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Bilateral vallecular cyst: transoral robotic resection
Enrique Cadena1,2,3,4, Ricardo Guerra5,6, Carlos Pérez-Mitchell7,8
1Department of Otorhinolaryngology and Head and Neck, Clínica Marly, Bogotá, Colombia. enriquecadena2005@yahoo.com.
Journal of Robotic Surgery
|August 9, 2017
Summary
Vallecular cysts, though common in infants, can affect adults. Transoral robotic surgery offers a safe and effective method for complete resection of symptomatic vallecular cysts, preventing recurrence.
Area of Science:
- Otolaryngology
- Surgical Technology
Background:
- Vallecular cysts are typically diagnosed in neonates but can manifest in adults.
- Symptoms may include dysphagia and sleep-disordered breathing, necessitating intervention.
- Complete surgical resection is crucial to prevent recurrence due to remnant cyst walls.
Observation:
- A case study involving an adult patient with a symptomatic vallecular cyst.
- The patient underwent treatment utilizing transoral robotic surgery (TORS).
Findings:
- Transoral robotic surgery provided enhanced three-dimensional visualization of the cyst.
- The use of 5 mm multi-articulated EndoWrist instruments facilitated safe and efficient surgical resection.
- Complete cyst removal was achieved, addressing the patient's symptoms.
Implications:
- Transoral robotic surgery represents a viable and advantageous approach for managing symptomatic vallecular cysts in adults.
- This minimally invasive technique potentially reduces the risk of recurrence and improves patient outcomes.
- The advanced visualization and instrumentation in TORS enhance surgical precision and safety for complex airway lesions.

