Transoral robotic submandibular gland transposition to reconstruct radical tonsillar resection defects.

Autor: Young A; Department of Otolaryngology - Head and Neck Surgery, University of Nevada Las Vegas, Las Vegas, Nevada, USA., Bigcas JL; Department of Otolaryngology - Head and Neck Surgery, University of Nevada Las Vegas, Las Vegas, Nevada, USA., Yang A; Department of Otolaryngology - Head and Neck Surgery, University of Nevada Las Vegas, Las Vegas, Nevada, USA., Reeve N; Department of Otolaryngology - Head and Neck Surgery, University of Nevada Las Vegas, Las Vegas, Nevada, USA., Kim Y; Department of Otolaryngology - Head and Neck Surgery, University of Nevada Las Vegas, Las Vegas, Nevada, USA., Wang RC; Department of Otolaryngology - Head and Neck Surgery, University of Nevada Las Vegas, Las Vegas, Nevada, USA.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2021 May; Vol. 43 (5), pp. 1695-1698. Date of Electronic Publication: 2021 Jan 27.
DOI: 10.1002/hed.26622
Abstrakt: Significant dysphagia, pain, and risk of bleeding occur after transoral robotic surgery (TORS) radical tonsillectomy. We present a novel surgical technique utilizing robotically assisted submandibular gland transposition (SMGT) to reconstruct the radical tonsillar defect. A 48-year-old male with p16+ tonsillar squamous cell carcinoma underwent deep TORS radical tonsillectomy, contralateral tonsillectomy, ipsilateral neck dissection, and TORS-assisted reconstruction of the radical defect with ipsilateral SMGT. Postoperatively, the patient experienced minimal pain and was discharged on postoperative day (POD) 3 tolerating a soft diet. There were no episodes of postoperative bleeding. This procedure was performed in five other cases as well. Transoral robotic SMGT can be used successfully to repair deep TORS radical tonsillectomy defects and may theoretically reduce dysphagia, pain, and the risk of hemorrhage.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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