scholarly journals Acceptance and adoption of transoral robotic surgery in Germany

2021 ◽  
Author(s):  
Magis Mandapathil ◽  
Jens E. Meyer
Keyword(s):  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Surgery ◽  
Transoral Robotic Surgery ◽  
Head And Neck Surgery ◽  
University Hospitals ◽  
Cross Sectional ◽  
Adoption Rate ◽  
Decision Making Processes ◽  
Sectional Analysis

Abstract Purpose Since its introduction over a decade ago, the use of robotic surgery (RS) in head and neck surgery has widely spread around the globe, with very differential adoption of this novel surgical technique in different parts of the world. In this study, we analyze the acceptance and adoption of robotic surgery in the head and neck in Germany. Materials and methods A cross-sectional analysis using a questionnaire evaluating the acceptance and adoption of RS was performed. Questionnaires were distributed to all chairmen /-women of Otorhinolaryngology, Head and Neck Surgery Departments in Germany. Results A total of 107 respondents completed the questionnaire (65.2%). At university hospitals, 71.4% of the respondents indicated that a robotic system was available, and 21.4% responded that robotic surgery was performed at their institution; 22.7% and 0.04%, respectively, at non-university hospitals. The overall adoption rate was 0.8%. The most common cases performed were TORS resection in the oropharynx. Main reasons for not adopting this technique were costs, lack of interest and available co-operations. Conclusion This study provides evidence of the extent of adoption of TORS in Germany; main perceived barriers to adoption are costs with lack of cost-covering reimbursement and insufficient co-operations with other disciplines as well as hospital administration resulting in a very low adoption rate of this technique over the past decade. Results from this study may assist in decision-making processes on adopting this technique in the future.

scholarly journals Introduction to the first issue of International Journal of Otorhinolaryngology and Head and Neck Surgery

2015 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Jyoti P. Dabholkar
Keyword(s):  
Hearing Loss ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Surgery ◽  
Pituitary Tumour ◽  
Transoral Robotic Surgery ◽  
Head And Neck Surgery ◽  
Access Policy ◽  
Middle Ear Implants ◽  
Benign Tumours

<p>In the recent times, great developments have taken place in the field of otorhinolaryngology and head and neck surgery. Modern ossicular prosthesis, middle ear implants, cochlear implants and BAHA have given a solution to hearing loss especially sensori-neural hearing loss. The sinus endoscope has gone beyond the confines of paranasal sinuses and has made visualisation of anterior skull base surgery possible. Thus enabling ENT surgeon to operate pituitary tumour and aggressive benign tumours like angiofibroma with intracranial extent.</p><p>Head and neck surgery is a happening field and I have seen many youngsters wanting to take this field. Transoral laser surgery via microlaryngoscopy and transoral robotic surgery have evolved and day is not so far when robotic surgery will be available at many centers. With advent of recent advanced radiation techniques like IMRT, IGRT and bio-radiation, laryngeal preservation is possible today.</p><p>In arena of research, molecular markers and personalized medicine, whereby treatment can be tailored according to patient’s genetic makeup, is farfetched dream but I am sure that will be available soon.</p><p>Research and dissipation of attained knowledge is the keystone for progress and better future. With these goals in mind, I feel elated to release the first issue of our journal “International Journal of Otorhinolaryngology and Head and Neck Surgery”. Our aim is to provide a platform for researchers and clinicians to present their work and help them to share their knowledge across the globe. We also want to encourage the young minds to publish their projects and dissertations. Our journal is an international, indexed and peer reviewed journal. We have resorted to open access policy for the benefits of users and readers.</p><p>The success of any journal is by contribution of colleagues and experts, so kindly give constant support and feedback to improve it’s quality.</p>

Transoral robotic surgery: implementation as a tool in head and neck surgery - a single-centre Australian experience

