TORS with the Flex® Robotic System
Fig. 19.1 Components of the Flex® Robotic System Fig. 19.2 Surgeon uses joystick-like controller on Flex® Console to position scope Fig. 19.3 The base can be angled via the lockable…
Complications and Postoperative Care
Complication % cases Hemorrhage 3.10 Tooth injury 1.40 Dehydration requiring admission 1.30 Aspiration pneumonia 1.10 Temporary (<2 months) hypoglossal nerve injury 0.90 An increased risk of complications may be seen…
Robotic Surgery of the Skull Base
Fig. 14.1 (a) Sublabial incisions with bilateral exposure of the face of the maxilla. (b) Identification and preservation of the infraorbital nerve (arrow). (c) Docking of the camera (C) and…
Management of the Neck for Oropharyngeal Squamous Cell Carcinoma in the Era of Transoral Robotic-Assisted Surgery (TORS)
Level of cervical nodal metastases Oral cavity primary (elective ND) Oral cavity primary (therapeutic ND) Oropharyngeal primary (elective ND) Oropharyngeal primary (therapeutic ND) Hypopharyngeal primary (elective ND) Hypopharyngeal primary (therapeutic…
Laryngeal Robotic Surgery
Fig. 9.1 Endoscopic view of the normal larynx, labeled with surface anatomy. base of tongue (BOT); Vallecula (V); Petiole (P); false vocal cord (FVC); true vocal cord (TVC); arytenoid (A);…
Robotic Instrumentation, Personnel, and Operating Room Setup
Fig. 2.1 Diagram of TORS operating room arrangement With the surgical bed in a central location, the anesthesiologist and anesthesia cart are at the foot of the patient. Similar to…
Intraoperative Imaging and Navigation in Robotic Surgery
(1) Intuitive Surgical, Sunnyvale, CA, USA 20.1 Introduction A clinician performing head and neck robotic surgery currently relies on volumetric preoperative and diagnostic images (e.g., computed tomography (CT) and/or…
Transoral Robotic Surgery for Base of Tongue Cancer
Fig. 8.1 Set up. View from head of bed with intubated patient in suspension with robotic arms in proper orientation, demonstrating suture securing endotracheal tube and tongue suture 8.4 Robot…
Retractors for Transoral Robotic Surgery
Fig. 6.1 Crowe-Davis (left) and McIvor (right) retractor systems with different-sized tongue blades With many years of experience with these standard retractors for oropharyngeal surgery, it is no surprise that…
The Utilization of Transoral Robotic Surgery in the Pediatric Patient
Fig. 15.1 Oral cavity access in pediatric patient for lingual tonsillectomy and base of tongue reduction 15.3 Procedures Performed 1. TORS of the lingual tonsil and base of tongue (a)…
