Is Transoral Robotic Surgery the Best Surgical Treatment for Lingual Thyroid?: A Case-Report and Literature Review

2021 ◽  
pp. 000348942110072
Author(s):  
Grégoire D’Andréa ◽  
Benjamin Vairel ◽  
Clair Vandersteen ◽  
Emilien Chabrillac ◽  
Sébastien Vergez ◽  
...  
Keyword(s):  
Case Report ◽  
Robotic Surgery ◽  
Surgical Procedures ◽  
Transoral Robotic Surgery ◽  
Lingual Thyroid ◽  
Patient Demographics ◽  
Non Invasive ◽  
Fast Solution ◽  
Surgical Treatments ◽  
Robotic Surgeries

Objectives: To highlight the specific outcomes of the current surgical procedures for lingual thyroid excision, for benign and malignant lesions. Methods: We carried out a systematic review of surgical treatments of lingual thyroid, according to the PRISMA method. We conducted our literature search in PubMed and Ovid. Data was collected concerning patient demographics, tumor characteristics, types of surgery performed, and specific intra- and postoperative outcomes of each procedure. Surgical procedures were classified in 4 categories: transcervical approaches, “invasive” transoral approaches (transmandibular and/or tongue splitting), “non-invasive” transoral approaches, and transoral robotic surgery. We detailed the transoral robotic surgical technique through a case report, along with a surgical video. Results: Of 373 peer-reviewed articles found, 40 provided adequate information on surgical management and outcomes for patients with lingual thyroid. “Non-invasive” transoral approaches and transoral robotic surgeries required significantly fewer tracheostomies than “invasive” transoral and transcervical approaches ( P < .001), while there was no statistical difference in the rate of surgical complications between each procedure. Conclusions: Transoral robotic surgery appears to be a feasible, effective, and fast solution for lingual thyroid excision, with excellent short- and long-term surgical outcomes.

scholarly journals Lump at the back of my tongue. The lingual thyroid – a case report & narrative review of literature

2021 ◽  
Author(s):  
Joe Jabbour ◽  
Nelson Agostinho ◽  
Harinder Bains ◽  
Peter Earls ◽  
Louise Killen ◽  
...  
Keyword(s):  
Case Report ◽  
Robotic Surgery ◽  
Airway Obstruction ◽  
Surgical Procedure ◽  
Upper Airway ◽  
Transoral Robotic Surgery ◽  
Lingual Thyroid ◽  
Review Of Literature ◽  
Base Of The Tongue ◽  
Firm Mass

A 68-year-old male presented with a difficult airway secondary to a firm mass at the base of the tongue on intubation for an emergency general surgical procedure. Further workup confirmed a lingual thyroid with previous upper airway obstruction requiring a temporary tracheostomy. The mass was excised using transoral robotic surgery.

Patient Preparation and Positioning on Robot-Assisted and Robotic Surgeries

2019 ◽  
Vol 4 (2) ◽  
pp. 1-12
Author(s):  
Charalambos Rafail Vasilopoulos ◽  
Dimitrios Dedousis ◽  
John Klavdianos ◽  
Konstantinos Deligiorgis ◽  
Athanasios Anastasiou
Keyword(s):  
Robotic Surgery ◽  
Surgical Procedures ◽  
Robot Assisted ◽  
Patient Preparation ◽  
Clinical Interest ◽  
Robotic Surgeries

The field of robotic surgery is being developed and is increasingly being applied to many and different surgical procedures. This results in the need of looking for different patient placements, which will give the surgeon the best view of the area of clinical interest. The purpose of this paper is to study and investigate the various ways of patient preparation and positioning in the field of robotic surgery. Also, this paper proposes a classification and comparing between these different positions, depending on the procedure.

scholarly journals Anaesthetic concerns of difficult airway in case of large oral hemangioma posted for robotic cystectomy

