Robotic surgery in otolaryngology
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| Format: | Buch |
| Sprache: | English |
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Philadelphia, Pa.
Elsevier
2014
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| Schriftenreihe: | Otolaryngologic clinics of North America
47,3 |
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| 245 | 1 | 0 | |a Robotic surgery in otolaryngology |c ed. Neil D. Gross ... |
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Datensatz im Suchindex
| _version_ | 1804152423217889280 |
|---|---|
| adam_text | Titel: Robotic surgery in otolaryngology
Autor: Gross, Neil D
Jahr: 2014
Robotic Surgery in Otolaryngology
Contents
Preface: Robotic Surgery of the Head and Neck ix
Neil D. Gross and F. Chris Holsinger
Robotic Approaches to the Pharynx: Tonsil Cancer 359
Daniel Brickman and Neil D. Gross
Videos of transoral robotic surgery (TORS) accompany this article
Treatment of squamous cell carcinoma of the oropharynx is challenging
because of its effects on speech and swallowing, which may affect quality
of life. Transoral robotic surgery may be an effective alternative to open
surgery. Robotic lateral oropharyngectomy is best suited for early stage
oropharyngeal squamous cell carcinoma, with the goal of avoiding or
reducing the use or dose of adjuvant therapies. Successful robotic lateral
oropharyngectomy requires appropriate training, detailed preoperative
planning, organized operating room setup to obtain exposure, an under-
standing of the pertinent surgical anatomy, and knowledge of the postop-
erative care of the oncologic patient.
Robotic Thyroidectomy 373
F. Christopher Holsinger and WoongYoun Chung
A video of a surgeon confirming the dimensions of the working
space before robotic thyroidectomy accompanies this article
Robotic thyroidectomy is ideal for patients with indeterminate, likely be-
nign lesions less than 3 cm, and a body mass index less than 35 kg/mg2.
Proper arm position and padding are important to facilitate exposure
and development of the working space from axilla to thyroid bed. The
working space is developed using headlight and retractors without robotic
assistance, establishing exposure of the thyroid bed from a 5-cm incision
in the axilla. Three robotic instruments and a stereoscopic endoscope pro-
vide excellent visualization of the associated thyroid neurovasculature
anatomy.
Transoral Robotic Surgery for Larynx Cancer 379
Richard V. Smith
Videos of a TORS supraglottic laryngectomy for a T2N0M0 squamous
cell carcinoma using the Omniguide C02 laser and a TORS total
laryngectomy accompany this article
Transoral robotic surgery (TORS) has become increasingly used to man-
age laryngeal and pharyngeal cancers, although the published experience
in the larynx is small. Although there is burgeoning use of TORS for primary
pharyngeal cancer, its application in the larynx is currently more limited.
Successful TORS of the larynx has been predominantly as supraglottic
laryngectomy, although there is some experience in total laryngectomy
and cordectomy. Limitations of TORS of the larynx are primarily those of
vi Contents
access and instrumentation, with respect to both the surgical robot and
the retractors used to access the larynx transorally.
Transoral Robotic Sleep Surgery: The Obstructive Sleep Apnea-Hypopnea
Syndrome 397
Julia A. Crawford, Filippo Montevechi, Claudio Vicini, and J. Scott Magnuson
Nocturnal upper airway collapse is often multi-level in nature but typically
will involve some degree of obstruction at the level of the tongue-base.
Several surgical procedures have been developed in recent years to ad-
dress this area in patients resistant to continuous positive airway pressure.
This article outlines a novel way to treat obstructive sleep apnea lingual ob-
struction using the da Vinci robotic surgical system. This technique offers
significant potential advantages over other established approaches and it
should be included in the surgical armamentarium of sleep surgeons.
Transoral Robotic Surgery (TORS) for Benign Pharyngeal Lesions 407
Jason Y.K. Chan and Jeremy D. Richmon
Transoral robotic surgery (TORS) offers a minimally invasive approach to
the pharynx with a magnified 3-dimensional view, wristed instruments
with 7 degrees of freedom, and tremor filtration. TORS affords an excellent
approach to benign lesions of the pharynx. This article is grouped into
subsites of the nasopharynx, oropharynx, and hypopharynx, addressing
patient setup, surgical technique, and postoperative management of
each subsite. Although TORS has been described primarily for resection
of malignant lesions of the pharynx, the setup, exposure, and anatomy
described herein are identical for benign lesions, the difference being
the magnitude of resection.
Robotic Surgery of the Skull Base 415
Michael E. Kupferman and Ehab Hanna
Minimally invasive skull base surgery has advanced substantially with the
advent of endoscopic technology, novel instrumentation, and intraopera-
tive image-guidance capabilities. Robotic technology has been accepted
into the surgeon s armamentarium, with its implementation into abdomi-
nal, thoracic, and head and neck surgery. However, the application of
surgical robotics to the skull base has yet to be achieved. This article high-
lights current preclinical research and applications of robotic surgery to the
skull base.
Robotic Facelift Thyroidectomy 425
Michael C. Singer and David J. Terris
The use of minimally invasive and endoscopic thyroidectomy techniques
has become widespread. However, these procedures all result in a visible
neck incision. Several remote access thyroidectomy approaches that
place the necessary incision in inconspicuous, noncervical locations
have recently been described. Robotic facelift thyroidectomy uses a face-
lift incision in the postauricular area to provide entry to the thyroid com-
partment. Robotic facelift thyroidectomy has been shown to be feasible
Contents vii
and safe and an increasing number of institutions have begun to offer it to
selected patients. This article describes the indications, technical details,
outcomes, and potential complications of this procedure.
Robotic Approaches to the Neck 433
Yoon Woo Koh and Eun Chang Choi
This article introduces and evaluates the feasibility of robot-assisted neck
dissection as well as robot-assisted neck surgery via a modified facelift or
retroauricular approach. Robot-assisted neck surgery is feasible com-
pared with conventional techniques and shows a clear cosmetic benefit.
Index
455
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| spelling | Robotic surgery in otolaryngology ed. Neil D. Gross ... Philadelphia, Pa. Elsevier 2014 X S., S. 359 - 459 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Otolaryngologic clinics of North America 47,3 Clinics review articles Gross, Neil D. (DE-588)1054632030 edt Otolaryngologic clinics of North America 47,3 (DE-604)BV000003387 47,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027451003&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Robotic surgery in otolaryngology Otolaryngologic clinics of North America |
| title | Robotic surgery in otolaryngology |
| title_auth | Robotic surgery in otolaryngology |
| title_exact_search | Robotic surgery in otolaryngology |
| title_full | Robotic surgery in otolaryngology ed. Neil D. Gross ... |
| title_fullStr | Robotic surgery in otolaryngology ed. Neil D. Gross ... |
| title_full_unstemmed | Robotic surgery in otolaryngology ed. Neil D. Gross ... |
| title_short | Robotic surgery in otolaryngology |
| title_sort | robotic surgery in otolaryngology |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027451003&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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