Transoral Endoscopic Head and Neck Surgery and Its Role Within the Multidisciplinary Treatment Paradigm of Oropharynx Cancer: Robotics, Lasers, and Clinical Trials

Transoral endoscopic head and neck surgery is a new approach for the treatment of oropharyngeal tumors. Using either a robotic system and/or laser, surgeons gain access through the mouth via minimally invasive technique and thus have improved visualization of the tumors of the oropharynx, without disfiguring incisions. This transoral route of access minimizes long-term speech and swallowing dysfunction. Surgeons view this approach as a considerable technologic advance, analogous to the evolution in radiation therapy from conventional two- and three-dimensional conformal techniques to intensity-modulated techniques. Although the use of radiation with or without chemotherapy to treat oropharyngeal cancer (OPC) is supported by evidence from prospective clinical trials, there are no prospective data supporting the use of this new surgical approach for OPC. Here, we review the fundamentals of transoral endoscopic head and neck surgery, with robotics and laser technology, and discuss ongoing clinical trials for patients with OPC.

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Short-term versus long-term antimicrobial prophylaxis in oncologic head and neck surgery

Head & Neck ◽

10.1002/(sici)1097-0347(199609/10)18:5<399::aid-hed2>3.0.co;2-0 ◽

1996 ◽

Vol 18 (5) ◽

pp. 399-404 ◽

Cited By ~ 39

Author(s):

Mauro Righi ◽

Roberto Manfredi ◽

Giovanni Farneti ◽

Ernesto Pasquini ◽

Vittorio Cenacchi

Keyword(s):

Head And Neck ◽

Antimicrobial Prophylaxis ◽

Neck Surgery ◽

Head And Neck Surgery ◽

Short Term

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Three-dimensional Exoscopic Head and Neck Surgery

Practica Oto-Rhino-Laryngologica ◽

10.5631/jibirin.114.900 ◽

2021 ◽

Vol 114 (12) ◽

pp. 900-901

Author(s):

Takahiro Fukuhara

Keyword(s):

Head And Neck ◽

Three Dimensional ◽

Neck Surgery ◽

Head And Neck Surgery

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Three-Dimensional Printing and Its Applications in Otorhinolaryngology–Head and Neck Surgery

Otolaryngology ◽

10.1177/0194599816678372 ◽

2016 ◽

Vol 156 (6) ◽

pp. 999-1010 ◽

Cited By ~ 48

Author(s):

Trevor D. Crafts ◽

Susan E. Ellsperman ◽

Todd J. Wannemuehler ◽

Travis D. Bellicchi ◽

Taha Z. Shipchandler ◽

...

Keyword(s):

3D Printing ◽

Head And Neck ◽

Three Dimensional ◽

Neck Surgery ◽

Head And Neck Surgery ◽

Patient Specific ◽

Three Dimensional Printing ◽

Training Models ◽

Ovid Medline ◽

Dimensional Printing

Objective Three-dimensional (3D)-printing technology is being employed in a variety of medical and surgical specialties to improve patient care and advance resident physician training. As the costs of implementing 3D printing have declined, the use of this technology has expanded, especially within surgical specialties. This article explores the types of 3D printing available, highlights the benefits and drawbacks of each methodology, provides examples of how 3D printing has been applied within the field of otolaryngology–head and neck surgery, discusses future innovations, and explores the financial impact of these advances. Data Sources Articles were identified from PubMed and Ovid MEDLINE. Review Methods PubMed and Ovid Medline were queried for English articles published between 2011 and 2016, including a few articles prior to this time as relevant examples. Search terms included 3-dimensional printing, 3 D printing, otolaryngology, additive manufacturing, craniofacial, reconstruction, temporal bone, airway, sinus, cost, and anatomic models. Conclusions Three-dimensional printing has been used in recent years in otolaryngology for preoperative planning, education, prostheses, grafting, and reconstruction. Emerging technologies include the printing of tissue scaffolds for the auricle and nose, more realistic training models, and personalized implantable medical devices. Implications for Practice After the up-front costs of 3D printing are accounted for, its utilization in surgical models, patient-specific implants, and custom instruments can reduce operating room time and thus decrease costs. Educational and training models provide an opportunity to better visualize anomalies, practice surgical technique, predict problems that might arise, and improve quality by reducing mistakes.

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