Transoral robotic total laryngectomy: Report of 3 cases
Identifieur interne : 002395 ( Istex/Corpus ); précédent : 002394; suivant : 002396Transoral robotic total laryngectomy: Report of 3 cases
Auteurs : Samuel Dowthwaite ; Anthony C. Nichols ; John Yoo ; Richard V. Smith ; Sandeep Dhaliwal ; John Basmaji ; Jason H. Franklin ; Kevin FungSource :
- Head & Neck [ 1043-3074 ] ; 2013-11.
English descriptors
- KwdEn :
- Arch otolaryngol head neck surg, Cell carcinoma, Chemoradiation regimens, Closure, Color figure, Dissection, Endoscopy, Excellent access, First case, Functional outcomes, Head neck, Head november, Incision, Infrahyoid, Initial planning panendoscopy, Intraoperative, Intuitive surgery, Invasive, Invasive surgery, Invasive techniques, Laryngeal, Laryngeal skeleton, Laryngectomy, Larynx, Lateral, London health sciences center, Minilaryngectomy incision, Mucosal, Mucosal incisions, Neck cancer, Neck surgery, November, Online, Online issue, Oral diet, Otolaryngol, Otolaryngol head neck surg, Pharyngeal, Pharyngocutaneous fistula, Postoperative, Postoperative recovery, Preoperative, Pyriform fossae, Retractor, Robot, Robotic, Robotic surgery, Robotically, Significant toxicity, Stoma, Successful completion, Surg, Surgery, Surgical, Suture, Tissue dissection, Tor, Total laryngectomy, Transcervical, Transcervical approach, Transoral, Transorally.
- Teeft :
- Arch otolaryngol head neck surg, Cell carcinoma, Chemoradiation regimens, Closure, Color figure, Dissection, Endoscopy, Excellent access, First case, Functional outcomes, Head neck, Head november, Incision, Infrahyoid, Initial planning panendoscopy, Intraoperative, Intuitive surgery, Invasive, Invasive surgery, Invasive techniques, Laryngeal, Laryngeal skeleton, Laryngectomy, Larynx, Lateral, London health sciences center, Minilaryngectomy incision, Mucosal, Mucosal incisions, Neck cancer, Neck surgery, November, Online, Online issue, Oral diet, Otolaryngol, Otolaryngol head neck surg, Pharyngeal, Pharyngocutaneous fistula, Postoperative, Postoperative recovery, Preoperative, Pyriform fossae, Retractor, Robot, Robotic, Robotic surgery, Robotically, Significant toxicity, Stoma, Successful completion, Surg, Surgery, Surgical, Suture, Tissue dissection, Tor, Total laryngectomy, Transcervical, Transcervical approach, Transoral, Transorally.
Abstract
Because of the significant toxicity of chemoradiation regimens, there has been a resurgence of interest in the primary surgical management of head and neck cancer and, in particular, the use of minimally invasive surgery. One such technique is transoral robotic surgery (TORS). We aim to discuss the potential role of TORS in patients requiring total laryngectomy (TL).
Url:
DOI: 10.1002/hed.23226
Links to Exploration step
ISTEX:4925C7DA3A1E268B996E5EFB5266F127A167567DLe document en format XML
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Franklin</name><affiliation><mods:affiliation>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</mods:affiliation></affiliation></author><author><name sortKey="Fung, Kevin" sort="Fung, Kevin" uniqKey="Fung K" first="Kevin" last="Fung">Kevin Fung</name><affiliation><mods:affiliation>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: Kevin.Fung@lhsc.on.ca</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Head & Neck</title><title level="j" type="alt">HEAD AND NECK</title><idno type="ISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><imprint><biblScope unit="vol">35</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="E338">E338</biblScope><biblScope unit="page" to="E342">E342</biblScope><biblScope unit="page-count">5</biblScope><date type="published" when="2013-11">2013-11</date></imprint><idno type="ISSN">1043-3074</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1043-3074</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arch otolaryngol head neck surg</term><term>Cell carcinoma</term><term>Chemoradiation regimens</term><term>Closure</term><term>Color figure</term><term>Dissection</term><term>Endoscopy</term><term>Excellent access</term><term>First case</term><term>Functional outcomes</term><term>Head neck</term><term>Head november</term><term>Incision</term><term>Infrahyoid</term><term>Initial planning panendoscopy</term><term>Intraoperative</term><term>Intuitive surgery</term><term>Invasive</term><term>Invasive surgery</term><term>Invasive techniques</term><term>Laryngeal</term><term>Laryngeal skeleton</term><term>Laryngectomy</term><term>Larynx</term><term>Lateral</term><term>London health sciences center</term><term>Minilaryngectomy incision</term><term>Mucosal</term><term>Mucosal incisions</term><term>Neck cancer</term><term>Neck surgery</term><term>November</term><term>Online</term><term>Online issue</term><term>Oral diet</term><term>Otolaryngol</term><term>Otolaryngol head neck surg</term><term>Pharyngeal</term><term>Pharyngocutaneous fistula</term><term>Postoperative</term><term>Postoperative