Therapeutic robot‐assisted neck dissection via a retroauricular or modified facelift approach in head and neck cancer: A comparative study with conventional transcervical neck dissection

Abstract

Therapeutic RAND via a retroauricular or modified facelift approach was successful with satisfactory esthetic results in patients with node-positive head and neck cancer.

Robotic surgical systems in maxillofacial surgery: a review

“…Therefore, to overcome the limitations mentioned above, robot-assisted radical or selective neck dissections via a retroauricular approach or a modified face-lift approach have been reported. 97, 98, 99, 100, 101, 102, 103, 104, 105, 106 The results suggested that the robot-assisted surgery lasted longer than conventional surgery, but the intraoperative bleeding, lymph node retrieval, volume of drainage, hospitalization and related complications of robot-assisted neck dissection (RAND) were similar to those of open neck dissection. Furthermore, the patients who underwent robotic surgery were much more satisfied with the postsurgical aesthetics than those who underwent open surgery.…”

“…Furthermore, the patients who underwent robotic surgery were much more satisfied with the postsurgical aesthetics than those who underwent open surgery. Additionally, the study of Kim et al 100 and Tae et al. 105 demonstrated that RAND may have a lower risk of lymphedema and lymph node recurrence than conventional neck dissection.…”

Robot-Assisted Retroauricular Neck Surgery in Head and Neck Cancers

“…Park, et al [6] did not perform RRAND in patients with pathological lymph nodes, while in a separate report Park, et al [7] performed RRAND only on N0 and N1 necks. Kim, et al [8] did not consider extracapsular spread in the lymph nodes as a definite contraindication. In the spread of the primary tumor, many authors did not find it appropriate to use RRAND for advanced stage tumors.…”

“…In the spread of the primary tumor, many authors did not find it appropriate to use RRAND for advanced stage tumors. However, Kim, et al [8] reported that the procedure was appropriate except in unrespectable tumors. The same authors also did not accept prior radiotherapy for nasopharyngeal carcinoma as a contraindication.…”

“…The application of RRAND has been reported in patients with differentiated thyroid cancers [8][9][10][11] laryngopharyngeal cancers [6][7][8], salivary gland tumors [8,[11][12][13] oral cavity cancers [8,[14][15][16] and nasopharyngeal carcinomas [12]. In these patients, neck dissection is planned according to the primary tumor.…”