Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-24T17:45:34.608Z Has data issue: false hasContentIssue false
  • English
  • Français

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]
Get access Rights & Permissions [Opens in a new window]

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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