scholarly journals Robotic Surgery in Otolaryngology and Head and Neck Surgery: A Review

2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Caio M. Oliveira ◽  
Hiep T. Nguyen ◽  
Alberto R. Ferraz ◽  
Karen Watters ◽  
Brian Rosman ◽  
...  

Recent advancements in robotics technology have allowed more complex surgical procedures to be performed using minimally invasive approaches. In this article, we reviewed the role of robotic assistance in Otolaryngology and Head and Neck Surgery. We highlight the advantages of robot-assisted surgery and its clinical application in this field.

2019 ◽  
Vol VOLUME 7 (VOLUME 7 NUMBER 2 NOV 2018) ◽  
pp. 15-20 ◽  
Author(s):  
Venkatakarthikeyan

Robot assisted surgery in the specialty of ENT Head and Neck Surgery can be classified into Transoral Robotic Surgery (TORS) for lesions in the oropharynx, larynx, hypopharynx and Remote access surgery through a hidden Retro Auricular Hairline Incision (RAHI) for removal of neck masses without leaving a scar in the visible portion of the neck. TORS has the advantages of excellent three-dimensional visualization, magnification in all directions, accessibility to the otherwise blind areas in the upper aero digestive tract. TORS offers significant benefits and lower morbidity rates as compared to the conventional surgical procedures and other adjunctive treatments like chemoradiation in selected patients. The indications of robotic surgery are expanding with the introduction of the retroauricular approach for various neck lesions which includes thyroidectomy, removal of tumors from parathyroid glands, parapharyngeal space, submandibular gland, branchial cleft cyst and neck dissection for metastatic cervical lymphadenopathy. This approach will become popular with young patients who want better cosmesis. With the latest innovative developments in the technology and design of surgical robots, robotic surgery will continue to occupy an increasingly important role in the specialty of ENT-Head and neck surgery. In the future, we will see the widespread application of robotics not only for TORS or Retroauricular approach neck surgeries but also in Otology, Skull base and Paediatric Otolaryngology. Keywords: Robot assisted surgery, Transoral Robotic Surgery (TORS), Remote access surgery.


2012 ◽  
Vol 50 (5) ◽  
pp. 389-393 ◽  
Author(s):  
Farzad Borumandi ◽  
Manolis Heliotis ◽  
Cyrus Kerawala ◽  
Brian Bisase ◽  
Luke Cascarini

Author(s):  
Magis Mandapathil ◽  
Jens E. Meyer

Abstract Purpose Since its introduction over a decade ago, the use of robotic surgery (RS) in head and neck surgery has widely spread around the globe, with very differential adoption of this novel surgical technique in different parts of the world. In this study, we analyze the acceptance and adoption of robotic surgery in the head and neck in Germany. Materials and methods A cross-sectional analysis using a questionnaire evaluating the acceptance and adoption of RS was performed. Questionnaires were distributed to all chairmen /-women of Otorhinolaryngology, Head and Neck Surgery Departments in Germany. Results A total of 107 respondents completed the questionnaire (65.2%). At university hospitals, 71.4% of the respondents indicated that a robotic system was available, and 21.4% responded that robotic surgery was performed at their institution; 22.7% and 0.04%, respectively, at non-university hospitals. The overall adoption rate was 0.8%. The most common cases performed were TORS resection in the oropharynx. Main reasons for not adopting this technique were costs, lack of interest and available co-operations. Conclusion This study provides evidence of the extent of adoption of TORS in Germany; main perceived barriers to adoption are costs with lack of cost-covering reimbursement and insufficient co-operations with other disciplines as well as hospital administration resulting in a very low adoption rate of this technique over the past decade. Results from this study may assist in decision-making processes on adopting this technique in the future.


2021 ◽  
pp. 000348942199696
Author(s):  
Hilary C. McCrary ◽  
Sierra R. McLean ◽  
Abigail Luman ◽  
Patricia O’Sullivan ◽  
Brigitte Smith ◽  
...  

Objective: The aim of this study is to describe the current state of robotic surgery training among Otolaryngology—Head and Neck Surgery (OHNS) residency programs in the United States. Methods: This is a national survey study among OHNS residents. All OHNS residency programs were identified via the Accreditation Council for Graduate Medical Education website. A total of 64/127 (50.3%) of OHNS programs were selected based on a random number generator. The main outcome measure was the number of OHNS residents with access to robotic surgery training and assessment of operative experience in robotic surgery among those residents. Results: A total of 140 OHNS residents participated in the survey, of which 59.3% (n = 83) were male. Response rate was 40.2%. Respondents came from middle 50.0% (n = 70), southern 17.8% (n = 25), western 17.8% (n = 25), and eastern sections 14.3% (n = 20). Most respondents (94.3%, n = 132) reported that their institution utilized a robot for head and neck surgery. Resident experience at the bedside increased in the junior years of training and console experience increased across the years particularly for more senior residents. However, 63.4% of residents reported no operative experience at the console. Only 11.4% of programs have a structured robotics training program. Conclusion: This survey indicated that nearly all OHNS residencies utilize robotic surgery in their clinical practice with residents receiving little formal education in robotics or experience at the console. OHNS residencies should aim to increase access to training opportunities in order to increase resident competency. Level of Evidence: IV


2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
S. Kohlert ◽  
N. Scherer ◽  
S. Kherani ◽  
L. McLean

LearnENT, an educational app for iOS, was developed to promote a standardized experience otolaryngology in head and neck surgery (OTOHNS) for University of Ottawa medical students. Its development was grounded in pedagogical theory including Laurillard’s design process, Honey and Mumford’s learning styles, and Nielsen’s theory of usability. This paper examines LearnENT's design and development processes as well as the role of mobile apps in medical education. Features of the LearnENT app as they apply to Constructivist learning are also highlighted.


2015 ◽  
Vol 01 (01) ◽  
pp. 002-010
Author(s):  
Hyung Byeon ◽  
Won Kim ◽  
Jae Park ◽  
Ji-Hoon Kim ◽  
Eun Choi ◽  
...  

AbstractConventional operations for various surgical neck lesions adopted the transcervical scar, which were disfiguring and caused various postoperative morbidities. The advent of the surgical robotics as a result of advancement in technology led to a technical breakthrough in the field of head and neck surgery. Together with the application of the robot, we have seen the promising role of the retroauricular (RA) approach from its versatile applications. This review will discuss in detail various robotic head and neck surgeries via RA approach.


1978 ◽  
Vol 86 (2) ◽  
pp. ORL-171-ORL-175 ◽  
Author(s):  
Jonas T. Johnson ◽  
Charles W. Cummings

The role of hematoma formation in the development of complications after major head and neck surgery is surveyed retrospectively. An incidence of 4.2% was encountered. In all cases, the hematoma was identified within 12 hours postoperatively. Prompt surgical clot evacuation and reinstitution of drainage did not adversely affect the patient's subsequent course. Failure to adequately drain the hematoma resulted in increased wound dehiscence, major infection, and fistula. When properly treated, postoperative hematoma formation offers only the risks attendant with a second anesthesia; no subsequent related morbidity need be anticipated.


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