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SM12: Otolaryngologists Debate Resident Training, Implantable Hearing Aids, Oropharyngeal Cancer

by Thomas R. Collins • February 14, 2012

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“Perhaps this is the group that we need to focus on for an alternative approach as opposed to chemoradiation,” he said.

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Explore This Issue
February 2012

Overall, though, Dr. Weber said, “non-surgical treatment is effective. We need more outcome and functional data than we have today.”

Wendell Yarbrough, MD, director of the Barry Baker Laboratory for Head and Neck Oncology at the Vanderbilt-Ingram Cancer Center in Nashville, lamented a lack of head-to-head studies comparing the two main approaches: surgery followed by radiation and chemoradiation and salvage surgery. He said it is HPV status, not treatment, that drives survival. “With two-year disease-free survival of less than 50 percent (in HPV-negative patients), why aren’t we treating these patients with surgery?”

Forgoing surgery could lead to bigger problems later, he said. “When we do get the failures (after chemoradiation) and are able to operate on them, obviously now the patients are having worse problems.”

But salvage surgery has been found to have a 21 percent rate of five-year overall survival. “Surgical salvage for oropharyngeal cancer,” Dr. Yarbrough said, “just doesn’t work.”

Pages: 1 2 3 4 | Single Page

Filed Under: Features Tagged With: Combined Sections Meeting, CSM, endoscopic surgery, Hearing aids, hearing loss, hours, implantable devices, oropharyngeal cancer, staffing, Zenker's diverticulumIssue: February 2012

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  • HPV Status an Independent Prognostic Factor for Oropharyngeal Cancer Survival
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  • Thinking of Adding Hearing Aids to Your Practice? Experts Dispense Advice

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