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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
Published on: October 24, 2025
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Robotic-assisted oropharyngeal reconstruction
Umamaheswar Duvvuri1, Steven C Bonawitz2, Seungwon Kim3
1Department of Otolaryngology, University of Pittsburgh Medical Center, Suite 500 Eye and Ear Institute, 200 Lothrop Street, Pittsburgh, PA, 15213, USA. duvvuriu@upmc.edu.
Journal of Robotic Surgery
|March 23, 2016
Summary
Trans-oral robotic surgery (TORS) offers precise tumor resection in the oropharynx, avoiding morbid approaches. This study evaluates robotic management of resulting tissue defects in 12 patients.
Area of Science:
- Surgical Oncology
- Robotic Surgery
- Otorhinolaryngology
Background:
- Minimally invasive surgery benefits from robotic precision.
- Trans-oral robotic surgery (TORS) is emerging for oropharyngeal tumor resection.
- TORS avoids extensive facial incisions, enabling new treatment options.
Purpose of the Study:
- To assess robotic surgery for managing oropharyngeal soft tissue defects.
- To evaluate the effectiveness of robotic-assisted defect reconstruction after TORS.
- To compare robotic approaches for oropharyngeal reconstruction.
Main Methods:
- Retrospective review of 12 patients undergoing TORS.
- Robotic-assisted reconstruction of oropharyngeal soft tissue defects.
- Analysis of surgical outcomes and defect management.
Main Results:
- Early experience with robotic surgery for oropharyngeal defects detailed.
- Successful management of soft tissue defects in 12 patients reported.
- Demonstrated feasibility of robotic approaches for post-TORS reconstruction.
Conclusions:
- Robotic surgery is a viable option for managing oropharyngeal defects post-TORS.
- This approach offers a precise and effective method for reconstruction.
- Further studies are warranted to compare robotic reconstruction with traditional methods.

