Submandibular gland excision: From external surgery to robotic intraoral and extraoral approaches

Cammaroto, Giovanni; Vicini, Claudio; Montevecchi, Filippo; Bonsembiante, Anna; Meccariello, Giuseppe; Bresciani, Lorenzo; Pelucchi, Stefano; Capaccio, Pasquale

doi:10.1111/odi.13340

Cited by 11 publications

(7 citation statements)

References 33 publications

(49 reference statements)

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“…[1,6,26] Traditional cervical incision approaches similar to selective neck dissection created non-negligible concerns about postoperative esthetics. Minimally-invasive robotic neck surgery via hidden incision approaches then emerged, and the incisions could be categorized into 3 different groups: retroauricular hairline incisions (RAHIs), [15,27,28] modified facelift incisions, [29,30] and transhairline incisions, [13,[31][32][33] as shown in Fig. 2C.…”

Section: Discussionmentioning

confidence: 99%

Cervical lymphatic malformations amenable to transhairline robotic surgical excision in children

Lin

Yang

et al. 2021

Medicine

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Lymphatic malformations are rare benign malformations that predominantly occur in the head and neck region. The advent of surgical robots in head and neck surgery may provide beneficial outcomes for pediatric patients. Here, we describe our experiences with transhairline incisions for robot-assisted surgical resection of cervical lymphatic malformations in pediatric patients. In this prospective longitudinal cohort study, we recruited consecutive patients under 18 years of age who were diagnosed with congenital cervical lymphatic malformations and scheduled for transhairline approach robotic surgery at a single medical center. We documented the docking times, console times, surgical results, complications, and postoperative follow-up outcomes. The studied patients included 2 with mixed-type lymphatic malformations and 2 with macrocystic-type lymphatic malformations. In all 4 patients, the incision was hidden in the hairline; the incision length was <5 cm in 3 patients but was extended to 6 cm in 1 patient. Elevating the skin flap and securely positioning it with Yang retractor took <1 hour in all cases. The mean docking time was 5.5 minutes, and the mean console time was 1 hour and 46 minutes. All 4 surgeries were completed endoscopically with the robot. The average total drainage volume in the postoperative period was 21.75 mL. No patients required tracheotomy or nasogastric feeding tubes. Neither were adverse surgery-associated neurovascular sequelae observed. All 4 patients were successfully treated for their lymphatic malformations, primarily with robotic surgical excisions. Cervical lymphatic malformations in pediatric patients could be accessed, properly visualized, and safely resected with transhairline-approach robotic surgery. Transhairline-approach robotic surgery is an innovative method for meeting clinical needs and addressing esthetic concerns.

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Section: Discussionmentioning

confidence: 99%

Cervical lymphatic malformations amenable to transhairline robotic surgical excision in children

Lin

Yang

et al. 2021

Medicine

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“…The magnification and dexterity provided by the robotic surgical system allow precise dissection and preservation of the lingual nerve, hypoglossal nerve, and Wharton’s duct. According to Cammaroto et al, the TORS approach is recommended due to its improved hemostatic control of the facial artery, which can be difficult to manage in an intraoral open approach [ 73 ].…”

Section: Reviewmentioning

confidence: 99%

Contemporary Review of Submandibular Gland Sialolithiasis and Surgical Management Options

Badash¹,

Raskin²,

Pei³

et al. 2022

Cureus

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One of the most common disorders of the salivary glands is obstructive sialolithiasis. Salivary gland obstruction is important to address, as it can significantly impact patient quality of life and can progress to extensive cellulitis and abscess formation if left untreated. For small and accessible stones, conservative therapies often produce satisfactory outcomes. Operative management should be considered when stones are inaccessible or larger in size, and options include sialendoscopy, laser lithotripsy, extracorporeal shockwave lithotripsy, transoral surgery, and submandibular gland adenectomy. Robotic approaches are also becoming increasingly used for submandibular stone management. The purpose of this review is to summarize the modern-day management of submandibular gland obstructive sialolithiasis with an emphasis on operative treatment modalities. A total of 77 articles were reviewed from PubMed and Embase databases, specifically looking at the pathophysiology, clinical presentation, diagnosis, and management of submandibular sialolithiasis.

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“…us, dental endoscopy has also been reported for implant surgery [22]. Historical studies have shown that endoscopy can assist periodontal surgery [23], joint surgery [24], bone marrow cavity observation [25], wound repair [26,27], osteotomy [28], salivary lithotripsy [29,30], biopsy [31,32], polypectomy [33], stereotactic radiotherapy [34], tumor removal [35], and even nerve visualization [36]. It also has certain significance for oral distance teaching and telediagnosis [37].…”

Section: Dental Endoscopesmentioning

confidence: 99%

Robotic and Microrobotic Tools for Dental Therapy

Chen

Xue

Zongxin

et al. 2022

Journal of Healthcare Engineering

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Robotic and microrobotic tools such as dental operating microscopes and dental endoscopes are being used extensively in dental therapy, which have a significant impact on dental therapy and education. Herein, this paper reviews the state of the art of robotic and microrobotic tools for dental therapy. This article starts with a brief introduction of current robotic and microrobotic tools for dental therapy and then displays their applications in various dental problems; strengths and weaknesses are also surveyed. Lastly, the conclusion and outlook are discussed, referring to the emerging dental clinic problems and demands. This review is expected to provide guidelines for the therapeutic application of robotic and microrobotic tools and to promote the development of robots in dentistry.

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Submandibular gland excision: From external surgery to robotic intraoral and extraoral approaches

Cited by 11 publications

References 33 publications

Cervical lymphatic malformations amenable to transhairline robotic surgical excision in children

Cervical lymphatic malformations amenable to transhairline robotic surgical excision in children

Contemporary Review of Submandibular Gland Sialolithiasis and Surgical Management Options

Robotic and Microrobotic Tools for Dental Therapy

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