513"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e318293f860"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.1602"}],"container-title":["ORL"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/369626","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/369626","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:03:54Z","timestamp":1745431434000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000369626"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":12,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2015,2,1]]},"published-print":{"date-parts":[[2015,2,5]]}},"URL":"https:\/\/doi.org\/10.1159\/000369626","archive":["Portico"],"relation":{},"ISSN":["0301-1569","1423-0275"],"issn-type":[{"type":"print","value":"0301-1569"},{"type":"electronic","value":"1423-0275"}],"subject":[],"published":{"date-parts":[[2014]]}}}