Otolaryngologie : accès libre

Abstrait

Otolaryngology & Head and Neck Surgery Robotic Surgery: A Review

Akina Tamaki

Recent developments in robotics technology have made it possible to undertake more complicated surgical procedures with reduced invasiveness. The use of robotic aid in otolaryngology and head and neck surgery was discussed in this article. We emphasise the benefits of robotic surgery and its clinical use in this area. Traditional oropharyngeal tumour resection involves an open approach, which frequently calls for a midline mandibulectomy to safely remove the tumour with oncologic margins.

A thorough evaluation of the literature on robotic surgery in head and neck, craniofacial, and oral and maxillofacial (OMF) surgery was conducted. The goal was to provide a concise summary of the various anatomical areas of research in the fields of head and neck, craniofacial,and OMF surgery (pre-clinical and clinical). The current indications are described, and the critical reader is encouraged to evaluate the utility of this novel technique by emphasising many pertinent factors. There were 838 papers found in the Cochrane and PubMed libraries that were written between 1994 and 2011. 202 publications were included after the abstracts were reviewed for clinical or technical relevance. These complete papers underwent a thorough screening process before being divided into four categories: clinical papers, educational elements, technical/practical aspects, and pieces on summary. Regarding clinical viability, this comprehensive analysis identified the following key indications: TORS for skull base surgery,TORS for trans-axillary thyroid and endocrine surgery, and TORS for upper digestive and respiratory tract diseases.This comprehensive study found a positive decrease in morbidity in patients with upper digestive and respiratory tract cancer in terms of functional outcome.