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Transoral robotic submandibular sialadenectomy: how and when
Pasquale Capaccio1,2, Filippo Montevecchi3, Giuseppe Meccariello3
1Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Gland Surgery
|May 19, 2020
Summary
Transoral robotic surgery offers a scarless alternative for submandibular gland removal. This minimally invasive approach shows promise for patients seeking to avoid cervical scars and facial nerve risks.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Robotic Surgery
Background:
- Traditional submandibular gland removal utilizes a transcervical approach.
- Emerging techniques include endoscopy-assisted and robot-assisted transcervical sialadenectomy.
- Transoral approaches for submandibular gland removal are being revisited with advancements in robotic surgery.
Purpose of the Study:
- To evaluate the feasibility and safety of transoral robotic submandibular sialadenectomy.
- To present a case study of this novel surgical technique.
Main Methods:
- A 68-year-old female patient underwent transoral robotic submandibular sialadenectomy using the Da Vinci Surgical Robot under general anesthesia.
- The procedure focused on removing the submandibular gland via an oral approach.
Main Results:
- The transoral robotic procedure was successfully completed with no major postoperative complications.
- The patient reported mild tongue tip tingling at 3 months post-surgery.
- Surgical time was 110 minutes, and ultrasonography confirmed no residual gland.
Conclusions:
- Transoral robotic submandibular sialadenectomy is a viable and safe alternative for select patients.
- This technique avoids cervical scars and reduces the risk of facial nerve paralysis.
- Careful patient selection based on clinical and radiological assessment is crucial.
