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Book: Robotic head and neck surgery

Magnuson, J. Scott / Genden, Eric M. / Kuppersmith, Ronald B.

the essential guide

2016

Author's details	J. Scott Magnuson ; Eric M. Genden ; Ronald B. Kuppersmith
Keywords	Otorhinolaryngologic Surgical Procedures / methods ; Robotic Surgical Procedures / methods ; Head / surgery ; Neck / surgery
Language	English
Size	XIV, 186 S. : Ill., graph. Darst.
Publisher	Thieme
Publishing place	New York u.a.
Publishing country	United States
Document type	Book
Accompanying material	Zugang zu zusätzlichem Internetmaterial über Code
HBZ-ID	HT018817735
ISBN	978-1-60406-919-8 ; 978-1-60406-921-1 ; 1-60406-919-8 ; 1-60406-921-X
Database	Catalogue ZB MED Medicine, Health

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Article ; Online: Transoral robotic parapharyngeal approach to the submandibular space.

Floros, Peter / Sorrentino, Mariano / Magnuson, J Scott

Head & neck

2020 Volume 42, Issue 12, Page(s) 3776–3778

Abstract: The aim of the study was to demonstrate a novel transoral parapharyngeal approach to the submandibular space. The method used was the clinical case of a patient presenting with an anteriorly based tumor in the left submandibular space. The video shows ... ...

Abstract	The aim of the study was to demonstrate a novel transoral parapharyngeal approach to the submandibular space. The method used was the clinical case of a patient presenting with an anteriorly based tumor in the left submandibular space. The video shows the transoral robotic technique for access to the submandibular space through the parapharyngeal space for removal of the tumor. This approach allows for high definition visibility and complete access to structures in the submandibular space including the submandibular gland. For robotic head and neck surgeons performing lateral oropharyngectomies, the anatomy is familiar, and the technique avoids potential access issues with traditional floor of mouth incisions. Furthermore, it provides a novel technique for identification of the hypoglossal nerve for potential preservation in oropharyngeal malignancy. The transoral robotic parapharyngeal approach to the submandibular space is safe, reproducible, and avoids unnecessary cervical incisions.
MeSH term(s)	Humans ; Mouth Floor ; Oropharyngeal Neoplasms/surgery ; Robotic Surgical Procedures ; Robotics ; Submandibular Gland/surgery
Language	English
Publishing date	2020-09-15
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	645165-2
ISSN	1097-0347 ; 0148-6403 ; 1043-3074
ISSN (online)	1097-0347
ISSN	0148-6403 ; 1043-3074
DOI	10.1002/hed.26453
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book: Robotic head and neck surgery

Magnuson, J. Scott / Genden, Eric M / Kuppersmith, Ronald B

the essential guide

2016

Author's details	[edited by] J. Scott Magnuson, Eric M. Genden, Ronald B. Kuppersmith
MeSH term(s)	Otorhinolaryngologic Surgical Procedures/methods ; Robotic Surgical Procedures/methods ; Head/surgery ; Neck/surgery
Language	English
Size	xiv, 186 pages :, illustrations
Document type	Book
ISBN	9781604069198 ; 9781604069211 ; 1604069198 ; 160406921X
Database	Catalogue of the US National Library of Medicine (NLM)

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Article ; Online: Robotic-Assisted Tubular Transoral Parapharyngeal Approach to the Ventral Craniovertebral Junction.

Basma, Jaafar / Rangarajan, Sanjeet V / Michael, L Madison / Magnuson, J Scott / Muhlbauer, Michael S / Gleysteen, John P

Operative neurosurgery (Hagerstown, Md.)

2021 Volume 21, Issue 1, Page(s) 14–19

Abstract: Background: Transoral robotic surgery (TORS) has become a routine technique for treating benign and malignant lesions of the oropharynx with the advantage of reducing morbidity compared to open surgical techniques. However, TORS has not been used ... ...

