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Article: Lateral palatal flap approach to the nasopharynx and parapharyngeal space for transoral robotic surgery: a cadaveric study
| Title | Lateral palatal flap approach to the nasopharynx and parapharyngeal space for transoral robotic surgery: a cadaveric study |
|---|---|
| Authors | |
| Keywords | Nasopharyngectomy Recurrent nasopharyngeal cancer Robotic surgery |
| Issue Date | 2013 |
| Publisher | Springer-Verlag London Ltd. The Journal's web site is located at http://www.springer.com/journal/11701 |
| Citation | Journal Of Robotic Surgery, 2013, v. 7 n. 2, p. 119-123 How to Cite? |
| Abstract | The da Vinci surgical robot has been used for minimally invasive surgery of the head and neck region including resection of tumors in the nasopharynx. Access to and vision of the nasopharynx with the robot are difficult. A pure transoral approach and midline palatal split approach have been described. The disadvantage of these approaches is the limited lateral access to the parapharyngeal space. The objective of this study was to investigate the feasibility of accessing the nasopharynx and parapharyngeal space with a lateral palatal flap. Two complete nasopharyngectomies with resection of the parapharyngeal space and exposure of the internal carotid artery and branches of the mandibular nerves were performed on two fresh cadavers with the da Vinci surgical robot. The set up of the robot, the surgical procedure of elevating the lateral palatal flap, and robotic resection of the nasopharynx and parapharyngeal space are described. © 2012 The Author(s). |
| Persistent Identifier | http://hdl.handle.net/10722/147126 |
| ISSN | 2023 Impact Factor: 2.2 2023 SCImago Journal Rankings: 0.661 |
| ISI Accession Number ID | |
| References | Ozer E, Waltonen J (2008) Transoral robotic nasopharyngectomy: a novel approach for nasopharyngeal lesions. Laryngoscope 118(9):1613–1616. doi: doi: 10.1097/MLG.0b013e3181792490 Dallan I, Castelnuovo P, Montevecchi F, Battaglia P, Cerchiai N, Seccia V, Vicini C (2011) Combined transoral transnasal robotic-assisted nasopharyngectomy: a cadaveric feasibility study. Eur Arch Otorhinolaryngol. doi:10.1007/s00405-011-1550-x Wei WI, Ho W-K (2010) Transoral Robotic Resection of Recurrent Nasopharyngeal Carcinoma. The Laryngoscope. doi:10.1002/lary.21059 Yin Tsang RK, Ho WK, Wei WI (2011) Combined transnasal endoscopic and transoral robotic resection of recurrent nasopharyngeal carcinoma. Head Neck. doi:10.1002/hed.21731 Ng RW, Wei WI (2005) Elimination of palatal fistula after the maxillary swing procedure. Head Neck 27(7):608–612. doi: doi: 10.1002/hed.20220 Wei WI, Lam KH, Sham JS (1991) New approach to the nasopharynx: the maxillary swing approach. Head Neck 13(3):200–207 doi: 10.1002/hed.2880130306 To EW, Teo PM, Ku PK, Pang PC (2001) Nasopharyngectomy for recurrent nasopharyngeal carcinoma: an innovative transnasal approach through a mid-face deglove incision with stereotactic navigation guidance. Br J Oral Maxillofac Surg 39(1):55–62. doi: doi: 10.1054/bjom.2000.0479 Morton RP, Liavaag PG, McLean M, Freeman JL (1996) Transcervico-mandibulo-palatal approach for surgical salvage of recurrent nasopharyngeal cancer. Head Neck 18(4):352–358. doi: doi: 10.1002/(SICI)1097-0347 Fisch U (1983) The infratemporal fossa approach for nasopharyngeal tumors. Laryngoscope 93(1):36–44 doi: 10.1288/00005537-198301000-00007 Wei WI, Chan JY, Ng RW, Ho WK (2011) Surgical salvage of persistent or recurrent nasopharyngeal carcinoma with maxillary swing approach—critical appraisal after 2 decades. Head Neck 33(7):969–975. doi: doi: 10.1002/hed.21558 Vlantis AC, Yu BK, Kam MK, Hung T, Lo PS, King AD, Tong MC, van Hasselt CA (2008) Nasopharyngectomy: does the approach to the nasopharynx influence survival? Otolaryngol Head Neck Surg 139(1):40–46. doi: doi: 10.1016/j.otohns.2008.04.018 Chen MY, Wen WP, Guo X, Yang AK, Qian CN, Hua YJ, Wan XB, Guo ZM, Li TY, Hong MH (2009) Endoscopic nasopharyngectomy for locally recurrent nasopharyngeal carcinoma. Laryngoscope 119(3):516–522. doi: doi: 10.1002/lary.20133 