Endoscopic supraomohyoid neck dissection via a retroauricular or modified facelift approach: Preliminary results

Byeon, Hyung Kwon; Holsinger, F. Christopher; Koh, Yoon Woo; Ban, Myung Jin; Ha, Jong Gyun; Park, Jeong Jin; Kim, Da Hee; Choi, Eun Chang

doi:10.1002/hed.23308

Cited by 35 publications

(35 citation statements)

References 30 publications

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“…Since then, various trials for endoscopic surgery on the neck, including thyroidectomy5, submandibular gland excision6, sentinel node biopsy7, and ND3, have been performed. This technique was developed gradually and is currently used in the treatment of many patients.…”

Section: Discussionmentioning

confidence: 99%

“…Robot-assisted ND has many advantages, such as excellent esthetic outcomes and good visualization during surgery, but its high cost is a problem for most patients. Endoscopic-assisted surgery can be an alternative and more cost-effective option compared to robot surgery, as Byeon et al3 Recently, we treated two patients who underwent endoscopic-assisted ND via a retroauricular approach and had excellent esthetic outcomes. Herein, we report these cases and discuss the pros and cons of endoscopic ND.…”

Section: Introductionmentioning

confidence: 89%

“…Surgery was performed as described in a previous report3. Under general anesthesia, the patient was placed in the supine position.…”

Section: Cases Reportmentioning

confidence: 99%

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Esthetic neck dissection using an endoscope via retroauricular incision: a report of two cases

Kim

Cho

Cha

et al. 2014

J Korean Assoc Oral Maxillofac Surg

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Various surgical techniques, such as endoscopic surgery and robotic surgery, are developed to optimize the esthetic outcome even in operations for malignancy. A modified face-lift or retroauricular approach are used to minimize postoperative scarring. Recently, robot-assisted surgery is being done in various fields and considered as favorable treatment method by many surgeons. However its high cost is a nonnegligible fraction for many patients. On the other hand, endoscopic surgery, which is cheaper than robotic surgery, is minimally invasive with contentable neck dissection. Although it is a difficult technique for a beginner surgeon due to its limited operation view, we suppose it as an alternative method for robotic surgery. Herein, we report two cases of endoscopic neck dissection via retroauricular incision with a discussion regarding the pros and cons of endoscopic neck dissection.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 89%

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Esthetic neck dissection using an endoscope via retroauricular incision: a report of two cases

Kim

Cho

Cha

et al. 2014

J Korean Assoc Oral Maxillofac Surg

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“…Last year, we published two papers (41,42) (another three are currently in the publication process) and we presented at more than 15 congresses on this subject. However, this is not an easy task as the local medical journals have low impact factors and most of our data represents an initial reproduction of a much larger experience already well described in the literature, especially by Korean authors (17,25,26,28,30,32,43,44).…”

Section: Future Stepsmentioning

confidence: 90%

“…The use of the Da Vinci robotic surgery system has promoted the development of several surgical approaches with less morbidity and better cosmetic results, including the transaxillary and retroauricular approaches for thyroidectomies, neck dissections, and benign tumor resections (24)(25)(26)(27)(28)(29)(30)(31)(32). These tumors have a high incidence worldwide but surgical procedures continue to be performed using only conventional techniques by the majority of head and neck surgeons.…”

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confidence: 99%

Safe implementation of retroauricular robotic and endoscopic neck surgery in South America

2017

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Epidemiology and risk factors for head and neck cancerCancer is currently a health problem worldwide. Considering all ages, it is the second largest cause of death in the population, falling behind only cardiovascular Abstract: In the last three decades, otolaryngology and head and neck oncological surgery have shown remarkable progress with the development of several modalities of endoscopic-assisted minimally invasive surgeries. More recently, the Da Vinci robotic surgery system has promoted the development of several surgical approaches with less morbidity and better cosmetic results, including the transaxillary and retroauricular approaches for thyroid surgery and neck dissections. In South America, there are several shortcomings regarding financial resources as well as the lack of support for innovation leading to a significant delay in adoption of numerous technological advances in medical practice. Despite these obstacles, we obtained training in transoral robotic surgery and neck procedures, and then decided to implement neck endoscopic and robotic surgery at our institution. We developed a collaborative training program with Yonsei University that, together with several local measures, allowed for a safe implementation. From June 2014 to December 2016, we have performed a total of 121 retroauricular neck surgeries, of which 65 were roboticassisted and 56 were endoscopic assisted procedures, with a complication rate that seems to be comparable to conventional procedures in our experience and a smooth learning curve. Safety compliance has been continuously assessed. Aiming to develop and disseminate these techniques, we have ongoing collaborative work with Yonsei University faculty, to continue increasing our clinical experience, and we are now preparing the group and infrastructure to establish a local training program for South American surgeons.We have been presenting our results at national and international medical meetings and started to publish the preliminary results in peer reviewed medical journals. The emphasis is that a retroauricular approach is a therapeutic option to be considered, especially for young patients. Media exposure has been avoided so far. As expected, resistance by our peers is still present and much more work is needed to overcome it, including the generation of data on the outcomes and a critical analysis of the advantages and disadvantages of endoscopic and robotic neck surgery.

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The new era of robotic neck surgery: The universal application of the retroauricular approach

Byeon

Koh

2015

Journal of Surgical Oncology

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Recent advances in technology has triggered the introduction of surgical robotics in the field of head and neck surgery and changed the landscape indefinitely. The advent of transoral robotic surgery and robotic thyroidectomy techniques has urged the extended applications of the robot to other neck surgeries including remote access surgeries. Based on earlier reports and our surgical experiences, this review will discuss in detail various robotic head and neck surgeries via retroauricular approach.

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Endoscopic supraomohyoid neck dissection via a retroauricular or modified facelift approach: Preliminary results

Abstract: Endoscopic selective neck dissection via an RA or an MFL approach is technically feasible and safe with satisfactory cosmetic results for patients with clinically node-negative early-stage head and neck cancer.

Cited by 35 publications

References 30 publications

Esthetic neck dissection using an endoscope via retroauricular incision: a report of two cases

Esthetic neck dissection using an endoscope via retroauricular incision: a report of two cases

Safe implementation of retroauricular robotic and endoscopic neck surgery in South America

The new era of robotic neck surgery: The universal application of the retroauricular approach

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