Abstract	Background: Transoral robotic surgery (TORS) has become a routine technique for treating benign and malignant lesions of the oropharynx with the advantage of reducing morbidity compared to open surgical techniques. However, TORS has not been used routinely for accessing lesions of the spine. Objective: To describe how TORS can be used to access spinal lesions. Methods: We describe our technique of accessing the parapharyngeal space using the robotic technique, and then dissecting the prevertebral muscles to expose the ventral craniovertebral junction. Tubular retraction with endoscopic visualization is then employed for surgical resection. We then report a case of a 14-yr-old competitive athlete who presented with an osseous lesion of C1, which underwent resection using this novel TORS approach. Results: Our patient underwent successful resection of a lateral C1 osteoid osteoma utilizing a combined TORS/endoscopic approach. She tolerated soft diet immediately and was discharged on postoperative day 2. Postoperative imaging revealed complete resection of the lesion, and she returned to competitive athletics within 6 wk. Conclusion: Utilizing this novel, robotic-assisted approach can definitively treat osseous cervical spine lesions while reducing morbidity, allowing for early return to normal diet and minimizing overall length of hospital stay.
MeSH term(s)	Adolescent ; Cervical Vertebrae/diagnostic imaging ; Cervical Vertebrae/surgery ; Endoscopy ; Female ; Humans ; Robotic Surgical Procedures ; Robotics
Language	English
Publishing date	2021-03-01
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2767575-0
ISSN	2332-4260 ; 2332-4252
ISSN (online)	2332-4260
ISSN	2332-4252
DOI	10.1093/ons/opab042
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Article ; Online: Hemostatic Options for Transoral Robotic Surgery of the Pharynx and Base of Tongue.

Crawford, Julia A / Bahgat, Ahmed Yassin / White, Hilliary N / Magnuson, J Scott

Otolaryngologic clinics of North America

2016 Volume 49, Issue 3, Page(s) 715–725

Abstract: Surgery with transoral robotic surgery (TORS) offers significant advantages compared with traditional open surgical approaches and potentially minimizes the long-term side effects of organ preservation therapy with chemoradiation. Angled telescopes and ... ...

Abstract	Surgery with transoral robotic surgery (TORS) offers significant advantages compared with traditional open surgical approaches and potentially minimizes the long-term side effects of organ preservation therapy with chemoradiation. Angled telescopes and wristed instruments allow visualization and access to areas of the pharynx that are difficult to reach with line-of-sight instrumentation. Although the application of TORS in head and neck surgery has expanded considerably, there are still only limited data available on the postoperative complications and their management. As further data become available, it is likely that further risk factors and treatment strategies will become available.
MeSH term(s)	Blood Loss, Surgical/prevention & control ; Hemostasis, Surgical/methods ; Hemostatic Techniques ; Humans ; Otorhinolaryngologic Surgical Procedures/adverse effects ; Otorhinolaryngologic Surgical Procedures/methods ; Pharyngeal Diseases/surgery ; Postoperative Hemorrhage/etiology ; Postoperative Hemorrhage/prevention & control ; Robotic Surgical Procedures/adverse effects ; Robotic Surgical Procedures/instrumentation ; Robotic Surgical Procedures/methods ; Tongue Diseases/surgery
Language	English
Publishing date	2016-06
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	417489-6
ISSN	1557-8259 ; 0030-6665
ISSN (online)	1557-8259
ISSN	0030-6665
DOI	10.1016/j.otc.2016.03.002
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Article ; Online: Transoral robotic surgery for oropharyngeal and tongue cancer in the United States.

Chung, Thomas K / Rosenthal, Eben L / Magnuson, J Scott / Carroll, William R

The Laryngoscope

2014 Volume 125, Issue 1, Page(s) 140–145

Abstract: Objectives/hypothesis: To compare the clinical and cost outcomes of transoral robotic surgery (TORS) versus open procedures following the U.S. Food and Drug Administration approval in December 2009.: Study design: Retrospective analysis of the ... ...

