Management of laryngoceles by transoral robotic surgery

Abstract

We herein report our experience with the management of laryngoceles using transoral robotic surgery (TORS). A bicentric retrospective study was conducted from November 2009 to September 2015. The inclusion criteria were treatment of a laryngocele by TORS and no malignancy on definitive histopathology. Surgery was performed using the Da Vinci (Intuitive) surgical robot. Surgical methods and post-operative outcomes were evaluated. Eight patients (four men and four women) presenting with a laryngocele (one bilateral case) were included (mean age 61.8 years). There was one covering tracheotomy. The average post-operative stay was 3.75 days. Three patients treated for a combined laryngocele had a nasogastric feeding tube inserted for 5 days. One patient experienced late laryngeal bleeding that required surgical treatment. TORS may offer an efficient treatment option for laryngoceles. The use of precise and flexible instruments and a three-dimensional camera allow fine dissection of these tumours, preserving the glottic space and vocal function, even for combined laryngoceles extending deep within the neck.Evidence level: 4.

Transoral robotic resection of benign tumors of the upper aerodigestive tract: Experience of the French group of GETTEC

“…32 Some studies also report cases of resection by TORS of retropharyngeal schwannoma, 33 hypopharyngeal lipoma 34 or ectopic base-oftongue thyroid glands. [42][43][44] F IGUR E 5 Patient B, "en bloc" resection of a 7-cm lipoma [Color figure can be viewed at wileyonlinelibrary.com] CHABRILLAC ET AL | 5 Very few laryngeal tumors removed by TORS have been reported (ie, schwannoma, lipoma, or hemangioma).…”

“…[38][39][40][41] In addition, interest in TORS for the resection of laryngocele is already reported. [42][43][44] F IGUR E 5 Patient B, "en bloc" resection of a 7-cm lipoma [Color figure can be viewed at wileyonlinelibrary.com] CHABRILLAC ET AL | 5 6 | C ONCL US I ON Although the literature on this subject is sparse, this surgical technique had few complications and resulted in short hospital stays, with satisfactory functional and recurrence outcomes. Thus, it seems legitimate to pursue the development of this procedure, and to broaden its indications in head and neck surgery.…”

Systematic review of laryngocele and pyolaryngocele management in the age of robotic surgery

“…Lisan et al 14 reported on the use of a laserassisted TORS approach for a combined laryngomucocele , in which both the internal and external components of the were managed successfully via a minimally invasive approach, with no evidence of recurrence. 14,15 Most reported cases (45%) resected by TORS were combined laryngoceles, [14][15][16][17][18][19] with no reported recurrences in any cases of combined laryngocele managed by TORS, up to 3 years after treatment. Only three patients required a covering tracheostomy, and they were successfully decannulated an average of 2 days postprocedure.…”

Transoral robotic excision of laryngocele: Surgical considerations

“…Although TORS has been primarily used in excision of laryngeal malignancies, the same methods have been used in excision of laryngoceles as well. The first study using TORS for the excision of laryngoceles was first published in 2013, and since then several other case series have been published as well . The purpose of this study was to extend the TORS technique in excision of a laryngocele with preservation of the laryngeal structures and showcase the surgical considerations.…”

“…The first study using TORS for the excision of laryngoceles was first published in 2013, and since then several other case series have been published as well. [11][12][13][14][15][16] The purpose of this study was to extend the TORS technique in excision of a laryngocele with preservation of the laryngeal structures and showcase the surgical considerations.…”