Transoral robotic resection of parapharyngeal space tumors

Moran Amit, Gil Ziv

Research output: Contribution to journalArticle

Abstract

Parapharyngeal space (PPS) tumors are routinely resected by a transcervical or transmandibular approaches. However, recent developments in techniques of transoral robotic surgery (TORS) now allow the utility of the da Vinci robotic system for removal of PPS tumors with minimal morbidity. In this paper, we describe in detail the setup and surgical technique of TORS for removal of large parapharyngeal tumors. TORS provides high-magnification, 3-dimensional visual access to lateral-based structures and enables direct visualization at and around the tumor. The 5-mm robotic-guided arms enable an assistant to introduce additional instruments into the operating field to aid retraction, suction, and cauterization. Robotic surgery is rapidly becoming integrated into transoral head and neck surgery. The utility of TORS improves the surgical removal of selected tumors in the PPS with minimal morbidity and excellent functional and cosmetic outcomes.

Original languageEnglish (US)
Pages (from-to)293-298
Number of pages6
JournalOperative Techniques in Otolaryngology - Head and Neck Surgery
Volume25
Issue number3
DOIs
StatePublished - Jan 1 2014

Keywords

  • Head and neck
  • Parapharyngeal space tumors
  • Robotic surgery
  • Transoral

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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