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Updated: Apr 28, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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Transoral robotic reconstructive surgery.

Jesse C Selber1, Karim A Sarhane2, Amir E Ibrahim1

  • 1Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center, Houston, Texas.

Seminars in Plastic Surgery
|May 30, 2014
PubMed
Summary
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Transoral robotic surgery (TORS) enables complex head and neck tumor resection with improved access. Transoral robotic reconstruction (TORRS) offers a less invasive approach for oropharyngeal defects, enhancing patient outcomes.

Area of Science:

  • Surgical Oncology
  • Head and Neck Surgery
  • Robotic Surgery

Background:

  • Transoral robotic surgery (TORS) allows resection of large oropharyngeal tumors without mandibular division or lip-split.
  • Oropharyngeal resections present reconstructive challenges due to restricted access and visualization.
  • Transoral robotic reconstruction (TORRS) addresses these challenges by enabling in-situ reconstruction.

Purpose of the Study:

  • To review the clinical applicability of transoral robotic surgery in head and neck reconstruction.
  • To highlight the benefits and limitations of TORRS.
  • To outline guidelines for the utilization of TORRS.

Main Methods:

  • Review of clinical experience with transoral robotic reconstruction.
  • Discussion of reconstructive techniques including free flap and adjacent tissue transfer.
Keywords:
free flapshead and neck neoplasmshead and neck reconstructionrobotics

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  • Analysis of access and visualization benefits in robotic surgery.

    • Main Results:

    • TORRS is feasible and effective for oropharyngeal defects.
    • Robotic reconstruction offers advantages over conventional methods.
    • The technique provides a less morbid surgical course for patients.

    Conclusions:

    • Transoral robotic surgery and reconstruction are valuable tools in head and neck surgery.
    • TORRS facilitates complex reconstructions with improved patient outcomes.
    • Guidelines for TORRS utilization are essential for successful application.