Nasopharynx access by minimally invasive transoral robotic surgery: anatomical study

Harichane, Amine; Chauvet, Dorian; Hans, Stéphane

doi:10.1007/s11701-018-0804-7

Cited by 9 publications

(6 citation statements)

References 27 publications

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“…In 2008, Ozer and Waltonen performed a cadaveric nasopharyngectomy using TORS by splitting the soft palate. Harichane et al . used the da Vinci S and Si robots to access the entire nasopharynx, sphenoid sinus to the sella turcica, the pituitary gland, and the optic chiasm via an inferosuperior approach in 11 cadavers without splitting the palate.…”

Section: Resultsmentioning

confidence: 99%

Robotic surgery of the anterior skull base

Campbell

2019

Int Forum Allergy Rhinol

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Background: Significant advances have been made in transoral robotic surgery (TORS), yet its application in anterior skull-base surgery has yet to be defined. This work explores the history of endoscopic sinus and anterior skullbase surgery, and its advantages and disadvantages. The development of robotic surgery is then discussed as well as the advantages and disadvantages of TORS as it relates to the anterior skull base. The current applications for robotic surgery to the anterior skull base are presented with details of future applications. Methods:A structured search of the current literature using MEDLINE, PubMed, and EMBASE was performed from inception to May 2019. Search terms related to topics of robotic skull-base surgery were identified and queried to identify relevant articles. Results:Fi y-four papers were identified from the literature search and a hand search of the references. Twentyone other references were discovered from personal communication, websites, and books relevant to the topic. Conclusion:Anterior skull-base surgery has the potential for significant morbidity compared to head and neck surgery, yet the application of the robot in sinus and anterior skull-base surgery has yet to be formally defined. Currently, there are certain limitations that need to be overcome; however, research to address these barriers is currently underway and promises an exciting future for robotic sinus and anterior skull-base surgery. C 2019 ARS-AAOA, LLC.

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Section: Resultsmentioning

confidence: 99%

Robotic surgery of the anterior skull base

Campbell

2019

Int Forum Allergy Rhinol

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“…18,19 However, this approach is indicated in the management of centrally located nasopharyngeal lesions and has fallen out of favor given the high morbidity of the palatal split. Transoral robotic nasopharyngectomy has been previously described for resection of small nasopharyngeal tumors to address both centrally located tumors 21,30 as well as with the use of a lateral palatal flap approach to address PPS involvement. 22 While the robotic system has certain advantages over the endoscope, it is substantially limited by cost of the equipment, bulky instrumentation, lack of haptic feedback, but most importantly, by the lack of drilling equipment; all of which are essential when managing skull base pathology.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic transoral nasopharyngectomy

Soriano

Rindler

Helman³

et al. 2020

Head & Neck

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Background: A minimal access technique for the management of nasopharyngeal tumors extending below the palatal plane and laterally beyond the pterygoid musculature is yet to be developed. In this study we demonstrate the feasibility of endoscopic transoral nasopharyngectomy (ETON) for resection of large nasopharyngeal lesions as a natural orifice alternative to traditional approaches. Methods: ETON was completed in three latex-injected specimens. Surgical freedom (SF) and angles of attack (AoA) were calculated along the internal carotid artery (ICA). Results: An endoscopic transoral approach was successfully used to identify the parapharyngeal ICA and subsequently perform a complete nasopharyngeal resection. SF and AoA (sagittal) were found to be the greatest at the anterior genu of the ICA. Conclusions: ETON is feasible. It provides wide exposure of the skull base and proximal control of the ICA. It may be indicated for the management of nasopharyngeal tumors with inferolateral extension, involving the ICA.

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“…3 To our knowledge, this is the first report of TORS for lesion located in the posterior surface of soft palate. As described for nasopharyngeal and skull base TORS, 4,5 to provide the best visualization of the lesions, the robot has to be at the patient’s head for allowing the greatest mobility of the surgical tools in the oro- and nasopharyngeal spaces. This kind of robot placement and exposition allows a great view of the nasopharyngeal cavity and of the sphenoid sinus floor.…”

Section: Discussionmentioning

confidence: 99%

Transoral Robotic Surgery for Cancer of the Soft Palate Posterior Surface

et al. 2020

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The surgical treatment of oropharyngeal squamous cell carcinoma (OSCC) has undergone a considerable evolution, with, among others, transoral robotic surgery (TORS). However, TORS is rarely used for the surgery of soft palate. A 73-year-old man presented a human papilloma virus OSCC of the posterior soft palate. The tumor was resected using TORS. This report describes the surgical technique step by step of the tumor resection. The resection of early stage OSCC of the posterior surface of soft palate is possible through TORS. The procedure is noninvasive, rapid, and seems to be associated with excellent functional outcomes.

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Nasopharynx access by minimally invasive transoral robotic surgery: anatomical study

Cited by 9 publications

References 27 publications

Robotic surgery of the anterior skull base

Robotic surgery of the anterior skull base

Endoscopic transoral nasopharyngectomy

Transoral Robotic Surgery for Cancer of the Soft Palate Posterior Surface

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