We propose a 7-minute M aster of Surgery video presentation showcasing a high-volume\, multidiscip linary pathway for oropharyngeal squamous cell carcinoma (OPSCC) managed w ith Transoral Robotic Surgery (TORS)—with the emphasis firmly on advance d intraoperative technique and how it integrates with peri-operative funct ional care.
The video is struct ured as an end-to-end surgical episode\, from selection to early recovery\ , but its centre of gravity is the operating theatre. We demonstrate how w e standardise transoral access and exposure (retractor choice\, tongue tra ction strategy\, 0°/30° optics selection\, arm geometry and collision av oidance) to create a stable corridor that makes precise resection possible . We then present a reproducible compartment-oriented resection method for OPSCC\, including incision design\, traction–counter-traction\, control led development of deep margins\, and en-bloc specimen delivery with expli cit orientation and margin mapping to optimise pathology communication.
A dedicated segment focuses on ha emostasis as a planned workflow: anticipation of vascular risk zones\, dis ciplined energy use to minimise thermal spread\, stepwise haemostatic esca lation\, and immediate readiness for post-operative bleeding risk manageme nt. Throughout\, we highlight operative decision points that directly infl uence functional outcomes—mucosal preservation where oncologically appro priate\, avoidance of unnecessary thermal injury\, and closure/defect mana gement choices that protect swallowing biomechanics.
To keep the presentation forward-looking\, we frame the precision\, standardisation\, and expanding capability: better platfor m choice and instrumentation matching to index procedures\, increasingly r eliable set-up and ergonomics\, and incremental integration of image-infor med planning and theatre workflows that improve safety in confined anatomy —while maintaining clear surgeon accountability.
Finally\, we show how technical excellence is supporte d by an integrated team: CNS coordination\, early SALT involvement for swa llow assessment and rehabilitation planning\, and dietetic optimisation to prevent malnutrition and guide safe progression of intake. The overall na rrative is that modern OPSCC TORS success is built on world-class intraope rative execution plus structured functional recovery pathways.
DTSTAMP:20260503T162424Z LOCATION:Head & Neck Surgery 4 SUMMARY:TORS-First OPSCC Care Pathway: Evidence-Based Workup\, MDT Decision s\, Robotic Resection\, and Integrated Swallow Rehabilitation - Betul Berk ay URL:https://sciencenext.org/ifos2026/talk/TXP8EL/ END:VEVENT END:VCALENDAR