recovery</term><term>Preoperative</term><term>Pyriform fossae</term><term>Retractor</term><term>Robot</term><term>Robotic</term><term>Robotic surgery</term><term>Robotically</term><term>Significant toxicity</term><term>Stoma</term><term>Successful completion</term><term>Surg</term><term>Surgery</term><term>Surgical</term><term>Suture</term><term>Tissue dissection</term><term>Tor</term><term>Total laryngectomy</term><term>Transcervical</term><term>Transcervical approach</term><term>Transoral</term><term>Transorally</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Arch otolaryngol head neck surg</term><term>Cell carcinoma</term><term>Chemoradiation regimens</term><term>Closure</term><term>Color figure</term><term>Dissection</term><term>Endoscopy</term><term>Excellent access</term><term>First case</term><term>Functional outcomes</term><term>Head neck</term><term>Head november</term><term>Incision</term><term>Infrahyoid</term><term>Initial planning panendoscopy</term><term>Intraoperative</term><term>Intuitive surgery</term><term>Invasive</term><term>Invasive surgery</term><term>Invasive techniques</term><term>Laryngeal</term><term>Laryngeal skeleton</term><term>Laryngectomy</term><term>Larynx</term><term>Lateral</term><term>London health sciences center</term><term>Minilaryngectomy incision</term><term>Mucosal</term><term>Mucosal incisions</term><term>Neck cancer</term><term>Neck surgery</term><term>November</term><term>Online</term><term>Online issue</term><term>Oral diet</term><term>Otolaryngol</term><term>Otolaryngol head neck surg</term><term>Pharyngeal</term><term>Pharyngocutaneous fistula</term><term>Postoperative</term><term>Postoperative recovery</term><term>Preoperative</term><term>Pyriform fossae</term><term>Retractor</term><term>Robot</term><term>Robotic</term><term>Robotic surgery</term><term>Robotically</term><term>Significant toxicity</term><term>Stoma</term><term>Successful completion</term><term>Surg</term><term>Surgery</term><term>Surgical</term><term>Suture</term><term>Tissue dissection</term><term>Tor</term><term>Total laryngectomy</term><term>Transcervical</term><term>Transcervical approach</term><term>Transoral</term><term>Transorally</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Because of the significant toxicity of chemoradiation regimens, there has been a resurgence of interest in the primary surgical management of head and neck cancer and, in particular, the use of minimally invasive surgery. One such technique is transoral robotic surgery (TORS). We aim to discuss the potential role of TORS in patients requiring total laryngectomy (TL).</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>transoral</json:string><json:string>laryngectomy</json:string><json:string>incision</json:string><json:string>tor</json:string><json:string>online</json:string><json:string>retractor</json:string><json:string>total laryngectomy</json:string><json:string>otolaryngol</json:string><json:string>color figure</json:string><json:string>robotic</json:string><json:string>larynx</json:string><json:string>postoperative</json:string><json:string>online issue</json:string><json:string>surg</json:string><json:string>november</json:string><json:string>invasive</json:string><json:string>neck cancer</json:string><json:string>suture</json:string><json:string>transcervical</json:string><json:string>neck surgery</json:string><json:string>robotically</json:string><json:string>robot</json:string><json:string>preoperative</json:string><json:string>stoma</json:string><json:string>pharyngeal</json:string><json:string>mucosal</json:string><json:string>laryngeal</json:string><json:string>head november</json:string><json:string>transorally</json:string><json:string>endoscopy</json:string><json:string>infrahyoid</json:string><json:string>intraoperative</json:string><json:string>closure</json:string><json:string>tissue dissection</json:string><json:string>london health sciences center</json:string><json:string>functional outcomes</json:string><json:string>first case</json:string><json:string>dissection</json:string><json:string>surgical</json:string><json:string>surgery</json:string><json:string>invasive techniques</json:string><json:string>pyriform fossae</json:string><json:string>cell carcinoma</json:string><json:string>invasive surgery</json:string><json:string>chemoradiation regimens</json:string><json:string>significant toxicity</json:string><json:string>intuitive surgery</json:string><json:string>laryngeal skeleton</json:string><json:string>transcervical approach</json:string><json:string>successful completion</json:string><json:string>minilaryngectomy incision</json:string><json:string>oral diet</json:string><json:string>otolaryngol head neck surg</json:string><json:string>robotic surgery</json:string><json:string>pharyngocutaneous fistula</json:string><json:string>head neck</json:string><json:string>excellent access</json:string><json:string>postoperative recovery</json:string><json:string>initial