Retroauricular robotic neck dissection: step-by-step technique and feasibility in selected early OCSCC

Area of Science:

• Surgical Oncology
• Robotic Surgery
• Head and Neck Cancer

Background:

• Retroauricular robotic neck dissection is a remote-access surgical approach.
• It aims to achieve cervical nodal clearance while minimizing visible scarring.
• This technique is being explored for early oral cavity squamous cell carcinoma (OCSCC).

Purpose of the Study:

• To describe the operative technique of retroauricular robotic neck dissection.
• To assess the early feasibility of this approach in selected OCSCC patients.
• To highlight technical considerations for successful implementation.

Main Methods:

• Detailed description of the surgical workflow, including incision design and flap elevation.
• Explanation of robotic docking and level-wise dissection procedures.
• Discussion of reconstructive strategies and potential challenges.

Main Results:

• The described technique was applied in carefully selected patients with early OCSCC.
• Early feasibility of the retroauricular robotic neck dissection was demonstrated.
• Technical pearls and potential pitfalls were identified.

Conclusions:

• Retroauricular robotic neck dissection is technically feasible in select OCSCC patients.
• Meticulous surgical technique and appropriate patient selection are crucial for success.
• Current outcomes indicate feasibility and warrant further investigation.