Transoral Robotic Surgery for Head and Neck Cancer: Advances and Residual Knowledge Gaps

Mella, Mariam H.; Chabrillac, Emilien; Dupret‐Bories, Agnès; Mirallie, Mathilde; Vergez, S.

doi:10.3390/jcm12062303

Cited by 8 publications

(3 citation statements)

References 91 publications

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“…The Robotic-assisted Orbital Surgery (RAOS) approach was developed through a multi-disciplinary approach translating experience from Trans-oral robotic-assisted surgery (TORS), which has overcome similar anatomical challenges with a “funnel” effect of anatomically hard boundaries [ 12 , 13 ]. TORS has demonstrated benefit in oropharyngeal cancers with similar clinical outcomes to conventional treatments, however, improvement in patient-reported outcomes [ 14 , 15 ], has led to increased recognition and use in other head and neck cancers [ 16 ]. Similarly, early experiences are beginning to emerge using DaVinci robotic system for other aspects of orbital surgery, such as thyroid eye disease fat-only decompression [ 17 ], and robotic powered endoscopic devices that aid visualisation without limiting single-handed surgery [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Robotic assisted orbital surgery for resection of advanced periocular tumours – a case series report on the feasibility, safety and outcome

Malik,

Daniel,

Faulkner

et al. 2024

Eye

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Purpose Orbital surgery benefits from well-designed instrumentation that offers gentle tissue manipulation, high manoeuvrability and control. Nevertheless, in confined spaces, tissue manipulation must be accomplished with exceptionally high accuracy and precision. This is where robotic surgery offers an advantage. We aimed to evaluate a robotic-assisted surgical system’s feasibility, safety and outcome in assisting tumour clearance. Patients and methods A case series of patients with advanced periocular tumours undergoing robotic-assisted globe-sparing resection was performed using the DaVinci XI system (Intuitive Surgical, Inc). Institutional ethics and multidisciplinary approval were sought in all cases. Results Four patients with advanced periocular tumours underwent robotic-assisted orbital surgery at a mean age of 63 years (range 42–86). Two patients were diagnosed with squamous cell carcinoma, and two had basal cell carcinoma. One patient was found to have positive lymph nodes at the time of surgery and underwent simultaneous parotidectomy and lymph node clearance. Clear resection of the primary tumour was achieved in all patients; three patients underwent further resection due to narrow margins prior to reconstruction. Patients were follow-up for at least one year, and three remained disease-free. One patient with pre-existing extra-orbital disease developed metastatic disease four months post-op. All patients preserved vision peri-operatively, with no complaints of diplopia. Moderate ocular surface disease was noted in two patients. Conclusion Our series highlights the potential advantage of three-dimensional optics, multi-directional instrumentation and motion scaling technology to achieve globe-sparing tumour resection in advanced periocular tumours. However, further robotic instrumentation development is required for orbital surgery.

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Section: Discussionmentioning

confidence: 99%

Robotic assisted orbital surgery for resection of advanced periocular tumours – a case series report on the feasibility, safety and outcome

Malik,

Daniel,

Faulkner

et al. 2024

Eye

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“…Like TORS in oropharyngeal cancer treatment, the application of TORS is also limited by the extent of malignancy. In general, patients who are eligible for TORS would have more superficial diseases and do not have bony or cartilaginous involvement of the malignancy [ 51 ].…”

Section: Reviewmentioning

confidence: 99%

Transoral Robotic Surgery for Oropharyngeal and Hypopharyngeal Squamous Cell Carcinoma

Tan,

Bui,

Ranasinghe

et al. 2024

Cureus

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With oropharyngeal cancer incidence rising globally, largely due to human papillomavirus (HPV), and hypopharyngeal cancer known for poor outcomes, innovative treatments are needed. Transoral robotic surgery (TORS) offers a minimally invasive approach that may improve upon traditional open surgery and radiotherapy/chemoradiotherapy (RT/CRT) methods. We conducted a literature review and included 40 PubMed studies comparing TORS, open surgery, and RT/CRT for oropharyngeal and hypopharyngeal squamous cell carcinoma (SCC), focusing on survival rates and swallowing function outcomes. TORS provides favorable survival outcomes and typically results in superior swallowing function post-treatment compared to other therapeutic modalities in both oropharyngeal and hypopharyngeal SCCs. The clinical benefits of TORS, including improved operative precision and minimized tissue disruption, along with the elimination of surgical incision recovery and reduced RT toxicity, suggest it is a valuable surgical approach for head and neck cancers.

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“…Patients using this type of prosthesis need to be cautious not to obstruct the end of the tube with their tongue or cheek. This type of prosthesis is lightweight, easy to use, and can be employed immediately after surgery (15).…”

Section: Electronic Prosthesesmentioning

confidence: 99%

Breaking the silence: Innovative approaches to voice rehabilitation and communication for laryngectomized patient

Rujević,

Petrović-Lazić

2024

Acta fac medic Naissensis

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Introduction. Laryngectomy is a surgical procedure for the removal of the larynx, either entirely (total laryngectomy) or partially (partial laryngectomy). Rehabilitation of laryngectomy patients is a complex process that involves physical, psychological, and social aspects. To improve the quality of life of laryngectomy patients, rehabilitation consists of several phases that include learning alternative ways of speaking, breathing and swallowing exercises, and psychological support. It is important to emphasize that rehabilitation is a long-term process that requires continuous support for patients to achieve the best results. With the right approach and professional help, rehabilitation can significantly improve the quality of life of laryngectomy patients. This paper aims to review relevant literature in order to present the possibilities of verbal communication in patients after laryngectomy. Methods. The methods used in this study include searching websites such as www.pubs.asha.org, www.cjcrcn.org, www.scielo.org, www.journals.ekb.eg, www.biomedcentral.com, and www.dovepress. com for the papers published in Serbian and English from 2018 to 2022. Overview. This paper provides an overview of speech rehabilitation in laryngectomy patients, various methods of treating larynx cancer, and a review of current literature in the field of laryngectomy. Conclusion. After total laryngectomy, patients need to undergo intensive speech rehabilitation to regain the ability of verbal communication. This process requires a multidisciplinary approach, including various specialists such as speech therapists, phoniatrists, oncologists, surgeons, and psychologists.

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Transoral Robotic Surgery for Head and Neck Cancer: Advances and Residual Knowledge Gaps

Cited by 8 publications

References 91 publications

Robotic assisted orbital surgery for resection of advanced periocular tumours – a case series report on the feasibility, safety and outcome

Robotic assisted orbital surgery for resection of advanced periocular tumours – a case series report on the feasibility, safety and outcome

Transoral Robotic Surgery for Oropharyngeal and Hypopharyngeal Squamous Cell Carcinoma

Breaking the silence: Innovative approaches to voice rehabilitation and communication for laryngectomized patient

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