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Robotic nasopharyngectomy via combined endonasal and transantral port: a preliminary cadaveric study.
Laryngoscope
August 2015
Department of Otorhinolaryngology, Airway Mucus Institute, Yonsei University College of Medicine, Seoul, Korea.
Objectives/hypothesis: The objective of this study was to determine the potential role of a surgical robotic system in nasopharyngeal surgery using bilateral transantral or combined endonasal/transantral port.
Study Design: The da Vinci robot (Intuitive Surgical Inc., Sunnyvale, CA) was used to perform dissection of the skull base on a whole fresh-frozen cadaver.
The role of robotic surgery in the skull base is evolving and represents the natural progression toward maximizing surgical resections in confined spaces without compromising oncological principles. In this study, we describe the novel application of robotic surgery to the repair of dural defects in the skull base. A transmaxillary-transantral approach to the nasal cavity was performed bilaterally in a cadaveric model.
View Article and Find Full Text PDFTransantral robotic access to the pituitary gland.
Otolaryngol Head Neck Surg
September 2009
Department of Head and Neck Surgery, MD Anderson Cancer Center, Houston, TX 77030, USA.
Robotic endoscopic surgery of the skull base: a novel surgical approach.
Arch Otolaryngol Head Neck Surg
December 2007
Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX 77030-4009, USA.
Objective: To describe a novel robotic surgical approach that allows adequate endoscopic access for resection of tumors involving the anterior and central skull base and allows 2-handed, tremor-free, endoscopic dissection and precise suturing of dural defects.
Design: Transnasal endoscopic approaches are being increasingly used for surgical access and resection of tumors of the anterior and central skull base. One major disadvantage of this approach is the inability to provide watertight dural closure and reconstruction, which limits its safety and widespread adoption in surgery of intracranial skull base tumors.
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