planning panendoscopy</json:string><json:string>arch otolaryngol head neck surg</json:string><json:string>mucosal incisions</json:string><json:string>lateral</json:string></teeft></keywords><author><json:item><name>Samuel Dowthwaite MBBS</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</json:string></affiliations></json:item><json:item><name>Anthony C Nichols MD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</json:string></affiliations></json:item><json:item><name>John Yoo MD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</json:string></affiliations></json:item><json:item><name>Richard V. Smith MD</name><affiliations><json:string>Department of Otorhinolaryngology–Head and Neck Surgery, Montefiore Medical Center, New York, Bronx</json:string></affiliations></json:item><json:item><name>Sandeep Dhaliwal BSc</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</json:string></affiliations></json:item><json:item><name>John Basmaji BSc</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</json:string></affiliations></json:item><json:item><name>Jason H. Franklin MD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</json:string></affiliations></json:item><json:item><name>Kevin Fung MD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</json:string><json:string>E-mail: Kevin.Fung@lhsc.on.ca</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>transoral robotic surgery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>total laryngectomy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>minimally invasive surgery</value></json:item></subject><articleId><json:string>HED23226</json:string></articleId><arkIstex>ark:/67375/WNG-G1HC3SJ6-N</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>caseStudy</json:string></originalGenre><abstract>Because of the significant toxicity of chemoradiation regimens, there has been a resurgence of interest in the primary surgical management of head and neck cancer and, in particular, the use of minimally invasive surgery. One such technique is transoral robotic surgery (TORS). We aim to discuss the potential role of TORS in patients requiring total laryngectomy (TL).</abstract><qualityIndicators><refBibsNative>true</refBibsNative><abstractWordCount>57</abstractWordCount><abstractCharCount>369</abstractCharCount><keywordCount>3</keywordCount><score>5.055</score><pdfWordCount>2371</pdfWordCount><pdfCharCount>15893</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>5</pdfPageCount><pdfPageSize>612 x 809.972 pts</pdfPageSize></qualityIndicators><title>Transoral robotic total laryngectomy: Report of 3 cases</title><pmid><json:string>23471833</json:string></pmid><genre><json:string>case-report</json:string></genre><host><title>Head & Neck</title><language><json:string>unknown</json:string></language><doi><json:string>10.1002/(ISSN)1097-0347</json:string></doi><issn><json:string>1043-3074</json:string></issn><eissn><json:string>1097-0347</json:string></eissn><publisherId><json:string>HED</json:string></publisherId><volume>35</volume><issue>11</issue><pages><first>E338</first><last>E342</last><total>5</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Case Report</value></json:item></subject></host><namedEntities><unitex><date><json:string>2013-10-21</json:string><json:string>1997</json:string><json:string>2013</json:string></date><geogName></geogName><orgName><json:string>Department of Otorhinolaryngology–Head and Neck</json:string><json:string>Western University Research Ethics Board</json:string><json:string>London Health Sciences Center</json:string><json:string>Western University</json:string><json:string>Victoria Hospital, London Health Science Centre, Department of Otolaryngology-Head and Neck</json:string><json:string>Montefiore Medical Center</json:string><json:string>Wiley Periodicals, Inc</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>John Basmaji</json:string><json:string>Drug</json:string><json:string>Richard V. Smith</json:string><json:string>U.S. Food</json:string><json:string>K. Fung</json:string><json:string>In</json:string><json:string>Samuel Dowthwaite</json:string><json:string>Jason H. Franklin</json:string><json:string>John Yoo</json:string><json:string>Kevin Fung</json:string></persName><placeName><json:string>Germany</json:string><json:string>United States</json:string><json:string>Canada</json:string><json:string>York</json:string><json:string>Vinci</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>December 2009</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-G1HC3SJ6-N</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - surgery</json:string><json:string>2 - otorhinolaryngology</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - otorhinolaryngology</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - 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Ltd</publisher><availability><licence>Copyright © 2012 Wiley Periodicals, Inc.