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Updated: May 12, 2025

Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma
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Pilot Study: RoboticScope (Robotic Microscope)-assisted Primary Cleft Palate Surgery.

Jonathan Mokhtar1, Shaikha Almarzooqi2, Fatima Alhammadi1

  • 1From the College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.

Plastic and Reconstructive Surgery. Global Open
|May 7, 2025
PubMed
Summary
This summary is machine-generated.

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RoboticScope-assisted palatoplasty shows promise for cleft palate repair, reducing pain medication and improving patient recovery. This innovative approach offers ergonomic benefits for surgeons, though larger studies are needed for confirmation.

Area of Science:

  • Surgical Innovation
  • Pediatric Surgery
  • Medical Technology

Background:

  • Conventional palatoplasty is limited by narrow oral cavity access and visualization.
  • Surgical microscopes enhance visualization but restrict surgeon's hand movements.
  • The RoboticScope system offers 3D visualization and surgeon hand freedom via a head-controlled robotic arm.

Purpose of the Study:

  • To compare the safety and efficacy of RoboticScope-assisted palatoplasty with conventional palatoplasty.
  • To evaluate patient outcomes and surgeon ergonomics in a pilot study.

Main Methods:

  • Retrospective pilot analysis of 8 pediatric patients (4 conventional, 4 RoboticScope-assisted).
  • Data collected: demographics, operative time, analgesia, oral intake, hospital stay, complications.

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  • Surgeon feedback on comfort and efficiency was documented.

    • Main Results:

    • RoboticScope-assisted palatoplasty took 28 minutes longer but required less postoperative morphine (50% vs 100%).
    • Improved oral intake (75% good on day 1) and earlier discharge (50% 1 day sooner) were observed with RoboticScope.
    • Surgeons reported ergonomic benefits with the RoboticScope system.

    Conclusions:

    • RoboticScope-assisted palatoplasty is safe, feasible, and offers advantages in reduced analgesic needs, enhanced oral intake, and surgeon ergonomics.
    • Larger, multicenter studies are necessary to validate these preliminary findings.