Transoral robotic approach to parapharyngeal space tumors: Case series and technical limitations

Abstract

4. Laryngoscope, 126:1776-1782, 2016.

First bite syndrome following transcervical arterial ligation after transoral robotic surgery

“…TORS has been shown to offer excellent oncologic outcomes and low incidence of positive margins, with promising functional outcomes at multiple subsites of the head and neck. The indications for TORS have expanded to include the surgical treatment of benign lesions and obstructive sleep apnea . TORS is recognized as a safe procedure, with a retrospective, multi‐institutional study on the safety of TORS for oropharyngeal tumors reporting a relatively low 30‐day mortality rate of 0.7% with a complication rate of 7.9% …”

Transoral robotic resection of benign tumors of the upper aerodigestive tract: Experience of the French group of GETTEC

“…[22][23][24][25][26][27][28][29][30][31] proving the feasibility of this technique for the resection of various benign parapharyngeal tumors (pleomorphic adenoma, schwannoma, lipoma, angioma, lymphangioma, and others). [22][23][24][25][26][27][28][29][30][31] proving the feasibility of this technique for the resection of various benign parapharyngeal tumors (pleomorphic adenoma, schwannoma, lipoma, angioma, lymphangioma, and others).…”

Intraoperative image guidance in transoral robotic surgery: A pilot study

“…TORS has recently been reportedly used for resection of parapharyngeal space masses . Many neurovascular structures traverse this potential space and can pose considerable risk of hemorrhage.…”

“…Major vessel hemorrhage encountered in the robotic setting could be catastrophic and difficult to control, given limitations in exposure and inability to deploy multiple instruments/assistants rapidly. In a case series by Boyce et al, 17 patients had parapharyngeal tumors extirpated via TORS. The authors report 1 patient with a hematoma requiring reexploration in the operating room for hemostasis.…”