</licence></availability><date type="published" when="2013-11"></date></publicationStmt><notesStmt><note type="content-type" subtype="case-report" source="caseStudy" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="case-report"><analytic><title level="a" type="main">Transoral robotic total laryngectomy: Report of 3 cases</title><title level="a" type="short">Transoral Robotic Total Laryngectomy</title><author xml:id="author-0000"><persName><forename type="first">Samuel</forename><surname>Dowthwaite</surname><roleName type="degree">MBBS</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Western University</orgName><address><settlement type="city">London</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Anthony C</forename><surname>Nichols</surname><roleName type="degree">MD</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Western University</orgName><address><settlement type="city">London</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">John</forename><surname>Yoo</surname><roleName type="degree">MD</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Western University</orgName><address><settlement type="city">London</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Richard V.</forename><surname>Smith</surname><roleName type="degree">MD</roleName></persName><affiliation><orgName>Department of Otorhinolaryngology–Head and Neck Surgery</orgName><orgName>Montefiore Medical Center</orgName><address><settlement type="city">Bronx</settlement><region>New York</region><country key="US"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Sandeep</forename><surname>Dhaliwal</surname><roleName type="degree">BSc</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Western University</orgName><address><settlement type="city">London</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">John</forename><surname>Basmaji</surname><roleName type="degree">BSc</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Western University</orgName><address><settlement type="city">London</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">Jason H.</forename><surname>Franklin</surname><roleName type="degree">MD</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Western University</orgName><address><settlement type="city">London</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0007" role="corresp"><persName><forename type="first">Kevin</forename><surname>Fung</surname><roleName type="degree">MD</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Western University</orgName><address><settlement type="city">London</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation><affiliation>Victoria Hospital, London Health Science Centre, Department of Otolaryngology‐Head and Neck Surgery, London, Ontario, Canada. E-mail: Kevin.Fung@lhsc.on.ca</affiliation></author><idno type="istex">4925C7DA3A1E268B996E5EFB5266F127A167567D</idno><idno type="ark">ark:/67375/WNG-G1HC3SJ6-N</idno><idno type="DOI">10.1002/hed.23226</idno><idno type="unit">HED23226</idno><idno type="toTypesetVersion">file:HED.HED23226.pdf</idno></analytic><monogr><title level="j" type="main">Head & Neck</title><title level="j" type="alt">HEAD AND NECK</title><idno type="pISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><idno type="book-DOI">10.1002/(ISSN)1097-0347</idno><idno type="book-part-DOI">10.1002/hed.v35.11</idno><idno type="product">HED</idno><imprint><biblScope unit="vol">35</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="E338">E338</biblScope><biblScope unit="page" to="E342">E342</biblScope><biblScope unit="page-count">5</biblScope><date type="published" when="2013-11"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main">
Background
<p>Because of the significant toxicity of chemoradiation regimens, there has been a resurgence of interest in the primary surgical management of head and neck cancer and, in particular, the use of minimally invasive surgery. One such technique is transoral robotic surgery (TORS). We aim to discuss the potential role of TORS in patients requiring total laryngectomy (TL).</p>
Methods and Results
<p>Three patients underwent TORS‐assisted narrow‐field TL. Relative data on preoperative, intraoperative, and postoperative management were collated including postoperative complications.</p>
Conclusions