Abstract	Objectives/hypothesis: To compare the clinical and cost outcomes of transoral robotic surgery (TORS) versus open procedures following the U.S. Food and Drug Administration approval in December 2009. Study design: Retrospective analysis of the Nationwide Inpatient Sample from 2008 to 2011. Methods: Elective partial pharyngectomies and partial glossectomies for neoplasm were identified by International Classification of Diseases, 9th Revision, Clinical Modification code. Results: TORS represented 2.1% in 2010 and 2.2% in 2011 of all transoral ablative procedures. Patients undergoing open partial pharyngectomy for oropharyngeal neoplasms (n = 1426) had more severe illness compared to TORS (n = 641). However, after controlling for minor-to-moderate severity of illness, open partial pharyngectomy was associated with longer hospital stay (5.2 vs. 3.7 days, P < 0.001), higher charge ($98,228 vs. $67,317, P < 0.001), higher cost ($29,365 vs. $20,706, P < 0.001), higher rates of tracheostomy and gastrostomy tube placement, and more wound and bleeding complications. TORS was associated with a higher rate of dysphagia (19.5% vs. 8.0%, P < 0.001). The lower cost of TORS remained significant in the major-to-extreme severity of illness group but was associated with higher complication rates when compared to open cases of the same severity of illness. A similar analysis of TORS partial glossectomy for base of tongue tumors had similar cost and length of stay benefits, whereas TORS partial glossectomy for anterior tongue tumors revealed longer hospital stays and no benefit in charge or cost compared to open. Conclusions: Early data demonstrate a clinical and cost benefit in TORS partial pharyngectomy and partial glossectomy for the base of tongue but no benefit in partial glossectomy of the anterior tongue. It is likely that anatomic accessibility and extent of surgery factor into the effectiveness of TORS.
MeSH term(s)	Adult ; Aged ; Costs and Cost Analysis ; Female ; Glossectomy/economics ; Glossectomy/methods ; Humans ; Length of Stay/economics ; Male ; Middle Aged ; Neoplasm Staging ; Oropharyngeal Neoplasms/economics ; Oropharyngeal Neoplasms/pathology ; Oropharyngeal Neoplasms/surgery ; Pharyngectomy/economics ; Pharyngectomy/methods ; Postoperative Complications/economics ; Postoperative Complications/etiology ; Retrospective Studies ; Robotic Surgical Procedures/economics ; Robotic Surgical Procedures/methods ; Tongue Neoplasms/economics ; Tongue Neoplasms/pathology ; Tongue Neoplasms/surgery ; United States
Language	English
Publishing date	2014-08-05
Publishing country	United States
Document type	Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	80180-x
ISSN	1531-4995 ; 0023-852X
ISSN (online)	1531-4995
ISSN	0023-852X
DOI	10.1002/lary.24870
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Article ; Online: Harmonic Scalpel versus electrocautery and surgical clips in head and neck free-flap harvesting.

Dean, Nichole R / Rosenthal, Eben L / Morgan, Bruce A / Magnuson, J Scott / Carroll, William R

Ear, nose, & throat journal

2014 Volume 93, Issue 6, Page(s) E36–9

Abstract: We sought to determine the safety and utility of Harmonic Scalpel-assisted free-flap harvesting as an alternative to a combined electrocautery and surgical clip technique. The medical records of 103 patients undergoing radial forearm free-flap ... ...

