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Updated: Dec 15, 2025

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Robotic Head and Neck Surgery: Beyond TORS.

Renan Bezerra Lira1, Luiz Paulo Kowalski2,3

  • 1Department of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, Rua Professor Antonio Prudente, 211, São Paulo, 01509-900, Brazil. renan.lira@accamargo.org.br.

Current Oncology Reports
|July 10, 2020
PubMed
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Robotic surgery in head and neck procedures shows promise, with safe outcomes comparable to traditional methods. While robotic neck dissections are effective, robotic thyroid surgery faces competition from endoscopic techniques.

Area of Science:

  • Robotic Surgery
  • Head and Neck Surgery
  • Surgical Oncology

Background:

  • Robotic technology is increasingly integrated into head and neck surgery (HNS).
  • Existing literature supports the safety of robotic neck surgery, with comparable oncologic outcomes.
  • Specific approaches like retroauricular dissection are established for robotic neck dissections.

Purpose of the Study:

  • To review advancements in robotic head and neck surgery (HNS) beyond transoral robotic surgery (TORS).
  • To evaluate the current role and future potential of robotic systems in HNS.

Main Methods:

  • Literature review of robotic-assisted procedures in head and neck surgery.
  • Analysis of safety, surgical, and oncologic outcomes for various robotic HNS applications.
Keywords:
Retroauricular neck dissectionRetroauricular thyroidectomyRobotic neck dissectionRobotic neck surgeryRobotic surgeryRobotic thyroid surgeryRobotic thyroidectomyTORSTransoral robotic surgeryTransoral thyroid surgeryTransoral thyroidectomy

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  • Comparison of robotic techniques with endoscopic alternatives, particularly for thyroid surgery.

    • Main Results:

    • Robotic neck dissections demonstrate encouraging results and are used routinely in some centers.
    • Robotic thyroid surgery is safe but has seen reduced adoption compared to endoscopic transoral thyroidectomy due to longer operative times.
    • Superior cosmesis is noted with robotic approaches, though operative time can be longer.

    Conclusions:

    • Robotic technology plays a growing role in HNS, with established efficacy in neck dissections.
    • Further development of robotic systems is anticipated to enhance various aspects of HNS.
    • Endoscopic techniques currently offer advantages over robotic approaches for certain procedures like transoral thyroidectomy.