title: Oropharyngeal stenosis after transoral robotic lingual tonsillectomy.
abstract: Transoral robotic-assisted lingual tonsillectomy seems to confirm good tolerability with efficient results in both adult and pediatric populations, and the complication rate is usually dependent on the specific procedure and not related to the use of the robotic techniques. In these clinical reports, a 44-year-old woman (patient 1) and a 49-year-old woman (patient 2) were referred to our clinic with long-term complaints of dysphagia, snoring, and globus sensation. The patients were diagnosed with a lingual tonsillar hypertrophy, and lingual tonsillectomy was performed through transoral robotic surgery using the robotic da Vinci surgical system. After 2 months of uneventful follow-up, the patients returned with dysphagia, and examination of the patients revealed a cicatricial synechia surrounding the oropharynx. We report 2 cases of oropharyngeal stenosis that occurred during the late postoperative period after transoral assisted lingual tonsillectomy with epiglottoplasty. Possible risk factors and treatment alternatives were also discussed.
authors.affiliation: *Department of Otorhinolaryngology, Head and Neck Surgery, Ataturk Training and Research Hospital, Ankara †Department of Otorhinolaryngology, Head and Neck Surgery, Karaman State Hospital, Karaman ‡Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey.
authors.forename: Togay
authors.initials: T
authors.lastname: Muderris
authors.forename: Ergun
authors.initials: E
authors.lastname: Sevil
authors.forename: Sami
authors.initials: S
authors.lastname: Bercin
authors.forename: Fatih
authors.initials: F
authors.lastname: Gul
authors.forename: Muzaffer
authors.initials: M
authors.lastname: Kiris
mesh_terms: D000234:Adenoids / Q000601:surgery*; D000328:Adult; D003251:Constriction, Pathologic / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009055:Mouth; D057605:Natural Orifice Endoscopic Surgery / Q000009:adverse effects*; D009960:Oropharynx; D010608:Pharyngeal Diseases / Q000175:diagnosis / Q000209:etiology*; D011183:Postoperative Complications; D012307:Risk Factors; D012371:Robotics; D014068:Tonsillectomy / Q000009:adverse effects* / Q000379:methods; D016896:Treatment Outcome