Transoral Robotic Surgery: Step-by-Step Radical Tonsillectomy.

Area of Science:

• Otolaryngology
• Surgical Oncology
• Robotic Surgery

Background:

• Transoral robotic surgery (TORS) is an emerging minimally invasive technique for tonsil cancer.
• Previous publications detail the surgical technique and reproducibility of TORS radical tonsillectomy.

Purpose of the Study:

• To present a step-by-step illustration of the TORS radical tonsillectomy procedure.
• To showcase the application of TORS in a patient with T2N2bM0 epidermoid carcinoma of the tonsil.

Main Methods:

• The study presents a case of TORS radical tonsillectomy for tonsil cancer.
• Surgical procedure involved staged neck dissection and TORS.
• No surgical reconstruction or tracheostomy was required post-operatively.

Main Results:

• The patient achieved a full oral diet by the fifth postoperative day without a feeding tube.
• The transoral approach provided excellent exposure and high precision.
• The procedure demonstrated safety and effectiveness.

Conclusions:

• TORS radical tonsillectomy is a safe and effective minimally invasive surgical option for tonsil cancer.
• The robotic instrumentation facilitates precise execution of surgical steps.
• This approach offers significant benefits for patient recovery, including early oral intake.