Background The purpose of this study was to identify the role of transoral robotic surgery
(TORS) in the management of residual and recurrent oropharyngeal cancer. Methods IDEAL
(Idea, Development, Exploration, Assessment, Long‐term Follow‐up) 2a framework. Results
Of 26 patients assessed for TORS, 21 underwent the procedure, 5 underwent open
resection (4 due to unsuitable anatomy/tumor extent and 1 on the basis of patient choice).
Three patients underwent intraoperative ultrasound‐assisted robotic resection, and 3 …

The most widely used treatment of the management of residual, recurrent, and new primary
radiation-exposed (ReRuNeR) oropharyngeal cancer (OPC) is open surgery, with or without
reconstruction. 1–4 Open surgery is prolonged, involves significant disruption to normal
anatomy to gain access to the tumor (mandibulotomy, floor of mouth dissection, and lingual
release), almost always needs reconstruction, and increases recovery time. Additionally, the
irradiated bone can be beset with healing a Head and Neck Unit, The Royal Marsden NHS …