Abstract	We sought to determine the safety and utility of Harmonic Scalpel-assisted free-flap harvesting as an alternative to a combined electrocautery and surgical clip technique. The medical records of 103 patients undergoing radial forearm free-flap reconstruction (105 free flaps) for head and neck surgical defects between 2006 and 2008 were reviewed. The use of bipolar electrocautery and surgical clips for division of small perforating vessels (n = 53) was compared to ultrasonic energy (Harmonic Scalpel; Ethicon Endo-Surgery, Inc., Cincinnati, Ohio) (n = 52) free-tissue harvesting techniques. Flap-harvesting time was reduced with the use of the Harmonic Scalpel when compared with electrocautery and surgical clip harvest (31.4 vs. 36.9 minutes, respectively; p = 0.06). Two patients who underwent flap harvest with electrocautery and surgical clips developed postoperative donor site hematomas, whereas no donor site complications were noted in the Harmonic Scalpel group. Recipient site complication rates for infection, fistula, and hematoma were similar for both harvesting techniques (p = 0.77). Two flap failures occurred in the clip-assisted radial forearm free-flap harvest group, and none in the Harmonic Scalpel group. Median length of hospitalization was significantly reduced for patients who underwent free-flap harvest with the Harmonic Scalpel when compared with the other technique (7 vs. 8 days; p = 0.01). The Harmonic Scalpel is safe, and its use is feasible for radial forearm free-flap harvest.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Cervicoplasty ; Electrocoagulation ; Fascia/transplantation ; Female ; Forearm/surgery ; Free Tissue Flaps ; Graft Survival ; Head and Neck Neoplasms/surgery ; Humans ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Retrospective Studies ; Skin Transplantation/methods ; Surgical Instruments ; Tissue and Organ Harvesting/adverse effects ; Tissue and Organ Harvesting/instrumentation ; Tissue and Organ Harvesting/methods
Language	English
Publishing date	2014-06
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	750153-5
ISSN	1942-7522 ; 0145-5613
ISSN (online)	1942-7522
ISSN	0145-5613
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Article ; Online: Transoral robotic sleep surgery: the obstructive sleep apnea-hypopnea syndrome.

Crawford, Julia A / Montevecchi, Fliippo / Montevechi, Filippo / Vicini, Claudio / Magnuson, J Scott

Otolaryngologic clinics of North America

2014 Volume 47, Issue 3, Page(s) 397–406

Abstract: Nocturnal upper airway collapse is often multi-level in nature but typically will involve some degree of obstruction at the level of the tongue-base. Several surgical procedures have been developed in recent years to address this area in patients ... ...

Abstract	Nocturnal upper airway collapse is often multi-level in nature but typically will involve some degree of obstruction at the level of the tongue-base. Several surgical procedures have been developed in recent years to address this area in patients resistant to continuous positive airway pressure. This article outlines a novel way to treat obstructive sleep apnea lingual obstruction using the da Vinci robotic surgical system. This technique offers significant potential advantages over other established approaches and it should be included in the surgical armamentarium of sleep surgeons.
MeSH term(s)	Humans ; Mouth/surgery ; Postoperative Complications ; Robotic Surgical Procedures ; Robotics/methods ; Sleep Apnea, Obstructive/surgery ; Tongue/surgery
Language	English
Publishing date	2014-06
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	417489-6
ISSN	1557-8259 ; 0030-6665
ISSN (online)	1557-8259
ISSN	0030-6665
DOI	10.1016/j.otc.2014.03.004
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Article ; Online: Endoscopic management of Zenker's diverticulum: stapler assisted versus Harmonic Ace.

Sharp, Dawn B / Newman, John R / Magnuson, J Scott

The Laryngoscope

2009 Volume 119, Issue 10, Page(s) 1906–1912

Abstract: Objectives/hypothesis: Endoscopic repair has become the preferred method of treatment for Zenker's diverticuli. The objective of this study is to compare the endoscopic stapling technique with a novel technique using the Harmonic Ace device (Ethicon ... ...

