hub sciencedirect scopus applications register login login go to scival suite username: password: remember me | not registered? viagra online without prescription Forgotten your username or password? Go to athens / institution login remote access activation home publications search my settings my alerts shopping cart help export citation more options... Email article search     all fields     author advanced search     journal/book title     volume   issue   page search tips article outline is loading... Javascript required for article outline otolaryngology - head and neck surgery volume 141, issue 2, august 2009, pages 166–171 original research–head and neck surgery functional outcomes after transoral robotic surgery for head and neck cancer tim a. Iseli, mbbs, fracs a , b , brian d. Kulbersh, md a , claire e. Iseli, mbbs, ms b , william r. Carroll, md a , eben l. Rosenthal, md a , j. Scott magnuson, md a , , a division of otolaryngology–head and neck surgery, department of surgery, university of alabama at birmingham, birmingham, al b department of otolaryngology–head and neck surgery, western hospital, victoria, australia received 9 march 2009 revised 29 april 2009 accepted 13 may 2009 available online 28 july 2009 how to cite or link using doi permissions & reprints view full text methods results discussion conclusions author contributions disclosures acknowledgements references abstract objective to evaluate functional outcomes following transoral robotic surgery for head and neck cancer. Study design case series with planned data collection. viagra use instructions Setting academic hospital. Subjects and methods between march 2007 and december 2008, 54 of 62 candidate patients underwent transoral robotic tumor resection. Outcomes include airway management, swallowing (md anderson dysphagia inventory), and enterogastric feeding. generic viagra canada Results tumors were most commonly oropharynx (61%) or larynx (22%) and t1 (35%) or t2 (44%). Many received radiotherapy (22% preoperatively, 41% postoperatively) and chemotherapy (31%). viagra peak time Endotracheal intubation was retained (22%) for up to 48 hours, tracheostomy less frequently (9%), and all were decannulated by 14 days. Most commenced oral intake prior to discharge (69%) or within two weeks (83%). cheap viagra A worse postoperative dysphagia inventory score was associated with retained feeding tube (p = 0. 020), age >60 (p = 0. order viagra online from canada 017), higher t stage (p = 0. viagra samples 009), laryngeal site (p = 0. generic viagra without prescription 017), and complications (p = 0. can you take 40mg of viagra 035). At a mean 12 months' follow-up, 17 percent retained a feeding tube (9. viagra common questions 5% among primary cases). Retained feeding tube was associated with preoperative tube requirement (p = 0. 017), higher t stage (p = 0. 043), oropharyngeal/laryngeal site (p = 0. 034), and recurrent/second primary tumor (p = 0. 008). Complications including airway edema (9%), aspiration (6%), bleeding (6%), and salivary fistula (2%) were managed without major sequelae. Conclusion transoral robotic surgery provides an. viagra peak time