{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:48:20Z","timestamp":1780447700570,"version":"3.54.1"},"reference-count":30,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2017,2,16]],"date-time":"2017-02-16T00:00:00Z","timestamp":1487203200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The indications, techniques, and outcomes for a minimally invasive surgical approach in oropharyngeal squamous cell carcinoma (OPSCC) unsuitable for transoral resection are not well-described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective case series was performed using a prospectively assembled database of transoral surgery\u2013treated OPSCC patients who also underwent a \u201chybrid\u201d approach of combined transoral and limited pharyngotomy for tumor resection. Disease and functional outcomes were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty patients underwent complete tumor resection using the hybrid approach. Median follow-up was 48 months. No postoperative pharyngocutaneous fistula occurred. One patient (5%) had a local recurrence. Kaplan-Meier estimates for disease-specific survival at 2 and 5 years were 94.4% (95% CI, 84%-100%) and 87% (95% CI, 70%-100%). All but 1 patient (due to chemoradiotherapy-related chondroradionecrosis) were decannulated, and 2 required long-term gastrostomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In the absence of a favorable transoral access, the \u201chybrid\u201d approach of combined transoral and limited pharyngotomy can accomplish margin-negative primary tumor resection, with a high degree of disease control and functional recovery in selected OPSCC patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489417691297","type":"journal-article","created":{"date-parts":[[2017,2,16]],"date-time":"2017-02-16T07:26:38Z","timestamp":1487229998000},"page":"357-364","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["The Hybrid Transoral-Pharyngotomy Approach to Oropharyngeal Carcinoma: Technique and Outcome"],"prefix":"10.1177","volume":"126","author":[{"given":"Parul","family":"Sinha","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrik","family":"Pipkorn","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Zenga","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce H.","family":"Haughey","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, Florida Hospital Celebration Health, Celebration, Florida, USA"},{"name":"Department of Surgery, University of Auckland Faculty of Medicine and Health Sciences, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,2,16]]},"reference":[{"key":"bibr1-0003489417691297","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.129.1.36"},{"key":"bibr2-0003489417691297","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21669"},{"key":"bibr3-0003489417691297","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20552"},{"key":"bibr4-0003489417691297","doi-asserted-by":"publisher","DOI":"10.1159\/000016941"},{"key":"bibr5-0003489417691297","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25526"},{"key":"bibr6-0003489417691297","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20694"},{"key":"bibr7-0003489417691297","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199907)21:4<315::AID-HED4>3.0.CO;2-W"},{"issue":"1","key":"bibr8-0003489417691297","first-page":"26","volume":"118","author":"Genty E","year":"2001","journal-title":"Ann Otolaryngol Chir 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