title: Management of laryngoceles by transoral robotic surgery.
abstract: We herein report our experience with the management of laryngoceles using transoral robotic surgery (TORS). A bicentric retrospective study was conducted from November 2009 to September 2015. The inclusion criteria were treatment of a laryngocele by TORS and no malignancy on definitive histopathology. Surgery was performed using the Da Vinci (Intuitive®) surgical robot. Surgical methods and post-operative outcomes were evaluated. Eight patients (four men and four women) presenting with a laryngocele (one bilateral case) were included (mean age 61.8 years). There was one covering tracheotomy. The average post-operative stay was 3.75 days. Three patients treated for a combined laryngocele had a nasogastric feeding tube inserted for 5 days. One patient experienced late laryngeal bleeding that required surgical treatment. TORS may offer an efficient treatment option for laryngoceles. The use of precise and flexible instruments and a three-dimensional camera allow fine dissection of these tumours, preserving the glottic space and vocal function, even for combined laryngoceles extending deep within the neck.Evidence level: 4.
authors.affiliation: Department of ENT-Head and Neck Surgery, Regional Hospital University Centre of Tours, 2, Boulevard Tonnellé, 37044, Tours Cedex 9, France.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Villeneuve
authors.affiliation: Department of ENT-Head and Neck Surgery, Regional Hospital University Centre of Toulouse, Toulouse, France.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Vergez
authors.affiliation: Department of ENT-Head and Neck Surgery, Regional Hospital University Centre of Tours, 2, Boulevard Tonnellé, 37044, Tours Cedex 9, France.
authors.forename: David
authors.initials: D
authors.lastname: Bakhos
authors.affiliation: Department of ENT-Head and Neck Surgery, Regional Hospital University Centre of Tours, 2, Boulevard Tonnellé, 37044, Tours Cedex 9, France.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Lescanne
authors.affiliation: Department of ENT-Head and Neck Surgery, Regional Hospital University Centre of Tours, 2, Boulevard Tonnellé, 37044, Tours Cedex 9, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Pinlong
authors.affiliation: Department of ENT-Head and Neck Surgery, Regional Hospital University Centre of Tours, 2, Boulevard Tonnellé, 37044, Tours Cedex 9, France. moriniere@univ-tours.fr.
authors.forename: Sylvain
authors.identifier: http://orcid.org/0000-0002-5884-7285
authors.initials: S
authors.lastname: Morinière
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal; D059608:Laryngocele / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures
keywords: Benign tumour; Endoscopy; Laryngocele; Larynx; Robotic surgery