Yoshizaki T, Wakisaka N, Murono S, Shimizu Y, Furukawa M (2005) Endoscopic nasopharyngectomy for patients with recurrent nasopharyngeal carcinoma at the primary site. Laryngoscope 115(8):1517–1519. doi: doi: 10.1097/01.MLG.0000165383.35100.17 Chan JY, Chow VL, Tsang R, Wei WI (2011) Nasopharyngectomy for locally advanced recurrent nasopharyngeal carcinoma: exploring the limits. Head Neck. doi:10.1002/hed.21855 Khoo ML, Soo KC, Gullane PJ, Neligan PC, Hong SW, Lee JC, Siow JK (2001) Resurfacing of the nasopharynx after nasopharyngectomy using a free radial forearm flap. Head Neck 23(10):916–922. doi: doi: 10.1002/hed.1132 |
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Tsang, RK | en_HK |
| dc.contributor.author | Mohr, C | en_HK |
| dc.date.accessioned | 2012-05-28T08:19:28Z | - |
| dc.date.available | 2012-05-28T08:19:28Z | - |
| dc.date.issued | 2013 | en_HK |
| dc.identifier.citation | Journal Of Robotic Surgery, 2013, v. 7 n. 2, p. 119-123 | en_HK |
| dc.identifier.issn | 1863-2483 | en_HK |
| dc.identifier.uri | http://hdl.handle.net/10722/147126 | - |
| dc.description.abstract | The da Vinci surgical robot has been used for minimally invasive surgery of the head and neck region including resection of tumors in the nasopharynx. Access to and vision of the nasopharynx with the robot are difficult. A pure transoral approach and midline palatal split approach have been described. The disadvantage of these approaches is the limited lateral access to the parapharyngeal space. The objective of this study was to investigate the feasibility of accessing the nasopharynx and parapharyngeal space with a lateral palatal flap. Two complete nasopharyngectomies with resection of the parapharyngeal space and exposure of the internal carotid artery and branches of the mandibular nerves were performed on two fresh cadavers with the da Vinci surgical robot. The set up of the robot, the surgical procedure of elevating the lateral palatal flap, and robotic resection of the nasopharynx and parapharyngeal space are described. © 2012 The Author(s). | en_HK |
| dc.language | eng | en_US |
| dc.publisher | Springer-Verlag London Ltd. The Journal's web site is located at http://www.springer.com/journal/11701 | en_HK |
| dc.relation.ispartof | Journal of Robotic Surgery | en_HK |
| dc.rights | The Author(s) | en_US |
| dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | en_US |
| dc.rights | The original publication is available at www.springerlink.com | - |
| dc.subject | Nasopharyngectomy | en_HK |
| dc.subject | Recurrent nasopharyngeal cancer | en_HK |
| dc.subject | Robotic surgery | en_HK |
| dc.title | Lateral palatal flap approach to the nasopharynx and parapharyngeal space for transoral robotic surgery: a cadaveric study | en_HK |
| dc.type | Article | en_HK |
| dc.identifier.openurl | http://www.springerlink.com/link-out/?id=2104&code=68143X21506437LP&MUD=MP | en_US |
| dc.identifier.email | Tsang, RK: rkytsang@hku.hk | en_HK |
| dc.identifier.authority | Tsang, RK=rp01386 | en_HK |
| dc.description.nature | published_or_final_version | en_US |
| dc.identifier.doi | 10.1007/s11701-012-0351-6 | en_HK |
| dc.identifier.scopus | eid_2-s2.0-84878106461 | en_HK |
| dc.identifier.hkuros | 200853 | - |
| dc.relation.references | Ozer E, Waltonen J (2008) Transoral robotic nasopharyngectomy: a novel approach for nasopharyngeal lesions. Laryngoscope 118(9):1613–1616. doi: | en_US |
| dc.relation.references | doi: 10.1097/MLG.0b013e3181792490 | en_US |
| dc.relation.references | Dallan I, Castelnuovo P, Montevecchi F, Battaglia P, Cerchiai N, Seccia V, Vicini C (2011) Combined transoral transnasal robotic-assisted nasopharyngectomy: a cadaveric feasibility study. Eur Arch Otorhinolaryngol. doi:10.1007/s00405-011-1550-x | en_US |
| dc.relation.references | doi: 10.1007/s00405-011-1550-x | en_US |
| dc.relation.references | Wei WI, Ho W-K (2010) Transoral Robotic Resection of Recurrent Nasopharyngeal Carcinoma. The Laryngoscope. doi:10.1002/lary.21059 | en_US |
| dc.relation.references | doi: 10.1002/lary.21059 | en_US |
