Trans-oral robotic cleft surgery (TORCS) for palate and posterior pharyngeal wall reconstruction: A feasibility study

Khan, Khurram; Dobbs, Tom; Swan, Marc C.; Weinstein, Gregory S.; Goodacre, Tim

doi:10.1016/j.bjps.2015.08.020

Cited by 24 publications

(18 citation statements)

References 8 publications

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“…53 Robotic pharyngoplasty has also successfully been performed in a cadaver study. 54 A modified Furlow palatoplasty was performed using a robotic approach in 10 patients, and though surgical duration was longer than in the control group, the duration of hospitalization was significantly shorter and there were no intraoperative complications noted. 55 Additional advantages of robotic surgery include the ability to access confined spaces such as the oral cavity, improved ergonomics, and three-dimensional depth perception.…”

Section: Surgical Treatmentmentioning

confidence: 95%

“…Several studies have been performed to analyze the feasibility of transoral robotic surgery in the reconstruction of the palate and posterior pharyngeal wall. [53][54][55] The superiorly based posterior pharyngeal flap procedure was successfully performed in cadavers, with improved exposure of the operative field and easy visualization of the velopharyngeal ports. 53 Robotic pharyngoplasty has also successfully been performed in a cadaver study.…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…55 Additional advantages of robotic surgery include the ability to access confined spaces such as the oral cavity, improved ergonomics, and three-dimensional depth perception. 54 Limitations include the learning curve required of the surgeon, financial costs, and lack of tactile feedback. 54,55 What I Do Differently Now and Why?…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…54 Limitations include the learning curve required of the surgeon, financial costs, and lack of tactile feedback. 54,55 What I Do Differently Now and Why?…”

Section: Surgical Treatmentmentioning

confidence: 99%

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State of the Art in Treating Velopharyngeal Dysfunction

2016

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Velopharyngeal dysfunction (VPD) is a condition that can greatly impact a child's quality of life. The initial evaluation and workup of patients presenting with VPD is generally straightforward, consisting of history taking and physical examination, perceptual speech analysis, and objective techniques such as nasometry and speech endoscopy. However, there is no standardized treatment option. Multiple surgical and nonsurgical techniques have been described, all with varying approaches to correction of the defect and similarly, with varying risks and outcomes. We aim to provide an overview of this condition and available treatment options, as well as highlight recent updates in management, including the use of cine magnetic resonance imaging, new injectable options for pharyngeal augmentation, and the evolving role of robotic surgery. We also discuss techniques to facilitate teaching during oropharyngeal surgery and our approach to revision surgical planning.

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Section: Surgical Treatmentmentioning

confidence: 95%

Section: Surgical Treatmentmentioning

confidence: 99%

Section: Surgical Treatmentmentioning

confidence: 99%

“…54 Limitations include the learning curve required of the surgeon, financial costs, and lack of tactile feedback. 54,55 What I Do Differently Now and Why?…”

Section: Surgical Treatmentmentioning

confidence: 99%

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State of the Art in Treating Velopharyngeal Dysfunction

2016

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“…Khan et al. 110 first reported the theoretical feasibility of robotic intra-oral cleft surgery and Hynes pharyngoplasty in a pediatric airway manikin and human cadaver in 2015. In the same year, Nadjmi 111 demonstrated the technical feasibility and safety of robot-assisted soft palate muscle reconstruction in 10 consecutive patients (mean age: 9.5 months) with palatal clefts after cadaveric TORS.…”

Section: Clinical Applications Of Robotic Surgery In the Head And Neckmentioning

confidence: 99%

Robotic surgical systems in maxillofacial surgery: a review

Liu

Shi

et al. 2017

Int J Oral Sci

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Throughout the twenty-first century, robotic surgery has been used in multiple oral surgical procedures for the treatment of head and neck tumors and non-malignant diseases. With the assistance of robotic surgical systems, maxillofacial surgery is performed with less blood loss, fewer complications, shorter hospitalization and better cosmetic results than standard open surgery. However, the application of robotic surgery techniques to the treatment of head and neck diseases remains in an experimental stage, and the long-lasting effects on surgical morbidity, oncologic control and quality of life are yet to be established. More well-designed studies are needed before this approach can be recommended as a standard treatment paradigm. Nonetheless, robotic surgical systems will inevitably be extended to maxillofacial surgery. This article reviews the current clinical applications of robotic surgery in the head and neck region and highlights the benefits and limitations of current robotic surgical systems.

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The application of robotics in plastic and reconstructive surgery: A systematic review

Ruccia,

Mavilakandy,

Imtiaz

et al. 2024

Robotics Computer Surgery

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BackgroundRobotic assisted surgery (RAS) has seen significant advancement in many surgical specialties, although the application of robotics in plastic and reconstructive surgery remains to be widely established. This systematic review aims to assess the role of RAS in plastic and reconstructive surgery.MethodsThe review protocol was published and registered a priori as CRD42024507420. A comprehensive electronic search for relevant studies was performed in MEDLINE, Embase and Google scholar databases.ResultsOverall, 132 studies were initially identified, of which, 44 studies satisfied the eligibility criteria with a cumulative total of 239 patients. RAS demonstrated a high degree of procedural success and anastomotic patency in microvascular procedures. There was no significant difference in periprocedural adverse events between robotic and manual procedures.ConclusionRAS can be feasibly implemented in plastic and reconstructive surgery with a good efficacy and safety profile, particularly for microsurgical anastomosis and trans‐oral surgery.

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Trans-oral robotic cleft surgery (TORCS) for palate and posterior pharyngeal wall reconstruction: A feasibility study

Cited by 24 publications

References 8 publications

State of the Art in Treating Velopharyngeal Dysfunction

State of the Art in Treating Velopharyngeal Dysfunction

Robotic surgical systems in maxillofacial surgery: a review

The application of robotics in plastic and reconstructive surgery: A systematic review

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