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

Author(s):  
Jyoti P. Dabholkar

<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>

Author(s):  
Magis Mandapathil ◽  
Jens E. Meyer

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.


2016 ◽  
Vol 88 (11) ◽  
pp. 1129-1134 ◽  
Author(s):  
Nir Hirshoren ◽  
Olivia Ruskin ◽  
Tsien Fua ◽  
Stephen Kleid ◽  
Matthew Magarey ◽  
...  

2019 ◽  
Vol VOLUME 7 (VOLUME 7 NUMBER 2 NOV 2018) ◽  
pp. 15-20 ◽  
Author(s):  
Venkatakarthikeyan

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.


2021 ◽  
pp. 000348942199696
Author(s):  
Hilary C. McCrary ◽  
Sierra R. McLean ◽  
Abigail Luman ◽  
Patricia O’Sullivan ◽  
Brigitte Smith ◽  
...  

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


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

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

2010 ◽  
Vol 124 (5) ◽  
pp. 482-489 ◽  
Author(s):  
V Kisilevsky ◽  
N A Bailie ◽  
J J Halik

AbstractAims:We aimed to evaluate bilateral hearing function in patients undergoing primary unilateral stapedotomy, according to the 1995 American Academy of Otolaryngology, Head and Neck Surgery guidelines and the Glasgow benefit plot. We also aimed to analyse the effect of pre-operative hearing impairment type on post-stapedotomy hearing.Study design:Retrospective chart review.Methods:Medical records relating to 1369 stapedotomies performed by the senior author (JJH) from 1991 to 2006 were reviewed. Seven hundred and fifty-one patients undergoing primary unilateral stapedotomy were included. Hearing results for these patients were evaluated according to the criteria of the 1995 American Academy of Otolaryngology, Head and Neck Surgery Committee on Hearing and Equilibrium guidelines, and the Glasgow benefit plot. Subgroups of patients with pre-operative unilateral, bilateral symmetrical and bilateral asymmetrical hearing loss were separately analysed.Results:The most successful results, as regards the achievement of bilateral, socially serviceable hearing, were demonstrated in patients with unilateral hearing loss; 78 per cent of these patients had normal hearing post-operatively. Overall, patients' achievement of bilateral, socially serviceable hearing correlated highly with their type of pre-operative hearing impairment (r = 0.74). Normal post-operative hearing levels also correlated with pre-operative bone conduction (r = 0.61).Conclusion:This study represents the largest reported series of primary stapedotomy cases evaluated with the Glasgow benefit plot. Patients' bilateral post-operative hearing function depended on their type of pre-operative hearing impairment. Pre-operative bone conduction thresholds, corrected for Carhart's effect, were useful in predicting achievable post-operative air conduction.


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