| dc.relation.references | Yin Tsang RK, Ho WK, Wei WI (2011) Combined transnasal endoscopic and transoral robotic resection of recurrent nasopharyngeal carcinoma. Head Neck. doi:10.1002/hed.21731 | en_US |
| dc.relation.references | doi: 10.1002/hed.21731 | en_US |
| dc.relation.references | Ng RW, Wei WI (2005) Elimination of palatal fistula after the maxillary swing procedure. Head Neck 27(7):608–612. doi: | en_US |
| dc.relation.references | doi: 10.1002/hed.20220 | en_US |
| dc.relation.references | Wei WI, Lam KH, Sham JS (1991) New approach to the nasopharynx: the maxillary swing approach. Head Neck 13(3):200–207 | en_US |
| dc.relation.references | doi: 10.1002/hed.2880130306 | en_US |
| dc.relation.references | To EW, Teo PM, Ku PK, Pang PC (2001) Nasopharyngectomy for recurrent nasopharyngeal carcinoma: an innovative transnasal approach through a mid-face deglove incision with stereotactic navigation guidance. Br J Oral Maxillofac Surg 39(1):55–62. doi: | en_US |
| dc.relation.references | doi: 10.1054/bjom.2000.0479 | en_US |
| dc.relation.references | Morton RP, Liavaag PG, McLean M, Freeman JL (1996) Transcervico-mandibulo-palatal approach for surgical salvage of recurrent nasopharyngeal cancer. Head Neck 18(4):352–358. doi: | en_US |
| dc.relation.references | doi: 10.1002/(SICI)1097-0347 | en_US |
| dc.relation.references | Fisch U (1983) The infratemporal fossa approach for nasopharyngeal tumors. Laryngoscope 93(1):36–44 | en_US |
| dc.relation.references | doi: 10.1288/00005537-198301000-00007 | en_US |
| dc.relation.references | Wei WI, Chan JY, Ng RW, Ho WK (2011) Surgical salvage of persistent or recurrent nasopharyngeal carcinoma with maxillary swing approach—critical appraisal after 2 decades. Head Neck 33(7):969–975. doi: | en_US |
| dc.relation.references | doi: 10.1002/hed.21558 | en_US |
| dc.relation.references | Vlantis AC, Yu BK, Kam MK, Hung T, Lo PS, King AD, Tong MC, van Hasselt CA (2008) Nasopharyngectomy: does the approach to the nasopharynx influence survival? Otolaryngol Head Neck Surg 139(1):40–46. doi: | en_US |
| dc.relation.references | doi: 10.1016/j.otohns.2008.04.018 | en_US |
| dc.relation.references | Fee WE Jr, Moir MS, Choi EC, Goffinet D (2002) Nasopharyngectomy for recurrent nasopharyngeal cancer: a 2- to 17-year follow-up. Arch Otolaryngol Head Neck Surg 128(3):280–284 | en_US |
| dc.relation.references | Chen MY, Wen WP, Guo X, Yang AK, Qian CN, Hua YJ, Wan XB, Guo ZM, Li TY, Hong MH (2009) Endoscopic nasopharyngectomy for locally recurrent nasopharyngeal carcinoma. Laryngoscope 119(3):516–522. doi: | en_US |
| dc.relation.references | doi: 10.1002/lary.20133 | en_US |
| dc.relation.references | Yoshizaki T, Wakisaka N, Murono S, Shimizu Y, Furukawa M (2005) Endoscopic nasopharyngectomy for patients with recurrent nasopharyngeal carcinoma at the primary site. Laryngoscope 115(8):1517–1519. doi: | en_US |
| dc.relation.references | doi: 10.1097/01.MLG.0000165383.35100.17 | en_US |
| dc.relation.references | Chan JY, Chow VL, Tsang R, Wei WI (2011) Nasopharyngectomy for locally advanced recurrent nasopharyngeal carcinoma: exploring the limits. Head Neck. doi:10.1002/hed.21855 | en_US |
| dc.relation.references | doi: 10.1002/hed.21855 | en_US |
| dc.relation.references | Khoo ML, Soo KC, Gullane PJ, Neligan PC, Hong SW, Lee JC, Siow JK (2001) Resurfacing of the nasopharynx after nasopharyngectomy using a free radial forearm flap. Head Neck 23(10):916–922. doi: | en_US |
| dc.relation.references | doi: 10.1002/hed.1132 | en_US |
| dc.relation.references | Edge SB (2010) American Joint Committee on Cancer. AJCC cancer staging manual, 7th edn. Springer, New York, NY | en_US |
| dc.identifier.spage | 119 | en_HK |
| dc.identifier.epage | 123 | en_HK |
| dc.identifier.eissn | 1863-2491 | en_US |
| dc.identifier.isi | WOS:000214506200004 | - |
| dc.publisher.place | United Kingdom | en_HK |
| dc.description.other | Springer Open Choice, 28 May 2012 | en_US |
| dc.identifier.scopusauthorid | Tsang, RK=7102940058 | en_HK |
| dc.identifier.scopusauthorid | Mohr, C=8667491800 | en_HK |
| dc.identifier.citeulike | 10644286 | - |
| dc.identifier.issnl | 1863-2483 | - |