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Article Category: Highlights

Transforming Head & Neck Cancer Care with Transoral Robotic Surgery

Published on May 22, 2025

Last updated 02:06 PM May 22, 2025

Female Wellstar head and neck cancer physician performs physical exam of female patient's neck area.

Wellstar is at the forefront of providing comprehensive head and neck cancer care, offering advanced treatments like transoral robotic surgery (TORS). Head and neck cancer specialist Dr. Kia Jones said the minimally invasive surgical approach is primarily used for tumors in the oropharynx—the area of the throat which includes the tonsil and the root of the tongue, also known as the tongue base.

“In this procedure, the surgeon accesses the cancer by passing tools through the mouth to the area of concern without external incisions,” said Dr. Jones, an expert in head and neck cancer surgery and microvascular reconstructive surgery.

She explained TORS is performed with the aid of the da Vinci robotic surgical system.

“The surgeon sits at a console, controlling the robot and instruments under high-definition camera visualization to remove tumors completely in areas that are inaccessible to the surgeon's hands,” she said.

The benefits of TORS

People who undergo TORS often experience shorter hospital stays, less postoperative pain and quicker return to normal activities compared to traditional surgical methods. After surgery, these patients can generally eat within a day and are discharged within one to three days, with no need for neck breathing or stomach feeding tubes.

Who may consider TORS

TORS is particularly beneficial for patients with early-stage oropharyngeal tumors, especially HPV-driven squamous cell cancers, which tend to occur in younger individuals. TORS offers an additional treatment option that may be a better fit for some patients than primary radiation, which has been the standard of care standard of care for oropharyngeal cancers as traditional surgical approaches with large open incisions fell out of favor.

It’s rewarding to see patients go from meeting me in the office and then getting them to the five-year mark and seeing that they're in remission from their cancer.

- Dr. Kia Jones

Head & Neck cancer Surgeon
Microvascular Reconstructive Surgeon

Comprehensive head & neck cancer care

Wellstar’s experts provide comprehensive care for a wide range of head and neck conditions. That includes benign and malignant tumors of the salivary glands, facial skin, nose and sinuses, oral cavity, throat, voice box, neck, thyroid and parathyroid.

Wellstar's approach to head and neck cancer care is distinguished by our multidisciplinary team approach. Our team includes head and neck surgeons, radiation oncologists, medical oncologists, neuroradiologists, pathologists, speech therapists, clinical nurse navigators and dietitians.

The Wellstar team meets in tumor board meetings to carefully consider each patient's unique circumstances—and develop a treatment plan unique to them. Wellstar also prioritizes holistic care, offering resources such as psychological services, pain management, spiritual advisement, physical and occupational therapy and financial counseling. Clinical nurse navigators play a crucial role in connecting patients with resources, so patients get the care they need.

“At Wellstar, patients can expect to get quality, comprehensive care in a community setting that would meet all of their needs,” Dr. Jones said.

A streamlined process for positive outcomes

Coordinating treatment for your head or neck cancer with multiple cancer experts once required making several appointments, balancing schedules and repeatedly driving back and forth to doctors’ offices. It could take weeks to get a diagnosis and treatment plan in place. So Wellstar created STAT Clinics, a new model of care to help patients.

“STAT Clinics are beneficial to patients because they can meet all the members of the multidisciplinary team in that one visit, rather than scheduling multiple outpatient visits to see various providers at any point during their pre-treatment planning or treatment process,” said Dr. Jones.

“We'll go over the imaging and I’ll detail my thoughts for the patient,” she said, underscoring Wellstar’s commitment to putting the patient at the center of their care. “We’ll continue until I get all their questions answered. It’s about making sure the patients are informed, they understand what's going on and what all the treatment options are.”

STAT Clinic benefits patients by simplifying scheduling, cutting down travel and getting important information to the patient faster.

“It’s rewarding to see patients go from meeting me in the office and then getting them to the five-year mark and seeing that they're in remission from their cancer,” she said with a smile.

Learn more about head and neck cancer care at Wellstar.


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Kia Renee Jones ENT - 1360 Upper Hembree Road Suite 201B
Related Articles
A head and neck cancer specialist examines a patient's neck.

PeopleCare

MichaelCare

Presiding over weddings is one way that the Reverend Michael Teston, ThM, gives back to his community after retiring as a full-time pastor.

On the left: Michael Teston headshot. On the right: Reverend Michael Teston performs weddings, including the wedding of his Wellstar doctor.

One recent wedding was quite different than the rest. It was with heartfelt pride that the pastor looked on as the groom—the man Michael credits with saving his life—said his vows.

“Fiyin, do you take Courtnee to be your lawfully wedded wife?” Michael asked his head and neck cancer specialist.

“I do,” Dr. Fiyin Sokoya replied, standing happily as his former patient—now friend, spiritual advisor and premarital counselor—joined him with his wife in holy matrimony.


