The authors have no funding, financial relationships, or conflicts of interest to disclose.
Head and Neck
Transoral robotic total laryngectomy†
Version of Record online: 8 JAN 2013
Copyright © 2013 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 123, Issue 3, pages 678–682, March 2013
How to Cite
Smith, R. V., Schiff, B. A., Sarta, C., Hans, S. and Brasnu, D. (2013), Transoral robotic total laryngectomy. The Laryngoscope, 123: 678–682. doi: 10.1002/lary.23842
- Issue online: 26 FEB 2013
- Version of Record online: 8 JAN 2013
- Manuscript Accepted: 1 OCT 2012
- Manuscript Revised: 5 SEP 2012
- Manuscript Received: 16 MAY 2012
- Total laryngectomy;
- transoral robotic surgery;
- Level of Evidence: 4
Minimally invasive surgery has become the standard of care in many organ systems. Head and neck surgery has incorporated transoral surgery, either laser microsurgery or robotic resection, in the management of pharyngeal and laryngeal cancers. To date, the laryngeal procedures have taken the form of partial laryngectomy, as transoral approaches have not allowed reconstruction following total laryngectomy. We present the first series of transoral total laryngectomies.
Multinational, multi-institutional prospective consecutive case series.
Case series of completed and attempted transoral robotic surgery (TORS) total laryngectomy performed under an institutional review board protocol. The procedure was developed in the cadaver laboratory and applied to selected individuals requiring total laryngectomy for recurrent laryngeal cancer or post-therapeutic organ dysfunction.
TORS total laryngectomy was successfully performed in five patients and was unsuccessful in two others. Two of the patients had postoperative fistulae, and all seven are without evidence of recurrent cancer and are swallowing orally without gastrostomy supplementation.
TORS total laryngectomy is feasible and can be taught to other surgeons. Potential benefits of this approach are present for patients undergoing salvage laryngectomy and include improved wound healing and functional results. This procedure further extends the applications of robotic head and neck surgery. Laryngoscope, 2013