Abstract	Objectives/hypothesis: Endoscopic repair has become the preferred method of treatment for Zenker's diverticuli. The objective of this study is to compare the endoscopic stapling technique with a novel technique using the Harmonic Ace device (Ethicon Endo-Surgery, Inc., Cincinnati, OH). Study design: A retrospective chart review. Methods: Medical records of 48 consecutive patients who underwent endoscopic repair of a Zenker's diverticulum were reviewed. Data were gathered for demographics, symptoms, treatment techniques, and outcomes. Analysis was made using standard statistical methods. Results: A total of 52 endoscopic procedures were attempted and 50 performed: 28 stapler assisted, 20 Harmonic Ace assisted, and 2 using both techniques. Three procedures were aborted due to anatomic limitations. Forty-four (88%) patients reported complete resolution of their symptoms. Overall, there were six (12%) reported complications. Five (17.9%) complications involved the stapler technique and 1 (5%) using the Harmonic Ace. The difference between these two groups was not significant (P < .38). The average diverticulum size was smaller in the Harmonic Ace group compared to the stapler group (P < .0017). Patients with diverticuli larger than 2 cm were more likely to have postoperative complications than those with smaller ones. Conclusions: Stapler and Harmonic Ace assisted endoscopic repair of Zenker's diverticulum are two safe and effective minimally invasive techniques. Postoperative complications are more likely due to size of the diverticulum and not the device used. The Harmonic Ace used alone or in combination with the stapler may offer additional advantages over conventional open and stapler assisted techniques, addressing size limitations and persistent symptoms.
MeSH term(s)	Aged ; Deglutition Disorders/surgery ; Endoscopy, Digestive System/instrumentation ; Female ; Humans ; Male ; Retrospective Studies ; Surgical Stapling/methods ; Zenker Diverticulum/surgery
Language	English
Publishing date	2009-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	80180-x
ISSN	1531-4995 ; 0023-852X
ISSN (online)	1531-4995
ISSN	0023-852X
DOI	10.1002/lary.20142
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Article ; Online: Transoral robotic versus open surgical approaches to oropharyngeal squamous cell carcinoma by human papillomavirus status.

Ford, Samuel E / Brandwein-Gensler, Margaret / Carroll, William R / Rosenthal, Eben L / Magnuson, J Scott

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

2014 Volume 151, Issue 4, Page(s) 606–611

Abstract: Objectives: (1) Investigate oncologic survival outcomes and (2) analyze the impact of human papillomavirus status on prognosis in patients with oropharyngeal squamous cell carcinoma treated with transoral robotic versus open surgery.: Study design: ... ...

Abstract	Objectives: (1) Investigate oncologic survival outcomes and (2) analyze the impact of human papillomavirus status on prognosis in patients with oropharyngeal squamous cell carcinoma treated with transoral robotic versus open surgery. Study design: Retrospective cohort study. Setting: Tertiary care referral center, University of Alabama at Birmingham Hospital. Subjects: One hundred thirty total (65 per treatment arm) with primary oropharyngeal squamous cell carcinoma (OPSCC). Methods: Patients treated for primary oropharyngeal squamous cell carcinoma with either transoral robotic (TORS) or open surgery plus standard of care adjuvant therapy between October 2004 and March 2012 were matched based on TNM staging before a retrospective chart review was performed. Carcinoma tissue was stained both prospectively and retrospectively with CINtec p16-INK4a kits for surrogate human papillomavirus typing. Recurrence-free survival was used to evaluate the impact of human papillomavirus tumor status and method of surgical intervention on prognosis. Results: As a whole, patients treated with transoral robotic surgery survived more frequently (94%, 91%, 89% at 1, 2, 3 years, respectively) than those treated with open surgery (85%, 75%, 73% at 1, 2, 3 years, correspondingly) (P = .035). The subgroup of patients with human papillomavirus-negative malignancies treated with open surgery survived without recurrence less frequently at 1, 2, and 3 year rates of 58%, 25%, 25%, respectively (P < .01). Conclusion: These retrospective data suggest that oncologic outcomes are not being sacrificed when patients with OPSCC are treated with TORS instead of open surgery regardless of tumor human papillomavirus immunohistochemical staining.
MeSH term(s)	Aged ; Carcinoma, Squamous Cell/pathology ; Carcinoma, Squamous Cell/surgery ; Carcinoma, Squamous Cell/virology ; Disease-Free Survival ; Female ; Humans ; Male ; Middle Aged ; Neoplasm Staging ; Oropharyngeal Neoplasms/pathology ; Oropharyngeal Neoplasms/surgery ; Oropharyngeal Neoplasms/virology ; Papillomaviridae/isolation & purification ; Retrospective Studies ; Robotic Surgical Procedures ; Treatment Outcome
Language	English
Publishing date	2014-10
Publishing country	England
Document type	Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	392085-9
ISSN	1097-6817 ; 0161-6439 ; 0194-5998
ISSN (online)	1097-6817
ISSN	0161-6439 ; 0194-5998
DOI	10.1177/0194599814542939
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