2016 ◽  
Vol 88 (11) ◽  
pp. 1129-1134 ◽  
Author(s):  
Nir Hirshoren ◽  
Olivia Ruskin ◽  
Tsien Fua ◽  
Stephen Kleid ◽  
Matthew Magarey ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Surgery ◽  
Transoral Robotic Surgery ◽  
Head And Neck Surgery ◽  
Single Centre ◽  
Australian Experience

scholarly journals ROBOTICS IN ENT HEAD AND NECK SURGERY

2019 ◽  
Vol VOLUME 7 (VOLUME 7 NUMBER 2 NOV 2018) ◽  
pp. 15-20 ◽  
Author(s):  
Venkatakarthikeyan
Keyword(s):  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Surgery ◽  
Transoral Robotic Surgery ◽  
Head And Neck Surgery ◽  
Remote Access ◽  
Robot Assisted ◽  
Retroauricular Approach ◽  
Access Surgery ◽  
Robot Assisted Surgery

Robot assisted surgery in the specialty of ENT Head and Neck Surgery can be classified into Transoral Robotic Surgery (TORS) for lesions in the oropharynx, larynx, hypopharynx and Remote access surgery through a hidden Retro Auricular Hairline Incision (RAHI) for removal of neck masses without leaving a scar in the visible portion of the neck. TORS has the advantages of excellent three-dimensional visualization, magnification in all directions, accessibility to the otherwise blind areas in the upper aero digestive tract. TORS offers significant benefits and lower morbidity rates as compared to the conventional surgical procedures and other adjunctive treatments like chemoradiation in selected patients. The indications of robotic surgery are expanding with the introduction of the retroauricular approach for various neck lesions which includes thyroidectomy, removal of tumors from parathyroid glands, parapharyngeal space, submandibular gland, branchial cleft cyst and neck dissection for metastatic cervical lymphadenopathy. This approach will become popular with young patients who want better cosmesis. With the latest innovative developments in the technology and design of surgical robots, robotic surgery will continue to occupy an increasingly important role in the specialty of ENT-Head and neck surgery. In the future, we will see the widespread application of robotics not only for TORS or Retroauricular approach neck surgeries but also in Otology, Skull base and Paediatric Otolaryngology. Keywords: Robot assisted surgery, Transoral Robotic Surgery (TORS), Remote access surgery.

A National Survey of Robotic Surgery Training Among Otolaryngology—Head and Neck Surgery Residents

2021 ◽  
pp. 000348942199696
Author(s):  
Hilary C. McCrary ◽  
Sierra R. McLean ◽  
Abigail Luman ◽  
Patricia O’Sullivan ◽  
Brigitte Smith ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Head And Neck ◽  
National Survey ◽  
Neck Surgery ◽  
The United States ◽  
Head And Neck Surgery ◽  
Residency Programs ◽  
Surgery Training ◽  
Robotic Surgery Training ◽  
Operative Experience

Objective: The aim of this study is to describe the current state of robotic surgery training among Otolaryngology—Head and Neck Surgery (OHNS) residency programs in the United States. Methods: This is a national survey study among OHNS residents. All OHNS residency programs were identified via the Accreditation Council for Graduate Medical Education website. A total of 64/127 (50.3%) of OHNS programs were selected based on a random number generator. The main outcome measure was the number of OHNS residents with access to robotic surgery training and assessment of operative experience in robotic surgery among those residents. Results: A total of 140 OHNS residents participated in the survey, of which 59.3% (n = 83) were male. Response rate was 40.2%. Respondents came from middle 50.0% (n = 70), southern 17.8% (n = 25), western 17.8% (n = 25), and eastern sections 14.3% (n = 20). Most respondents (94.3%, n = 132) reported that their institution utilized a robot for head and neck surgery. Resident experience at the bedside increased in the junior years of training and console experience increased across the years particularly for more senior residents. However, 63.4% of residents reported no operative experience at the console. Only 11.4% of programs have a structured robotics training program. Conclusion: This survey indicated that nearly all OHNS residencies utilize robotic surgery in their clinical practice with residents receiving little formal education in robotics or experience at the console. OHNS residencies should aim to increase access to training opportunities in order to increase resident competency. Level of Evidence: IV

scholarly journals Readability of the American, Canadian, and British Otolaryngology–Head and Neck Surgery Societies’ Patient Materials

