European Archives of Oto-Rhino-Laryngology

, Volume 269, Issue 1, pp 235–239

Combined transoral transnasal robotic-assisted nasopharyngectomy: a cadaveric feasibility study

  • Iacopo Dallan
  • Paolo Castelnuovo
  • Filippo Montevecchi
  • Paolo Battaglia
  • Niccolò Cerchiai
  • Veronica Seccia
  • Claudio Vicini
Head and Neck

DOI: 10.1007/s00405-011-1550-x

Cite this article as:
Dallan, I., Castelnuovo, P., Montevecchi, F. et al. Eur Arch Otorhinolaryngol (2012) 269: 235. doi:10.1007/s00405-011-1550-x

Abstract

Surgical management of the nasopharynx is complex. Both traditional and endoscopic transnasal techniques are demanding. Purely transoral robotic nasopharyngectomy has been described but it needs a palatal splitting and is performed with an inferior to superior perspective with a difficult vision of the upper regions. The aim of this study is to investigate a new robotic surgical setting, which is able to overcome the actual limits. The DaVinci Surgical System was used in two cadavers. Dissection was carried out through a combined transnasal–transoral approach and a purely transoral procedure. A complete nasopharyngectomy was performed with both settings. Working and setting times are comparable. The combined approach avoids palatal spitting and permits a more panoramic view of the surgical field with an easier dissection of the upper areas. A robotic palatal sparing nasopharyngectomy is feasible. The combined transnasal–transoral setting seems to offer significant advantages with respect to traditionally purely transoral procedures.

Keywords

Robotic surgery Nasopharyngectomy Transoral surgery Combined transoral–transnasal approach 

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Iacopo Dallan
    • 1
  • Paolo Castelnuovo
    • 1
  • Filippo Montevecchi
    • 2
  • Paolo Battaglia
    • 1
  • Niccolò Cerchiai
    • 3
  • Veronica Seccia
    • 3
  • Claudio Vicini
    • 2
  1. 1.Otorhinolaryngologic UnitUniversity of InsubriaVareseItaly
  2. 2.Department of Special Surgery, ENT and Oral Surgery Unit, Ospedale Morgagni PietrantoniUniversity of Pavia in ForlìForlìItaly
  3. 3.1st Otorhinolaryngologic UnitAzienda Ospedaliero-Universitaria PisanaPisaItaly