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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

Published on: October 24, 2025

Transoral robotic surgery using an image guidance system.

Shaun C Desai¹, Chih-Kwang Sung, Eric M Genden

¹Department of Otolaryngology-Head and Neck Surgery, Mount Sinai School of Medicine, New York, NY 10029, USA.

The Laryngoscope

|October 14, 2008

Summary

This study introduces a new image-guided technique for transoral robotic surgery (TORS) in the pharyngeal and parapharyngeal spaces. The novel approach proved safe and effective for minimally invasive lesion removal.

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Area of Science:

Surgical Oncology
Robotic Surgery
Medical Imaging

Background:

Transoral robotic surgery (TORS) offers minimally invasive access to the pharyngeal and parapharyngeal spaces.
Image guidance systems can potentially enhance surgical precision and safety.

Observation:

A case series of three patients with lesions in the oropharyngeal and pharyngeal spaces was reviewed.
The lesions included a vascular malformation, an acinic cell adenocarcinoma, and a squamous cell carcinoma.

Findings:

A novel technique utilizing an image guidance system for TORS was employed.
Minimally invasive removal of all lesions was achieved via a transoral robotic approach.
No complications or recurrences were noted during an average follow-up of 7 months.

Implications:

Image-guided TORS appears to be a safe and effective method for dissecting lesions in the pharyngeal and parapharyngeal regions.
This technique may improve outcomes for patients undergoing surgery for these complex anatomical areas.
Further research is warranted to validate these findings in larger cohorts.