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Robot-assisted resection of lateral neck cysts using a postauricular approach
Ping Han1,2, Fa-Ya Liang1,2, Pan Song1,2
1Department of Otolaryngology, Head and Neck Surgery, Sun Yat-sen Memorial Hospital Sun Yat-sen University Guangzhou China.
World Journal of Otorhinolaryngology - Head and Neck Surgery
|March 12, 2025
Summary
Robot-assisted surgery using the Da Vinci system for lateral neck cysts via a postauricular approach is feasible and safe. This minimally invasive technique offers excellent cosmetic results with no recurrence in long-term follow-up.
Area of Science:
- Otolaryngology
- Robotic Surgery
- Head and Neck Surgery
Background:
- Lateral neck cysts are benign or malignant lesions requiring surgical excision.
- Traditional surgical approaches may result in visible scarring and potential complications.
Purpose of the Study:
- To evaluate the feasibility and safety of robot-assisted lateral neck cyst resection.
- To assess the cosmetic outcomes and efficacy of the postauricular approach in robotic surgery for neck cysts.
Main Methods:
- A retrospective study involving 11 patients who underwent robot-assisted surgery for lateral neck cysts.
- Utilized the Da Vinci robotic surgical system with a postauricular approach.
- Analyzed data including cyst volume, incision length, blood loss, operative time, and patient satisfaction.
Main Results:
- The average incision length was 6.67 cm, with minimal blood loss (10-20 mL) and an average operative time of 55 minutes.
- Four patients experienced temporary postauricular numbness, with full recovery within 3 months.
- No serious adverse events, recurrence, or long-term complications were observed during a median follow-up of 38.2 months.
Conclusions:
- Robot-assisted resection of lateral neck cysts via a postauricular approach is a safe and feasible surgical option.
- This technique provides excellent cosmetic outcomes and demonstrates long-term efficacy.
- The postauricular approach in robotic surgery offers a viable alternative for managing lateral neck cysts.