2021 ◽  
pp. 019459982110332
Author(s):  
Joo Hyun Kim ◽  
Elysia Grose ◽  
Justine Philteos ◽  
David Forner ◽  
Christopher W. Noel ◽  
...  
Keyword(s):  
Patient Education ◽  
Head And Neck ◽  
Grade Level ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Reading Level ◽  
Head And Neck Surgery ◽  
Cross Sectional ◽  
Patient Comprehension ◽  
Reading Grade Level

Objective Patient education materials across 3 national English otolaryngology–head and neck surgery (OHNS) societies: the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS), the Canadian Society of Otolaryngology–Head and Neck Surgery (CSOHNS), and Ear, Nose, and Throat United Kingdom (ENT UK) were examined to determine whether they are written at a level suitable for patient comprehension. Study Design Cross-sectional study. Setting Online patient materials presented through OHNS national societies. Methods Readability was calculated using the Flesch-Kincaid Grade Level, Flesch-Kincaid Reading Ease Score, and Simple Measure of Gobbledygook Index. All public patient education materials available through the CSOHNS, AAO-HNS, and ENT UK websites were assessed. Patient education materials were grouped into categories by subspecialty. Results In total, 128 patient materials from the 3 societies were included in the study. All 3 societies required a minimum grade 9 reading comprehension level to understand their online materials. According to Flesch-Kincaid Grade Level, the CSOHNS required a significantly higher reading grade level to comprehend the materials presented when compared to AAO-HNS (11.3 vs 9.9; 95% CI, 0.5-2.4; P < .01) and ENT UK (11.3 vs 9.4; 95% CI, 0.9-2.9; P < .01). Patient education materials related to rhinology were the least readable among all 3 societies. Conclusion This study suggests that the reading level of the current patient materials presented through 3 national OHNS societies are written at a level that exceeds current recommendations. Promisingly, it highlights an improvement for the readability of patient materials presented through the AAO-HNS.

Presentation and Outcomes of Elderly Patients Undergoing Head and Neck Surgeries: A National Perspective

2020 ◽  
Vol 163 (2) ◽  
pp. 335-343 ◽  
Author(s):  
Zaid Al-Qurayshi ◽  
Christopher Blake Sullivan ◽  
Adam Schwalje ◽  
Jarrett Walsh ◽  
Rodrigo Bayon ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Elderly Patients ◽  
Head And Neck ◽  
Neck Surgery ◽  
The United States ◽  
Cross Sectional ◽  
Logistic Analysis ◽  
Cancer Types ◽  
National Perspective ◽  
Sectional Analysis

Objectives To examine clinical profile and outcomes of elderly patients (65-90 years) undergoing head and neck surgeries in the United States. Study Design A retrospective cross-sectional analysis. Setting The Nationwide Readmissions Database, 2010 to 2015. Subjects and Methods Adult (≥18 years) patients who underwent head and neck surgeries. Analysis included χ2 test and logistic analysis. Results A total of 113,602 and 32,580 patients <65 and ≥65 years old, respectively, were included. Patients ≥65 years old were more likely to have multiple comorbidities (62.8% vs 32.6%, P < .001) and to present with head and neck cancer (19.8% vs 11.4%, P < .001). The most common comorbidity was diabetes (21.0%). The most common cancer types by site were mouth (29.12%), thyroid (28.08%), and nonmelanoma skin cancer (13.22%). The percentage of geriatric patients who underwent head and neck surgeries increased from 21.8% in 2010 to 25.0% in 2015 ( P < .001). A total of 5450 (16.85%) patients developed postoperative complications, and the most common complications were pulmonary related (10.55%), bleeding (6.96%), acute renal failure (6.01%), and infection (3.97%). Blood transfusion was required in 3.53% of the patients. Readmission prevalence was 0.32%, and mortality risk was twice as likely (odds ratio, 2.05; 95% confidence interval, 1.77-2.38; P < .001). Independent risk factors of mortality were older age, multiple comorbidities, type of surgery, blood transfusion, and tracheostomy ( P < .05, each). Conclusion Elderly patients currently represent 25% of patients admitted for head and neck surgery. This population should be provided with a different level of care due to a higher risk of complications and mortality.

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