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Head Neck. 2012 Feb;34(2):225-9. doi: 10.1002/hed.21719. Epub 2011 Apr 15.

Feasibility of transoral robotic-assisted supraglottic laryngectomy.

Author information

1
Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota, USA.

Abstract

BACKGROUND:

We aimed to describe our experience with transoral robotic-assisted supraglottic laryngectomy.

METHODS:

We retrospectively reviewed the records of patients who underwent transoral robotic-assisted supraglottic laryngectomy at our institution between May 2007 and November 2008.

RESULTS:

During the study period, 7 patients with malignancy underwent the procedure (4 men, 3 women; average age, 61 years). All tumors were completely resected, with clear margins on pathologic analysis. Six patients underwent neck dissection at the time of transoral surgery. One intraoperative complication occurred: thermal injury to the anterior cervical skin. Four patients underwent primary tracheotomy tube placement, 3 of whom were decannulated without difficulty. Two patients required long-term gastrostomy tubes while receiving adjuvant radiotherapy.

CONCLUSIONS:

Supraglottic malignancies can be successfully resected transorally with robotic assistance. The potential benefits of this method are improved access and visualization. Further long-term follow-up is needed to compare oncologic and functional outcomes with those of current approaches.

PMID:
21500308
DOI:
10.1002/hed.21719
[Indexed for MEDLINE]

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