<p>We present 3 cases of transoral robotic surgery (TORS)–assisted TL in patients requiring narrow field laryngectomy without requirement for neck dissection. In reviewing these cases we provide a discussion of pertinent preoperative and intraoperative considerations that can assist in facilitating successful completion of the procedure. In particular, appropriate assessment at the pinsertlinePOLA_Del_Blank_PgPOLA_Shift_FramePORT_rem_fpg_underremovelinetabminilanning endoscopy in addition to a methodical surgical approach are vital to the successful use of the robot in TORS‐assisted TL. © 2013 Wiley Periodicals, Inc. <hi rend="italic">Head Neck</hi>, <hi rend="bold">35</hi>: E338–E342, 2013</p></abstract><textClass><keywords><term xml:id="hed23226-kwd-0001">transoral robotic surgery</term><term xml:id="hed23226-kwd-0002">total laryngectomy</term><term xml:id="hed23226-kwd-0003">minimally invasive surgery</term></keywords><keywords rend="articleCategory"><term>Case Report</term></keywords><keywords rend="tocHeading1"><term>Case Reports</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/4925C7DA3A1E268B996E5EFB5266F127A167567D/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en" xml:id="hed23226"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1002/(ISSN)1097-0347</doi><issn type="print">1043-3074</issn><issn type="electronic">1097-0347</issn><idGroup><id type="product" value="HED"></id></idGroup><titleGroup><title type="main" sort="HEAD AND NECK">Head & Neck</title><title type="short">Head Neck</title></titleGroup></publicationMeta><publicationMeta level="part" position="110"><doi>10.1002/hed.v35.11</doi><copyright ownership="publisher">Copyright © 2012 Wiley Periodicals, Inc.</copyright><numberingGroup><numbering type="journalVolume" number="35">35</numbering><numbering type="journalIssue">11</numbering></numberingGroup><coverDate startDate="2013-11">November 2013</coverDate></publicationMeta><publicationMeta level="unit" position="290" type="caseStudy" status="forIssue"><doi>10.1002/hed.23226</doi><idGroup><id type="unit" value="HED23226"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="articleCategory">Case Report</title><title type="tocHeading1">Case Reports</title></titleGroup><copyright ownership="publisher">Copyright © 2012 Wiley Periodicals, Inc.</copyright><eventGroup><event type="manuscriptAccepted" date="2012-11-26"></event><event type="xmlCreated" agent="Cenveo Publisher Services" date="2013-10-21"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.2.6 mode:FullText" date="2013-10-23"></event><event type="publishedOnlineEarlyUnpaginated" date="2013-03-08"></event><event type="firstOnline" date="2013-03-08"></event><event type="publishedOnlineFinalForm" date="2013-10-23"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-03"></event></eventGroup><numberingGroup><numbering type="pageFirst">E338</numbering><numbering type="pageLast">E342</numbering></numberingGroup><correspondenceTo>Victoria Hospital, London Health Science Centre, Department of Otolaryngology‐Head and Neck Surgery, London, Ontario, Canada. E-mail: <email>Kevin.Fung@lhsc.on.ca</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:HED.HED23226.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Transoral robotic total laryngectomy: Report of 3 cases</title><title type="short">Transoral Robotic Total Laryngectomy</title></titleGroup><creators><creator affiliationRef="#hed23226-aff-0001" creatorRole="author" xml:id="hed23226-cr-0001"><personName><givenNames>Samuel</givenNames><familyName>Dowthwaite</familyName><degrees>MBBS</degrees></personName></creator><creator affiliationRef="#hed23226-aff-0001" creatorRole="author" xml:id="hed23226-cr-0002"><personName><givenNames>Anthony C</givenNames><familyName>Nichols</familyName><degrees>MD</degrees></personName></creator><creator affiliationRef="#hed23226-aff-0001" creatorRole="author" xml:id="hed23226-cr-0003"><personName><givenNames>John</givenNames><familyName>Yoo</familyName><degrees>MD</degrees></personName></creator><creator affiliationRef="#hed23226-aff-0002" creatorRole="author" xml:id="hed23226-cr-0004"><personName><givenNames>Richard V.</givenNames><familyName>Smith</familyName><degrees>MD</degrees></personName></creator><creator affiliationRef="#hed23226-aff-0001" creatorRole="author" xml:id="hed23226-cr-0005"><personName><givenNames>Sandeep</givenNames><familyName>Dhaliwal</familyName><degrees>BSc</degrees></personName></creator><creator affiliationRef="#hed23226-aff-0001" creatorRole="author" xml:id="hed23226-cr-0006"><personName><givenNames>John</givenNames><familyName>Basmaji</familyName><degrees>BSc</degrees></personName></creator><creator affiliationRef="#hed23226-aff-0001" creatorRole="author" xml:id="hed23226-cr-0007"><personName><givenNames>Jason H.</givenNames><familyName>Franklin</familyName><degrees>MD</degrees></personName></creator><creator affiliationRef="#hed23226-aff-0001" corresponding="yes" creatorRole="author" xml:id="hed23226-cr-0008"><personName><givenNames>Kevin</givenNames><familyName>Fung</familyName><degrees>MD</degrees></personName></creator></creators><affiliationGroup><affiliation type="organization" xml:id="hed23226-aff-0001" countryCode="CA"><orgDiv>Department of Otolaryngology–Head and Neck Surgery</orgDiv><orgName>Western University</orgName><address><city>London</city><countryPart>Ontario</countryPart><country>Canada</country></address></affiliation><affiliation type="organization" xml:id="hed23226-aff-0002" countryCode="US"><orgDiv>Department of Otorhinolaryngology–Head and Neck Surgery</orgDiv><orgName>Montefiore Medical Center</orgName><address><city>Bronx</city><countryPart>New