2020 ◽  
Vol 8 (9) ◽  
pp. 3380
Author(s):  
Khevna Kapadia ◽  
Sheetal Shah ◽  
Hemant Mehta ◽  
Misha Mehta
Keyword(s):  
Case Report ◽  
Robotic Surgery ◽  
Difficult Airway ◽  
Fibreoptic Intubation ◽  
Ileal Conduit ◽  
Difficult Airway Management ◽  
Robotic Cystectomy ◽  
Robotic Radical Cystectomy ◽  
Robotic Surgeries ◽  
Urothelial Neoplasm

A difficult airway poses a challenge to attending anaesthesiologist. Fibreoptic intubation (FOI) to secure airway can be a valuable option in such a scenario. Steep Trendelenberg’s position with pneumoperitoneum in robotic surgery causes respiratory changes with airway oedema and congestion. We are describing here a case report of 56-year male patient with a large congenital oral cavity hemangioma with primary urothelial neoplasm of bladder posted for robotic radical cystectomy with ileal conduit with urethrectomy. We emphasize the importance of difficult airway management by using fibre optic technique in such cases complicated by steep Trendelenburg’s position required during robotic surgeries.

A Novel Technique for the Resection of the Symptomatic Lingual Thyroid: Transoral Robotic Surgery

Thyroid ◽  
2013 ◽  
Vol 23 (4) ◽  
pp. 466-471 ◽  
Author(s):  
Young Min Park ◽  
Won Shik Kim ◽  
Hyung Kwon Byeon ◽  
Sei Young Lee ◽  
Se-Heon Kim
Keyword(s):  
Robotic Surgery ◽  
Transoral Robotic Surgery ◽  
Lingual Thyroid ◽  
Novel Technique

Novel approach using ultrasonic bone curettage and transoral robotic surgery for en bloc resection of cervical spine chordoma: case report

2019 ◽  
Vol 30 (6) ◽  
pp. 788-793 ◽  
Author(s):  
Dmitriy Petrov ◽  
Michael Spadola ◽  
Connor Berger ◽  
Gregory Glauser ◽  
Ahmad F. Mahmoud ◽  
...  
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Robotic Surgery ◽  
Motor Vehicle ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Transoral Robotic Surgery ◽  
Resection Margins ◽  
Pathology Report ◽  
En Bloc

Chordomas are rare, locally aggressive neoplasms that develop from remnants of the notochord. The typical approach to chordomas of the clivus and axial cervical spine often limits successful en bloc resection. In this case report, authors describe the first-documented transoral approach using both transoral robotic surgery (TORS) for exposure and the Sonopet bone scalpel under navigational guidance to achieve en bloc resection of a cervical chordoma. This 27-year-old man had no significant past medical history (Charlson Comorbidity Index 0). During a trauma workup following a motor vehicle collision, a CT of the patient’s cervical spine demonstrated an incidental 2.2-cm lesion situated along the posterior aspect of the C2 vertebral body. Postoperative imaging showed successful en bloc resection with adequate placement of hardware, and the pathology report demonstrated negative resection margins. The patient tolerated the procedure well, and because of the successful en bloc resection, radiation has been deferred. At 7 months postoperatively, the patient returned to work in New York City. Contrasted MRI at 15 months postoperatively showed the patient to be disease free. This approach offers a promising way forward in the treatment of these complex tumors.

scholarly journals Thyroglossal Duct Papillary Thyroid Carcinoma and Synchronous Lingual Thyroid Atypia

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Timothy Yoo ◽  
Yohanan Kim ◽  
Alfred Simental ◽  
Jared C. Inman
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Robotic Surgery ◽  
Thyroid Carcinoma ◽  
Transoral Robotic Surgery ◽  
Ectopic Thyroid ◽  
Lingual Thyroid ◽  
Papillary Thyroid ◽  
Thyroglossal Duct ◽  
Rare Finding ◽  
Thyroid Screening

Thyroglossal duct and lingual thyroid ectopic lesions are exceedingly rare synchronous findings. Papillary thyroid carcinoma of these ectopic thyroid sites is well understood but still a rare finding. This case points to some management nuances in regard to ectopic thyroid screening with imaging and also shows the effectiveness of minimally invasive transoral robotic surgery for lingual thyroid.

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