Transoral robotic surgery for large mixed laryngocoele

Ciabatti, Pier Guido; Burali, Giulia; D’Ascanio, Luca

doi:10.1017/s0022215113000236

Cited by 34 publications

(31 citation statements)

References 8 publications

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“…The first endolaryngeal resection of a combined laryngocele using robotic surgery was reported in 2013 [16]. According to the authors, this technique seems to have several advantages when compared with microlaryngoscopy.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of Laryngoceles: What Is the Progress over the Last Two Decades?

Zeleník

Staníková

Smatanová

et al. 2014

BioMed Research International

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Objectives. To review surgical techniques used in the treatment of laryngoceles over the last two decades and point out developments and trends. Materials and Methods. PubMed, the Cochrane Library, and the JBI Library of Systematic Reviews were searched using the term “laryngocele.” Demographic data, type of laryngocele, presence of a laryngopyocele, type of treatment and need for a tracheotomy were assessed. Results. Overall, data on 86 patients were analyzed, culled from 50 articles, of which 41 were case reports and 9 were case series. No single systematic review or meta-analysis or randomized controlled trial has been published on the topic. Altogether, 71 laryngoceles in 63 patients met the criteria for further analysis focusing on surgical treatment. An external approach was selected in 25/29 (86.2%) cases of combined laryngoceles. Microlaryngoscopic resection using a CO2 laser was performed in three cases and endoscopic robotic surgery in one case. The majority of patients with an internal laryngocele, 31/42 (73.8%), were treated using the microlaryngoscopy approach. Conclusions. Microlaryngoscopy involving the use of a CO2 laser has become the main therapeutic procedure for the treatment of internal laryngoceles during the past 20 years. An external approach still remains the main therapeutic approach for the treatment of combined laryngoceles.

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Section: Discussionmentioning

confidence: 99%

“…In addition, rather than using traditional laryngoscopes, instruments are introduced through mouth gags, which offer a wider view and range of motion. Furthermore, miniaturized, angulated, and “tremor-filtered” robotic instruments with “wristed-tips” enable one to reach far lateral (hidden) areas [16]. …”

Section: Discussionmentioning

confidence: 99%

Treatment of Laryngoceles: What Is the Progress over the Last Two Decades?

Zeleník

Staníková

Smatanová

et al. 2014

BioMed Research International

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“…2,8 Recently, transoral robotic surgery has been reported to reduce morbidity and preserve the glottic space and vocal function, even for combined laryngoceles extending deep within the neck. 15 Moreover, this type of surgery has been found to be superior to classical methods in terms of safety, technical feasibility and curative effectiveness, in part because of the absence of skin incisions. 16 Unfortunately, the robotic equipment necessary for such surgeries is not yet available in every hospital.…”

Section: Case Reportmentioning

confidence: 99%

Internal Laryngocele: Unusual onset in a 91-year-old female patient

Spinosi¹,

Mezzedimi²,

Monciatti³

et al. 2018

Sultan Qaboos Univ Med J

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While internal laryngoceles rarely cause major clinical complaints, they may lead to airway obstruction and require emergency intervention on rare occasions. We report a 91-year-old patient who was referred to the Ear, Nose & Throat Clinic of the Policlinico Santa Maria alle Scotte, Siena, Italy, in 2017 due to recurrent episodes of severe dyspnoea. A flexible nasopharyngolaryngoscopic examination revealed an internal laryngocele of approximately 1.5 cm in diameter that moved up and down the glottic plane, occasionally invading the subglottic space during inspiration and impeding airflow. This caused cyanosis and dyspnoea so severe that an emergency tracheotomy was considered. Luckily, after considerable effort, the patient was able to cough, causing the mass to move above the vocal plane and allowing normal breathing. The laryngocele was subsequently removed via laryngomicrosurgery. Although the incidence of internal laryngoceles is quite rare, physicians should consider this potentially life-threatening condition among patients with dyspnoea.

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“…Both benign and malignant disorders of the larynx may be treated with either TORS or transoral laser surgery based on surgeon preference, although some procedures may be better suited for the robotic technique. For example, Ciabatti and colleagues recently reported the removal of a large mixed (internal and external) laryngocele that previously would have required a cervical approach due to lateral extension[8]. Proponents argue that the articulated arms of the robot allow a greater degree of control than the line of sight needed for laser surgery, but the surgeon should keep in mind that the exposure afforded by currently available retractors may not allow sufficient working space in all patients.…”

Section: Tors: New Applicationsmentioning

confidence: 99%

Current Trends in Robotic Surgery for Otolaryngology

Byrd

Duvvuri

2013

Curr Otorhinolaryngol Rep

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As minimally invasive surgery has become common in head and neck surgery, the role of robotic surgery has expanded from thyroid surgery and transoral robotic surgery (TORS) of the oropharynx and supraglottic to other areas. Surgeons have advanced the limits of TORS, adapting lasers to the Da Vinci robot for glottic cancer, and combining existing techniques for transoral supraglottic laryngectomy and hypopharyngectomy to perform transoral total laryngectomy. Skull base approaches have been reported with some success in case reports and cadaver models, but the current instrument size and configuration limit the applicability of the current robotic system. Surgeons have reported reconstruction of the head and neck via local and free flaps. Using the previously reported approaches for thyroidectomy via modified facelift incision, neck dissection has also been reported. Future applications of robotic surgery in otolaryngology may be additionally expanded, as several new robotic technologies are under development for endolaryngeal work and neurotology.

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Transoral robotic surgery for large mixed laryngocoele

Abstract: Transoral robotic surgery enabled accurate dissection with complete removal of the large mixed laryngocoele via a minimally invasive approach. The advantages of transoral robotic surgery over other techniques for laryngocoele excision are discussed.

Cited by 34 publications

References 8 publications

Treatment of Laryngoceles: What Is the Progress over the Last Two Decades?

Treatment of Laryngoceles: What Is the Progress over the Last Two Decades?

Internal Laryngocele: Unusual onset in a 91-year-old female patient

Current Trends in Robotic Surgery for Otolaryngology

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