York</countryPart></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="hed23226-kwd-0001">transoral robotic surgery</keyword><keyword xml:id="hed23226-kwd-0002">total laryngectomy</keyword><keyword xml:id="hed23226-kwd-0003">minimally invasive surgery</keyword></keywordGroup><abstractGroup><abstract type="main"><section xml:id="hed23226-sec-0001"><title type="main">Background</title><p>Because of the significant toxicity of chemoradiation regimens, there has been a resurgence of interest in the primary surgical management of head and neck cancer and, in particular, the use of minimally invasive surgery. One such technique is transoral robotic surgery (TORS). We aim to discuss the potential role of TORS in patients requiring total laryngectomy (TL).</p></section><section xml:id="hed23226-sec-0002"><title type="main">Methods and Results</title><p>Three patients underwent TORS‐assisted narrow‐field TL. Relative data on preoperative, intraoperative, and postoperative management were collated including postoperative complications.</p></section><section xml:id="hed23226-sec-0003"><title type="main">Conclusions</title><p>We present 3 cases of transoral robotic surgery (TORS)–assisted TL in patients requiring narrow field laryngectomy without requirement for neck dissection. In reviewing these cases we provide a discussion of pertinent preoperative and intraoperative considerations that can assist in facilitating successful completion of the procedure. In particular, appropriate assessment at the pinsertlinePOLA_Del_Blank_PgPOLA_Shift_FramePORT_rem_fpg_underremovelinetabminilanning endoscopy in addition to a methodical surgical approach are vital to the successful use of the robot in TORS‐assisted TL. © 2013 Wiley Periodicals, Inc. <i>Head Neck</i>, <b>35</b>: E338–E342, 2013</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Transoral robotic total laryngectomy: Report of 3 cases</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Transoral Robotic Total Laryngectomy</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Transoral robotic total laryngectomy: Report of 3 cases</title></titleInfo><name type="personal"><namePart type="given">Samuel</namePart><namePart type="family">Dowthwaite</namePart><namePart type="termsOfAddress">MBBS</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Anthony C</namePart><namePart type="family">Nichols</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">John</namePart><namePart type="family">Yoo</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Richard V.</namePart><namePart type="family">Smith</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otorhinolaryngology–Head and Neck Surgery, Montefiore Medical Center, New York, Bronx</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sandeep</namePart><namePart type="family">Dhaliwal</namePart><namePart type="termsOfAddress">BSc</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">John</namePart><namePart type="family">Basmaji</namePart><namePart type="termsOfAddress">BSc</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jason H.</namePart><namePart type="family">Franklin</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kevin</namePart><namePart type="family">Fung</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Western University, Ontario, London, Canada</affiliation><affiliation>E-mail: Kevin.Fung@lhsc.on.ca</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case-report" displayLabel="caseStudy" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-11</dateIssued><dateCreated encoding="w3cdtf">2013-10-21</dateCreated><dateValid encoding="w3cdtf">2012-11-26</dateValid><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>Because of the significant toxicity of chemoradiation regimens, there has been a resurgence of interest in the primary surgical management of head and neck cancer and, in particular, the use of minimally invasive surgery. One such technique is transoral robotic surgery (TORS). We aim to discuss the potential role of TORS in patients requiring total laryngectomy (TL).</abstract><abstract>Three patients underwent TORS‐assisted narrow‐field TL. Relative data on preoperative, intraoperative, and postoperative management were collated including postoperative complications.</abstract><abstract>We present 3 cases of transoral robotic surgery (TORS)–assisted TL in patients requiring narrow field laryngectomy without requirement for neck dissection. In reviewing these cases we provide a discussion of pertinent preoperative and intraoperative considerations that can assist in facilitating successful completion of the procedure. In particular, appropriate assessment at the pinsertlinePOLA_Del_Blank_PgPOLA_Shift_FramePORT_rem_fpg_underremovelinetabminilanning endoscopy in addition to a methodical surgical approach are vital to the successful use of the robot in TORS‐assisted TL. © 2013 Wiley Periodicals, Inc. 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