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Introduction: Patients before 50 years of age with HPV-positive oropharyngeal cancer are characterized by significantly better survival than HPV-negative patients. The consequences of oncological treatment directly affect physiological function of the organs of the upper respiratory tract and, in consequence, the quality of life of these individuals. Therefore, the choice of therapy is of great importance. Minimally invasive surgery offers radical oncological treatment, while preserving the quality of life. The principal surgical methods are transoral access using TLM, electrosurgery and TORS. Radiochemotherapy as primary treatment is equally effective in the first and second stages of clinical advancement of cancer. However, occurrence of late complications such as swallowing, breathing, taste and smell disorders led to a recent re-emergence of minimally invasive surgery, particularly transoral robotic surgery, which has been widely used in head and neck surgery in the United States of America, Asia and Western European countries for more than 20 years. After many years, Poland joined the community of countries where the head and neck interventions are performed using the da Vinci Surgical System., Objective: The purpose of the work is to present our own experience with the TORS at the Department of the Head and Neck Surgery and Laryngological Oncology of the Poznan University of Medical Sciences and to analyze the latest literature reports on the use of TORS in the treatment of oropharyngeal squamous cell carcinoma.

Introduction: The buccal flaps are an effective alternative in treatment patients with small defects of the oral cavity due to: the small size of the flap, the lack of donor site, less risk of postoperative complications and short procedure time., Material and Methods: In the Department of Otolaryngology and Laryngological Oncology in Poznan in the years 2005-2008 was performed 7 resections of oral cavity due to cancer in which the reconstructions were based on two types of flaps: from the buccal mucosa (3 patients), and muscular-buccal mucosal flap (4 cases). The paper presents aspects of the anatomical structure of the cheek and technique for flap dissection., Results and Conclusions: In the majority group of patients the primary defect healing properly. The mucosal buccal flaps are a good alternative to free flaps, but their indications are limited to the primary defects of small extent.

Background: Extended supraomohyoid neck nodes dissection (ESOHND) involves surgical resection of nodal levels from I to IV. The incidence of occult metastases in level V is rare and mainly depends of the location and size of the primary tumour in oral cavity and oropharynx squamous cell cancer., Aim: The aim of this study was to present the results of treatment with extended supraomohyoid neck dissection., Methods: The records of 72 patients with cancer of the oral cavity undergoing extended supraomohyoid neck dissection (ESOHND) during the period 15.12.2003 - 13.06.2005 were reviewed., Results: Tumor and nodal stage were: T2-9(13%), T3-39(54%), T4-24(33%), N0-14(19%), N1-31(43%), N2-25(35%), N3-2(3%). 64 patients were treated with surgery and postoperative adjuvant radiotherapy. The follow-up period ranged from 11 to 27 months. The surgical failure rate was 8% (occurred in 6 of 72 patients)., Conclusions: Preliminary analysis suggests extended supraomohyoid neck nodes dissection to be considered as a therapeutic and diagnostic procedure in patients with squamous cell cancer of oral cavity and oropharynx.

In the period 1981-1994 in the ENT Department, University School of Medical Sciences in Bydgoszcz, 102 patients with malignant neoplasms of the tongue and the tonsillo-glossal angle were treated. The most common group comprised patients diagnosed with "planoepithelial carcinoma" (94 persons). The number of patients with tongue malignancies increased every year. Similarly, increasing of the neoplastic grade was observed. The majority of patients underwent surgery and, in the next step, radiotherapy. We preferred a total tumor excision involving half of the tongue. Often we had to extend surgery to resection of the lateral part of throat and, in situation of extreme penetration of neoplasms, we removed the bottom of oral cavity. We concluded that in patients with malignant neoplasms of the tongue, planoepithelial carcinoma is present in more than 90 percent of cases. The tumors are diagnosed in the late period. On initiation of treatment half of the patients were presenting with T2 tumors. We confirmed infiltration of the tonsillo-glossal angle in half of the patients. Five years survival without tumor recurrence in our material was 26.47%.