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Transoral robotic surgery for large mixed laryngocoele

Published online by Cambridge University Press:  28 February 2013

P G Ciabatti ,
G Burali  and
L D'Ascanio
P G Ciabatti
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, San Donato Hospital, Arezzo, Italy
G Burali
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, San Donato Hospital, Arezzo, Italy
L D'Ascanio*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Città di Castello Civil Hospital, Perugia, Italy
*
Address for correspondence: Dr L D'Ascanio, Department of Otolaryngology – Head and Neck Surgery, Città di Castello Civil Hospital, Via Engels, 06012 Città di Castello, Perugia, Italy Fax: +39 (0)758509670 E-mail: [email protected]
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Abstract

Background:

A laryngocoele is an abnormal dilatation of Morgagni's ventricle in direct communication with the laryngeal lumen. Surgical excision through a cervical approach is traditionally considered the treatment of choice for large (external and mixed) laryngocoeles. This paper describes the first reported case of a large mixed laryngocoele treated with transoral robotic surgery without cervical incisions.

Method:

A 69-year-old female underwent transoral robotic surgery for the excision of a large mixed left laryngocoele. The surgery was performed using the da Vinci S surgical robotic system (Intuitive Surgical, Sunnyvale, California, USA).

Results:

No complications were observed and the patient was discharged 2 days post-operation.

Conclusion:

Transoral robotic surgery enabled accurate dissection with complete removal of the large mixed laryngocoele via a minimally invasive approach. The advantages of transoral robotic surgery over other techniques for laryngocoele excision are discussed.

Keywords

LaryngoceleRoboticsSurgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 4 , April 2013 , pp. 435 - 437
Copyright
Copyright © JLO (1984) Limited 2013

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References

1Felix, JA, Felix, F, Mello, LF. Laryngocele: a cause of upper airway obstruction. Braz J Otorhinolaryngol 2008;74:143–6CrossRefGoogle ScholarPubMed
2Dursun, G, Ozgursoy, OB, Beton, S, Batikhan, H. Current diagnosis and treatment of laryngocele in adults. Otolaryngol Head Neck Surg 2007;136:211–15CrossRefGoogle ScholarPubMed
3Martinez Devesa, P, Ghufoor, K, Lloyd, S, Howard, D. Endoscopic CO2 laser management of laryngocele. Laryngoscope 2002;112:1426–30CrossRefGoogle ScholarPubMed
4O'Malley, BW Jr, Weinstein, GS, Snyder, W, Hockstein, NG. Transoral robotic surgery (TORS) for base of tongue neoplasms. Laryngoscope 2006;116:1465–72CrossRefGoogle ScholarPubMed
5Kwoh, YS, Hou, J, Jonckheere, EA, Hayati, S. A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE Trans Biomed Eng 1988;35:153–60CrossRefGoogle ScholarPubMed
6Davies, B. A review of robotics in surgery. Proc Inst Mech Eng H 2000;214:129–40CrossRefGoogle ScholarPubMed
7Hockstein, NG, Nolan, JP, O'Malley, BW Jr, Woo, YJ. Robotic microlaryngeal surgery: a technical feasibility study using the daVinci surgical robot and an airway mannequin. Laryngoscope 2005;115:780–5CrossRefGoogle Scholar
8Hockstein, NG, O'Malley, BW Jr, Weinstein, GS. Assessment of intraoperative safety in transoral robotic surgery. Laryngoscope 2006;116:165–8CrossRefGoogle ScholarPubMed