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Article: Lateral palatal flap approach to the nasopharynx and parapharyngeal space for transoral robotic surgery: a cadaveric study

TitleLateral palatal flap approach to the nasopharynx and parapharyngeal space for transoral robotic surgery: a cadaveric study
Authors
KeywordsNasopharyngectomy
Recurrent nasopharyngeal cancer
Robotic surgery
Issue Date2013
PublisherSpringer-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?
AbstractThe 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 Identifierhttp://hdl.handle.net/10722/147126
ISSN
2015 SCImago Journal Rankings: 0.216
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 FieldValueLanguage
dc.contributor.authorTsang, RKen_HK
dc.contributor.authorMohr, Cen_HK
dc.date.accessioned2012-05-28T08:19:28Z-
dc.date.available2012-05-28T08:19:28Z-
dc.date.issued2013en_HK
dc.identifier.citationJournal Of Robotic Surgery, 2013, v. 7 n. 2, p. 119-123en_HK
dc.identifier.issn1863-2483en_HK
dc.identifier.urihttp://hdl.handle.net/10722/147126-
dc.description.abstractThe 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.languageengen_US
dc.publisherSpringer-Verlag London Ltd. The Journal's web site is located at http://www.springer.com/journal/11701en_HK
dc.relation.ispartofJournal of Robotic Surgeryen_HK
dc.rightsThe Author(s)en_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong Licenseen_US
dc.rightsThe original publication is available at www.springerlink.com-
dc.subjectNasopharyngectomyen_HK
dc.subjectRecurrent nasopharyngeal canceren_HK
dc.subjectRobotic surgeryen_HK
dc.titleLateral palatal flap approach to the nasopharynx and parapharyngeal space for transoral robotic surgery: a cadaveric studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://www.springerlink.com/link-out/?id=2104&code=68143X21506437LP&MUD=MPen_US
dc.identifier.emailTsang, RK: rkytsang@hku.hken_HK
dc.identifier.authorityTsang, RK=rp01386en_HK
dc.description.naturepublished_or_final_versionen_US
dc.identifier.doi10.1007/s11701-012-0351-6en_HK
dc.identifier.scopuseid_2-s2.0-84878106461en_HK
dc.identifier.hkuros200853-
dc.relation.referencesOzer E, Waltonen J (2008) Transoral robotic nasopharyngectomy: a novel approach for nasopharyngeal lesions. Laryngoscope 118(9):1613–1616. doi:en_US
dc.relation.referencesdoi: 10.1097/MLG.0b013e3181792490en_US
dc.relation.referencesDallan 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-xen_US
dc.relation.referencesdoi: 10.1007/s00405-011-1550-xen_US
dc.relation.referencesWei WI, Ho W-K (2010) Transoral Robotic Resection of Recurrent Nasopharyngeal Carcinoma. The Laryngoscope. doi:10.1002/lary.21059en_US
dc.relation.referencesdoi: 10.1002/lary.21059en_US
dc.relation.referencesYin Tsang RK, Ho WK, Wei WI (2011) Combined transnasal endoscopic and transoral robotic resection of recurrent nasopharyngeal carcinoma. Head Neck. doi:10.1002/hed.21731en_US
dc.relation.referencesdoi: 10.1002/hed.21731en_US
dc.relation.referencesNg RW, Wei WI (2005) Elimination of palatal fistula after the maxillary swing procedure. Head Neck 27(7):608–612. doi:en_US
dc.relation.referencesdoi: 10.1002/hed.20220en_US
dc.relation.referencesWei WI, Lam KH, Sham JS (1991) New approach to the nasopharynx: the maxillary swing approach. Head Neck 13(3):200–207en_US
dc.relation.referencesdoi: 10.1002/hed.2880130306en_US
dc.relation.referencesTo 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.referencesdoi: 10.1054/bjom.2000.0479en_US
dc.relation.referencesMorton 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.referencesdoi: 10.1002/(SICI)1097-0347en_US
dc.relation.referencesFisch U (1983) The infratemporal fossa approach for nasopharyngeal tumors. Laryngoscope 93(1):36–44en_US
dc.relation.referencesdoi: 10.1288/00005537-198301000-00007en_US
dc.relation.referencesWei 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.referencesdoi: 10.1002/hed.21558en_US
dc.relation.referencesVlantis 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.referencesdoi: 10.1016/j.otohns.2008.04.018en_US
dc.relation.referencesFee 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):280–284en_US
dc.relation.referencesChen 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.referencesdoi: 10.1002/lary.20133en_US
dc.relation.referencesYoshizaki 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.referencesdoi: 10.1097/01.MLG.0000165383.35100.17en_US
dc.relation.referencesChan JY, Chow VL, Tsang R, Wei WI (2011) Nasopharyngectomy for locally advanced recurrent nasopharyngeal carcinoma: exploring the limits. Head Neck. doi:10.1002/hed.21855en_US
dc.relation.referencesdoi: 10.1002/hed.21855en_US
dc.relation.referencesKhoo 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.referencesdoi: 10.1002/hed.1132en_US
dc.relation.referencesEdge SB (2010) American Joint Committee on Cancer. AJCC cancer staging manual, 7th edn. Springer, New York, NYen_US
dc.identifier.spage119en_HK
dc.identifier.epage123en_HK
dc.identifier.eissn1863-2491en_US
dc.publisher.placeUnited Kingdomen_HK
dc.description.otherSpringer Open Choice, 28 May 2012en_US
dc.identifier.scopusauthoridTsang, RK=7102940058en_HK
dc.identifier.scopusauthoridMohr, C=8667491800en_HK
dc.identifier.citeulike10644286-

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