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association. This combination could enable lesion screening,
facilitate follow-up of patients, and reduce unnecessary costs
of invasive procedures. However, further studies should be
conducted to confirm the efficacy of simultaneous utilization
of TI-RADS and elastography in clinical practice.
Transoral Radiofrequency Coblation Surgery
for the Treatment of Supraglottic Laryngeal
Squamous Cell Carcinoma in 17 Patients
Xiaowan Du (Presenter); Shui Fang Xiao, MD
Objectives: To explore the feasibility and efficacy of transoral surgery that uses radiofrequency coblation (RFC) as the
cutting device for the treatment of supraglottic laryngeal squamous cell carcinoma (SLSCC).
Methods: Seventeen SLSCC patients who successfully
underwent transoral RFC surgery (TRS) for the primary tumor
were retrospectively studied. Among these patients, only
1 patient was lost to follow-up since discharge. The median
follow-up time of the other 16 patients was 31.5 months
(range, 5-77 months).
Results: For TRS alone, 15 of the 17 cases (88.2%) were
completed within 2 hours, 14 of the 17 cases (82.4%) had an
intraoperative bleeding volume of <20 mL. Two cases of complications were noted, including 1 case of hemorrhage at the
neck dissection area 10 days after surgery and 1 case of infection at the primary site after the end of adjunctive radiotherapy. Eleven of the 17 patients (64.7%) could start oral feeding
within 3 days after the operation. No patients required a longterm gastrostomy tube or tracheotomy placements. Only 1
case of recurrence in situ occurred at 7 months after surgery.
Two cases of neck recurrences occurred at 10 months and 42
months after surgery. At the end of follow-up, no patients
reported long-term complications severely affecting speech,
swallowing, or breathing.
Conclusions: The RFC could be used as an alternative cutting device in transoral surgery for resecting primary SLSCC.
Its advantages are high cutting efficiency and better control of
intraoperative hemorrhage. SLSCC patients who underwent
TRS showed excellent oncologic and functional outcomes.
Transoral Radiofrequency Resection of
a Large Parapharyngeal Neurofibroma
Masquerading as a Supraglottic Cyst
Srinivasa Rao-Merugumala, FRCS (Presenter)
Objectives: (1) To evaluate a series of patients with hoarse
voice ± dysphagia who required diagnostic microlaryngoscopies and panendoscopies. (2) To present a rare case of a large
parapharyngeal neurofibroma presenting as a supraglottic cyst
and to document the diagnostic process followed for effective
management. (3) To determine the efficacy and the safety of
endoscopic transoral radiofrequency resection (TORR) of a
large parapharyngeal neurofibroma.
Methods: An evaluation of 54 consecutive patients who
underwent rigid hypopharyngoscopy ± laryngoscopy for

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dysphagia ± hoarse voice over a 9-month period, and presentation of a representative case of parapharyngeal neurofibroma
and its effective management with TORR.
Results: Among the 54 patients, 1 such representative case
of a 50-year-old Caucasian male patient who presented with a
1-year history of hoarse voice had a 4-cm parapharyngeal neurofibroma removed via TORR, and 5 patients had transoral
laser debunking of laryngeal or oro-/hypopharyngeal tumors
to avert the tracheostomy. Histology showed 9 laryngeal cancers, 6 hypopharyngeal cancers, and a few others had benign
lesions. The false reassurances by magnetic resonance imaging reported as supraglottic cyst and the flexible endoscopy
findings led to the advanced presentations of this tumor. The
patient had a small, smooth swelling in the supraglottis on
microlaryngoscopy but had deep extension beyond the pharyngeal wall. This was removed with TORR, which was well
tolerated, and he was discharged after an overnight stay.
Conclusions: Parapharyngeal neurofibroma is a rare but
unusual cause of hoarse voice and dysphagia. TORR offers an
effective, safe alternative to open procedures. Symptomatic
relief is immediate; hence, TORR is proposed as a simple
alternative to laser/open procedures.
Transoral Robotic Submandibular Gland
Transposition to Reconstruct Radical
Tonsillar Resection Defect
Allen H. Young, MD (Presenter); Oluwafunmilola T.
Okuyemi, MD; Jo-Lawrence Martinez Bigcas, MD; Jacob B.
Kahane, MD; Yuna Kim; Nathan Harrison Reeve, MD;
Albert J. Yang; Robert C. Wang, MD
Objectives: Significant dysphagia, pain, and bleeding are
common after transoral robotic surgery (TORS) radical tonsillectomy. Average length of stay has been reported to be 5 to
7 days after TORS or oropharyngeal surgery. We present a
novel surgical technique using robotically assisted submandibular gland transposition (SMGT) to reconstruct the radical
tonsillar defect, in an effort to reduce pain, recovery time, and
risk of bleeding.
Methods: Two male patients with tonsillar carcinoma and
ipsilateral neck metastasis underwent TORS resection, neck
dissection, and SMGT. Surgical technique: An ipsilateral
modified radical neck dissection is performed and the submandibular gland, duct, and lingual nerve are preserved while
removing level IB nodes. The facial artery is ligated distal to
the gland, with the proximal facial artery and lingual nerve
protected during TORS tonsillar resection. The submandibular gland is then transposed intraorally and sutured robotically
to cover the tonsillar defect.
Results: Postoperatively, both patients had minimal pain
and were discharged on postoperative day 3 tolerating a soft
diet. Neither had any postoperative bleeding.
Conclusions: SMGT to the submental triangle is a familiar
technique used for salivary preservation in patients undergoing adjuvant radiotherapy. We show for the first time that the
submandibular gland can be easily transposed to repair the

Head and Neck

Poster Presentations	



Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts

Table of Contents for the Digital Edition of Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts

Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Contents
Accreditation Information
2020 President Duane J. Taylor, MD
2020 Annual Meeting Program Committee
2020 Star Reviewers
2020 Distinguished Service Award Recipients
2020 Honor Award Recipients
Honorary Guest Lecturers 2020
Panel Presentations
Oral Presentations
Poster Presentations
Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Intro
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A1
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Contents
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A5
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A6
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Accreditation Information
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 President Duane J. Taylor, MD
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Annual Meeting Program Committee
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P4
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Star Reviewers
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Honor Award Recipients
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P7
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Honorary Guest Lecturers 2020
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P9
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Panel Presentations
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P11
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P12
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Oral Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Poster Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P272
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P273
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P274
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P275
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P276
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P277
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P278
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P279
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P280
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P281
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P282
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P283
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P284
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P285
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P286
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P287
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P288
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P289
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P290
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P291
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P292
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P293
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P294
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P295
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P296
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P297
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P298
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P299
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P300
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P301
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P302
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P303
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P304
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P305
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P306
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P307
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P308
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P309
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P310
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P311
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P312
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P316
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P317
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P318
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P319
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P320
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P321
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P322
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P323
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P324
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P325
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P326
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P327
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P328
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P329
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P330
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P331
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P332
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover4
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