Feasibility of robot-assisted neck dissection followed by transoral robotic surgery

H. K. Byeon, F. C. Holsinger, D. H. Kim, J. W. Kim, J. H. Park, Y. W. Koh, E. C. Choi

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Our aim was to evaluate the feasibility of robot-assisted neck dissection (RAND) followed by transoral robotic surgery (TORS) in treatment of cancers of the head and neck, which is expected to improve cosmesis and function. We studied 37 patients with biopsy-confirmed cNO or cN+ tumours of the oropharynx (n = 22), hypopharynx (n = 8), larynx (n = 6), and oral cavity (n = 1) who were treated by RAND then TORS from May 2010 to December 2012. Patients' characteristics and clinical details were recorded, together with operative complications and functional variables such as management of the airway and nasogastric or enterogastric feeding. All endoscopic TORS and RAND were successful, with no serious intraoperative complications or need to convert to open operation. All patients were satisfied with the cosmesis according to the answers given to a questionnaire. RAND followed by TORS in some cancers of the head and neck are feasible and showed a clear cosmetic benefit, although the longer operating time is a drawback. Studies of more patients with longer follow-up are required to evaluate long-term oncological and functional outcomes in more detail.

Original languageEnglish
Pages (from-to)68-73
Number of pages6
JournalBritish Journal of Oral and Maxillofacial Surgery
Volume53
Issue number1
DOIs
Publication statusPublished - 2015 Jan 1

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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