title: Transoral robotic surgery for pharyngeal stenosis.
abstract: BACKGROUND
  Pharyngeal stenosis is a complication of head and neck cancer and sleep apnea treatment that results in functional impairment. Due to the location of the stenosis and tendency to recur, surgical management is challenging. Robotic surgery may allow these areas to be treated with surgical technique that would be difficult using traditional approaches.
  
  
  METHODS
  A retrospective chart review was performed to identify patients who underwent transoral robotic surgery (TORS) for pharyngeal stenosis at a tertiary hospital system.
  
  
  RESULTS
  Five patients were identified, ages 8-75 years. Length of follow-up ranged from 1-12 months. There was one failure, a 74 year old male with a history of chemoradiation to the area who has required additional procedures.
  
  
  CONCLUSIONS
  TORS may offer improved surgical access to the pharynx in patients who require complex reconstruction that would otherwise be very difficult. Appropriate patient selection is necessary and long-term follow-up is warranted for the selected cases.
authors.affiliation: Veterans Affairs Pittsburgh Health System and Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA.
authors.forename: James K
authors.initials: JK
authors.lastname: Byrd
authors.forename: Rachel L
authors.initials: RL
authors.lastname: Leonardis
authors.forename: Steven C
authors.initials: SC
authors.lastname: Bonawitz
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Losee
authors.forename: Umamaheswar
authors.initials: U
authors.lastname: Duvvuri
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000601:surgery*; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000379:methods*
keywords: local flaps; pharyngoplasty; robotics