Robotic surgery in oral and maxillofacial, craniofacial and head and neck surgery: A systematic review of the literature

2012 ◽  
Vol 41 (11) ◽  
pp. 1311-1324 ◽  
Author(s):  
J. De Ceulaer ◽  
C. De Clercq ◽  
G.R.J. Swennen
Keyword(s):  
Systematic Review ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Review Of The Literature

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 Noise in Otolaryngology – Head and Neck Surgery operating rooms: a systematic review

2021 ◽  
Vol 50 (1) ◽  
Author(s):  
Gianluca Sampieri ◽  
Amirpouyan Namavarian ◽  
Marc Levin ◽  
Justine Philteos ◽  
Jong Wook Lee ◽  
...  
Keyword(s):  
Systematic Review ◽  
Head And Neck ◽  
Patient Outcomes ◽  
Noise Level ◽  
Neck Surgery ◽  
Operating Rooms ◽  
Head And Neck Surgery ◽  
Noise Levels ◽  
Surgical Performance ◽  
The Mean

Abstract Objective Noise in operating rooms (OR) can have negative effects on both patients and surgical care workers. Noise can also impact surgical performance, team communication, and patient outcomes. Such implications of noise have been studied in orthopedics, neurosurgery, and urology. High noise levels have also been demonstrated in Otolaryngology-Head and Neck Surgery (OHNS) procedures. Despite this, no previous study has amalgamated the data on noise across all OHNS ORs to determine how much noise is present during OHNS surgeries. This study aims to review all the literature on noise associated with OHNS ORs and procedures. Methods Ovid Medline, EMBASE Classic, Pubmed, SCOPUS and Cochrane databases were searched following PRISMA guidelines. Data was collected on noise measurement location and surgery type. Descriptive results and statistical analysis were completed using Stata. Results This search identified 2914 articles. Final inclusion consisted of 22 studies. The majority of articles analyzed noise level exposures during mastoid surgery (18/22, 82%). The maximum noise level across all OHNS ORs and OHNS cadaver studies were 95.5 a-weighted decibels (dBA) and 106.6 c-weighted decibels (dBC), respectively (P = 0.2068). The mean noise level across all studies was significantly higher in OHNS cadaver labs (96.9 dBA) compared to OHNS ORs (70.1 dBA) (P = 0.0038). When analyzed together, the mean noise levels were 84.9 dBA. Conclusions This systematic review demonstrates that noise exposure in OHNS surgery exceeds safety thresholds. Further research is needed to understand how noise may affect team communication, surgical performance and patient outcomes in OHNS ORs. Graphical abstract

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 Current Advances in Robotics for Head and Neck Surgery—A Systematic Review

Cancers ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1398
Author(s):  
Felix Boehm ◽  
Rene Graesslin ◽  
Marie-Nicole Theodoraki ◽  
Leon Schild ◽  
Jens Greve ◽  
...  
Keyword(s):  
Systematic Review ◽  
Head And Neck ◽  
Large Scale ◽  
Case Series ◽  
Clinical Effectiveness ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Daily Routine ◽  
Surgical Robots ◽  
Standard Procedures

Background. In the past few years, surgical robots have recently entered the medical field, particularly in urology, gynecology, and general surgery. However, the clinical effectiveness and safety of robot-assisted surgery (RAS) in the field of head and neck surgery has not been clearly established. In this review, we evaluate to what extent RAS can potentially be applied in head and neck surgery, in which fields it is already daily routine and what advantages can be seen in comparison to conventional surgery. Data sources. For this purpose, we conducted a systematic review of trials published between 2000 and 2021, as well as currently ongoing trials registered in clinicaltrials.gov. The results were structured according to anatomical regions, for the topics “Costs,” “current clinical trials,” and “robotic research” we added separate sections for the sake of clarity. Results. Our findings show a lack of large-scale systematic randomized trials on the use of robots in head and neck surgery. Most studies include small case series or lack a control arm which enables a comparison with established standard procedures. Conclusion. The question of financial reimbursement is still not answered and the systems on the market still require some specific improvements for the use in head and neck surgery.

scholarly journals Late Free Flap Failure in Head and Neck Reconstruction: A Systematic Review

2018 ◽  
Vol 97 (7) ◽  
pp. 213-216 ◽  
Author(s):  
David Forner ◽  
Blair A. Williams ◽  
Fawaz M. Makki ◽  
Jonathan R.B. Trites ◽  
S. Mark Taylor ◽  
...  
Keyword(s):  
Systematic Review ◽  
Head And Neck ◽  
Free Flap ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Head And Neck Reconstruction ◽  
Time To Failure ◽  
Close Monitoring ◽  
Flap Failure ◽  
Vascular Compromise

Our objectives were to review all reported cases of late flap failure in head and neck surgery and describe any relevant patterns. We conducted a systematic review of all published cases of free flap failure after postoperative day 7 in head and neck surgery from January 1990 to January 2018. Data were collected with respect to flap type, site of reconstruction, reason for failure, and time to failure. A total of 45 cases of late free flap failure in the head and neck were identified. Among the 34 cases in which the necessary data were available for analysis, 50% of late failures occurred between postoperative day 7 and 14. Common reasons for failure were abscess and vascular compromise. We conclude that most late flap failures occur in the second postoperative week. In patients with risk factors for flap failure, close monitoring for up to 14 days after surgery could detect flap compromise before the flap is lost.

scholarly journals The dawn of robotic surgery in otolaryngology-head and neck surgery

2019 ◽  
Vol 49 (5) ◽  
pp. 404-411 ◽  
Author(s):  
Meijin Nakayama ◽  
F Christopher Holsinger ◽  
Dominique Chevalier ◽  
Ryan K Orosco
Keyword(s):  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Surgery ◽  
Head And Neck Surgery

Role of robotic surgery in oral and maxillofacial, and head and neck surgery

2012 ◽  
Vol 50 (5) ◽  
pp. 389-393 ◽  
Author(s):  
Farzad Borumandi ◽  
Manolis Heliotis ◽  
Cyrus Kerawala ◽  
Brian Bisase ◽  
Luke Cascarini
Keyword(s):  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Surgery ◽  
Head And Neck Surgery

scholarly journals The Role of Robotic Surgery in Benign Otolaryngology Head and Neck Surgery: A Systematic Review of the Literature.

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Sarah Gillanders ◽  
Akshaya Ravi ◽  
Shawkat Abdulrahman
Keyword(s):  
Systematic Review ◽  
Head And Neck ◽  
Neck Surgery ◽  
Review Of The Literature ◽  
Inclusion Criteria ◽  
Robot Assisted ◽  
Robotic Assisted ◽  
Robotic Assisted Surgery ◽  
Near Future

The role of robotic-assisted surgery has increased exponentially in many surgical specialities over recent years. However, common usage within otolaryngology still appears limited. We aim to explore the alternative uses for robot-assisted surgery in benign otolaryngology, head and neck pathologies. A systematic review of the literature was performed by searching electronic databases and references libraries. 2485 papers were identified through our search. 96 studies met our inclusion criteria. Our results are categorized and displayed in table format. There are multiple novel adaptations of robotic-assisted surgery being performed across the world in benign otolaryngology, head and neck pathologies. Exciting advances in technology and availability will expand this scope even further in the near future.

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