Methodology in Conventional Head and Neck Reconstruction Following Robotic Cancer Surgery: A Bridgehead Robotic Head and Neck Reconstruction
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Purpose: Robotic head and neck surgery is widespread nowadays. However, in the reconstruction field, the use of robotic opera tions is not. This article aimed to examine methodologies for conventional head and neck reconstruction after robotic tumor sur gery in an effort to obtain further options for future reconstruction manipulations. Materials and Methods: A retrospective review of all patients who received head and neck robot surgery and conventional recon structive surgery between October 2016 and September 2021. Results: In total, 53 cases were performed. 67.9% of the tumors were greater than 4 cm. Regarding defect size, 47.2% of the lesionswere greater than 8 cm. In terms of TNM stage, stage 3 disease was recorded in 26.4% and stage 4 in 52.8%. To make a deep andnarrow field wider, we changed the patient’s posture in pre-op field, additional dissection was done. We used radial forearm flapmostly (62.2%). Conclusion: Conventional head and neck reconstruction after robotic ENT cancer surgery is possible. One key step is to secure ad ditional space in the deep and narrow space left after robotic surgery. For this, we opted for a radial forearm flap mostly. This canbe performed as a bridgehead to perform robotic head and neck reconstruction.
Abstract
Purpose: Robotic head and neck surgery is widespread nowadays. However, in the reconstruction field, the use of robotic opera tions is not. This article aimed to examine methodologies for conventional head and neck reconstruction after robotic tumor sur gery in an effort to obtain further options for future reconstruction manipulations. Materials and Methods: A retrospective review of all patients who received head and neck robot surgery and conventional recon structive surgery between October 2016 and September 2021. Results: In total, 53 cases were performed. 67.9% of the tumors were greater than 4 cm. Regarding defect size, 47.2% of the lesionswere greater than 8 cm. In terms of TNM stage, stage 3 disease was recorded in 26.4% and stage 4 in 52.8%. To make a deep andnarrow field wider, we changed the patient’s posture in pre-op field, additional dissection was done. We used radial forearm flapmostly (62.2%). Conclusion: Conventional head and neck reconstruction after robotic ENT cancer surgery is possible. One key step is to secure ad ditional space in the deep and narrow space left after robotic surgery. For this, we opted for a radial forearm flap mostly. This canbe performed as a bridgehead to perform robotic head and neck reconstruction.
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