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

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Robotic-assisted salvage supraglottic laryngectomy.

Carlos Pérez-Mitchell, Jaime A Acosta, Luis E Ferrer-Torres

Puerto Rico Health Sciences Journal

|June 27, 2014

Summary

Transoral robotic surgery (TORS) offers a minimally invasive approach for head and neck cancers. This study details the first TORS supraglottic partial laryngectomy in Latin America, successfully treating a patient with squamous cell carcinoma.

Area of Science:

Otolaryngology
Surgical Oncology
Robotic Surgery

Background:

Minimally invasive surgical (MIS) techniques have advanced head and neck cancer treatment.
Transoral robotic surgery (TORS) is an MIS approach for head and neck pathologies.
TORS offers reduced morbidity and functional compromise in select patients.

Observation:

A 68-year-old male patient presented with hoarseness and weight loss after radiation therapy.
A supraglottic lesion was identified on the left false vocal cord via microlaryngoscopy.
The patient was diagnosed with T2N0M0 supraglottic squamous cell carcinoma.

Findings:

The first TORS supraglottic partial laryngectomy in Latin America was successfully performed.
Complete tumor excision was achieved using TORS.

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The patient experienced no post-operative complications.

Implications:

TORS is a viable and effective treatment for supraglottic squamous cell carcinoma.
This procedure expands minimally invasive treatment options in Latin America.
TORS demonstrates potential for excellent outcomes in head and neck cancer management.