Compassionate expertise follows an unexpected diagnosis

A few years earlier, an unexpected diagnosis brought the two men together as they formed a bond that exceeded the typical doctor-patient relationship.

It began when Michael noticed a knot in his left cheek. He thought he had an infected lymph node so he went to an ear, nose and throat (ENT) doctor to get it checked out. The prognosis was that the knot was likely non-cancerous, but worth getting removed because it was growing rapidly and increased the risk for cancer. The clergyman was referred to Dr. Fiyin Sokoya, a head and neck cancer specialist and facial plastic surgeon at Wellstar North Fulton Medical Center.


Specialized head & neck cancer care

Dr. Sokoya surgically removed the tumor using techniques similar to a facelift. This helped the scars heal well and meant minimal downtime during the healing process.

“If you look at my face now, you couldn’t tell,” Michael shared. “Dr. Sokoya did a phenomenal job.”

As a precaution and part of standard practice at Wellstar, the tumor taken from his face went to specialized head and neck pathologists for testing.

“I went into the doctor’s office for a follow-up visit,” Michael remembered. “The doctor said, ‘Unfortunately, it’s cancer.’”

The tumor was a rare type of chronic lymphocytic leukemia and small lymphocytic lymphoma.

“Well, that’s not what I was expecting!” Michael remembered thinking at the time. “I thought it was just a benign tumor. But Dr. Sokoya kept his manner calm, kind and never rushed. He explained things in a non-technical way to make sure I understood.”

Along with Dr. Sokoya’s demeanor, the reverend’s belief that no matter what happens, a higher power is watching out for him helped. Michael said, “My heart rate didn’t go up one bit. I never had a moment of panic.”

Fortunately, Michael was already in the right place for his care.

“We’ve become the destination center for advanced head and neck cancer care,” Dr. Sokoya said. “We can take care of him whatever his needs may be with top-notch physicians who empathize and display emotional intelligence while connecting on a human level throughout treatment.”

Aside from the surgery, Michael did not need further treatment, other than regular monitoring and bloodwork.

“Michael ended up not needing chemo because we caught it early and his medical oncologist is able to watch it closely in case any symptoms develop again,” Dr. Sokoya said. 

Keep reading
Gloved physician checks a patient's head, neck and jaw

Highlights

Expert Treatment for Head and Neck Cancers at Wellstar

Head and neck cancers include several different types of malignant tumors affecting parts of the head and neck, including the nose and sinus cavities, mouth, throat, voice box and salivary glands. Head and neck cancers typically involve the mucosa, or the tissues lining these areas, and represent about 4% of all cancers diagnosed in the United States each year.

Treating head and neck cancers

If you are diagnosed with cancer, Wellstar provides expert care. Oropharyngeal cancers are typically treated with surgery (with or without radiation therapy) or radiation therapy (with or without chemotherapy) at equivalent cure rates. Goals of treatment are to remove the cancer, prevent its return and limit side effects.

“Wellstar providers work with patients to tailor care to their needs—based on effectiveness of the treatment, tumor location and stage, accessibility of the tumor to a surgical approach, risk of side effects and patient choice,” said Dr. Kia Jones, a Wellstar ear nose & throat physician.

In the Head and Neck STAT Clinics at Wellstar Cobb, Douglas and North Fulton Medical Centers, the patient meets with their entire treatment team in a single day during treatment planning and may start treatment sooner, which may improve outcomes for patients and provides more peace of mind.

New surgical method improves treatment

Transoral robotic surgery, offered at Wellstar North Fulton, has changed the way oropharyngeal cancers are treated surgically.

“In this procedure, the surgeon accesses the cancer by passing tools through the mouth rather than making an incision,” said Dr. Jones, who performs the procedure.

For those patients with early-stage tumors and limited disease in the neck, the surgery offers the patient a cure at a single intervention without the need for tracheostomy or abdominal feeding tube, faster return to taking food orally, improved outcomes and faster recovery. This is preferred over traditional surgical methods, which require splitting the jaw and/or the tongue or gaining access to the throat via neck incision.

Reducing your risk

You can take action against common risk factors by decreasing tobacco and alcohol use and getting the human papillomavirus (HPV) vaccine.

Some well-known risk factors for the development of head and neck cancers include heavy alcohol and tobacco use, especially if someone uses alcohol and tobacco together. Men are three times more likely to be diagnosed with oral and throat cancer compared to women, according to the American Cancer Society.

An additional risk factor is HPV infection, which is related to the development of oropharyngeal cancer specifically. The oropharynx is the midsection of the throat and includes the tonsils and the root of the tongue or tongue base where the vast majority of these tumors originate. HPV-related oropharyngeal cancer is more prevalent now than HPV-related cervical cancer in women. HPV-related oropharyngeal cancer has been increasing in the United States over the last three to four decades, while the incidence of tobacco and alcohol-related tumors has been declining. More than 22,500 people are diagnosed with HPV-related oropharyngeal cancer each year.

Learn more about how Wellstar cares for head and neck cancers.

Keep reading
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