Department of Otolaryngology - Head and Neck Surgery, University of Nevada Las Vegas, Las Vegas, Nevada, USA.
Head Neck. 2021 May;43(5):1695-1698. doi: 10.1002/hed.26622. Epub 2021 Jan 27.
Significant dysphagia, pain, and risk of bleeding occur after transoral robotic surgery (TORS) radical tonsillectomy. We present a novel surgical technique utilizing robotically assisted submandibular gland transposition (SMGT) to reconstruct the radical tonsillar defect. A 48-year-old male with p16+ tonsillar squamous cell carcinoma underwent deep TORS radical tonsillectomy, contralateral tonsillectomy, ipsilateral neck dissection, and TORS-assisted reconstruction of the radical defect with ipsilateral SMGT. Postoperatively, the patient experienced minimal pain and was discharged on postoperative day (POD) 3 tolerating a soft diet. There were no episodes of postoperative bleeding. This procedure was performed in five other cases as well. Transoral robotic SMGT can be used successfully to repair deep TORS radical tonsillectomy defects and may theoretically reduce dysphagia, pain, and the risk of hemorrhage.
经口机器人手术（TORS）根治性扁桃体切除术后会出现明显的吞咽困难、疼痛和出血风险。我们提出了一种利用机器人辅助下颌下腺移位（SMGT）重建根治性扁桃体缺损的新手术技术。一名 48 岁男性患 p16+扁桃体鳞状细胞癌，行深部 TORS 根治性扁桃体切除术、对侧扁桃体切除术、同侧颈部解剖术和 TORS 辅助同侧 SMGT 重建根治性缺损。术后患者疼痛轻微，术后第 3 天出院，可耐受软食。无术后出血事件。该手术还在另外 5 例中进行。经口机器人 SMGT 可成功用于修复深部 TORS 根治性扁桃体切除术缺损，理论上可减少吞咽困难、疼痛和出血风险。
