title: Management of Laryngoceles by Transoral Robotic Approach.
abstract: OBJECTIVE
  Laryngoceles are air-filled sacs which communicate with the laryngeal lumen. When filled with mucus or pus, they are called laryngomucoceles and laryngopyoceles, respectively. Transoral robotic surgery (TORS) is a new and remarkable technique that expands its usefullness in otorhinolaryngology. Conventional treatments for laryngoceles were previously performed using external approaches, with aesthetically unfavorable and less function-sparing results. Transoral laser microsurgical approaches for laryngoceles were seldom reported. It is aimed to present authors' clinical experience on laryngocele management with TORS which is a rather new technique.
  
  
  METHODS
  A retrospective patient serial.
  
  
  METHODS
  Patients were evaluated for demographic data, type of lesion, reasons for hospital admittance, complaint duration, and previous surgery. Robotic surgery panel including anesthesia time, duration of surgery, need for tracheotomy, postoperative care, follow-up, and recurrence rates were also summarized.
  
  
  RESULTS
  Six men (mean age 51.7 years; range 41-62) with laryngoceles underwent successful TORS. Dyspnea and hoarseness were the main complaints. Two patients had undergone previous laryngeal surgery due to laryngeal cancer, with no recurrence of malignancy at admittance for laryngocele. Three had simple laryngocele, 2 had laryngomucocele, and 1 had laryngopyocele. No laryngoceles recurred and no complication such as dysphonia or prolonged dysphagia occurred.
  
  
  CONCLUSIONS
  Transoral robotic surgery was found superior in safety, technical feasibility and curative effectiveness, when compared with classical methods, especially due to absence of skin incisions. Surgical modalities for laryngocele excision should be directed toward a curative target including cosmetic and functional success, technical achievability, and surgically curative methods. Transoral robotic surgery provided all these features.
authors.affiliation: Otorhinolaryngology Clinic, Bakirkoy Dr Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
authors.forename: Fatma Tülin
authors.initials: FT
authors.lastname: Kayhan
authors.forename: Selçuk
authors.initials: S
authors.lastname: Güneş
authors.forename: Arzu Karaman
authors.initials: AK
authors.lastname: Koç
authors.forename: Ayşe Pelin
authors.initials: AP
authors.lastname: Yiğider
authors.forename: Kamil Hakan
authors.initials: KH
authors.lastname: Kaya
mesh_terms: D000328:Adult; D006801:Humans; D059608:Laryngocele / Q000175:diagnosis / Q000601:surgery*; D007830:Larynx / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009055:Mouth; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed