AI Article Synopsis
- A new surgical technique called robotically assisted submandibular gland transposition (SMGT) is introduced to help reconstruct defects after transoral robotic surgery (TORS) radical tonsillectomy.
- A 48-year-old man with tonsillar squamous cell carcinoma underwent TORS surgery and reconstruction with SMGT, leading to minimal pain and a quick recovery with no bleeding.
- The technique has been successfully applied in five additional cases, suggesting it may decrease complications like dysphagia and postoperative pain while lowering bleeding risks.
Article Abstract
Significant dysphagia, pain, and risk of bleeding occur after transoral robotic surgery (TORS) radical tonsillectomy. We present a novel surgical technique utilizing robotically assisted submandibular gland transposition (SMGT) to reconstruct the radical tonsillar defect. A 48-year-old male with p16+ tonsillar squamous cell carcinoma underwent deep TORS radical tonsillectomy, contralateral tonsillectomy, ipsilateral neck dissection, and TORS-assisted reconstruction of the radical defect with ipsilateral SMGT. Postoperatively, the patient experienced minimal pain and was discharged on postoperative day (POD) 3 tolerating a soft diet. There were no episodes of postoperative bleeding. This procedure was performed in five other cases as well. Transoral robotic SMGT can be used successfully to repair deep TORS radical tonsillectomy defects and may theoretically reduce dysphagia, pain, and the risk of hemorrhage.
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| http://dx.doi.org/10.1002/hed.26622 | DOI Listing |
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