[Robotics in otorhinolaryngology, head and neck surgery]

Area of Science:

• Surgical Technology
• Otorhinolaryngology
• Robotics in Medicine

Background:

• Robotic-assisted surgery (RAS) is standard in visceral surgery and urology.
• RAS adoption is limited in European head and neck surgery.
• Current robotic systems are not optimized for the confined head and neck surgical environment.

Purpose of the Study:

• To evaluate the current status and future potential of robotic-assisted surgery in European otorhinolaryngology.
• To identify barriers to RAS adoption in head and neck procedures.
• To discuss necessary adaptations for integrating RAS into head and neck surgery.

Main Methods:

• Review of current practices in robotic-assisted surgery across different surgical specialties.
• Analysis of limitations of existing robotic systems for head and neck applications.
• Examination of feasibility studies on RAS in head and neck surgery.

Main Results:

• RAS is widely used in some surgical fields but infrequently in European otorhinolaryngology.
• High costs and inadequate system adaptation for restricted head and neck spaces are primary barriers.
• RAS is regularly used for specific indications like transoral oropharyngeal tumor surgery in Anglo-American regions.

Conclusions:

• Significant potential exists for RAS in head and neck surgery, as shown by feasibility studies.
• For widespread adoption, robotic systems and instruments require miniaturization and adaptation for head and neck procedures.
• Overcoming current limitations is crucial for establishing RAS as a standard in European otorhinolaryngology.