Transoral robotic surgery using an image guidance system.
OBJECTIVE
To describe a novel technique using the image guidance system for transoral robotic surgery of the pharyngeal and parapharyngeal spaces.


METHODS
Case series presentation.


METHODS
Three cases of oropharyngeal and pharyngeal space lesions are reviewed for presentation, workup, and original management.


RESULTS
Final pathology of a vascular malformation, an acinic cell adenocarcinoma, and a squamous cell carcinoma were located and minimally invasively removed by a transoral robotic approach with the aid of image guidance. No complications or recurrences were observed on an average of 7 month follow-up.


CONCLUSIONS
Transoral robotic surgery using an image guidance system seems safe and effective in assisting dissection.
Department of Otolaryngology-Head and Neck Surgery, Mount Sinai School of Medicine, New York, NY 10029, USA.
Shaun C
SC
Desai
Chih-Kwang
CK
Sung
Eric M
EM
Genden
D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery; D000368:Aged; D001707:Biopsy, Needle; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009055:Mouth; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010614:Pharynx / Q000098:blood supply; D012371:Robotics / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014067:Tonsillar Neoplasms / Q000175:diagnosis / Q000601:surgery*; D054079:Vascular Malformations / Q000175:diagnosis / Q000601:surgery*