Transoral Microscopic Cautery‐Assisted Laser Tonsillectomy/Tongue Base Resection (TOMCAT)

Transoral Microscopic Cautery‐Assisted Laser Tonsillectomy/Tongue Base Resection (TOMCAT):

Abstract

This is the first description in the literature of transoral oropharyngectomy achieved using a combination of microscope mounted laser and handheld monopolar diathermy.

Monopolar diathermy use in areas where cutting through large quantities of tissue is required, away from margins, significantly reduces operative time compared to laser resection alone. However, we find the laser causes less char and is superior for margin assessment and control.

This technique uses equipment already present in the majority of Head & Neck Surgical Oncology departments.