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OTORINOLARINGOLOGIA

A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery


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Otorinolaringologia 2012 March;62(1):1-16

language: English

Robotic surgery advancements in otolaryngology head and neck surgery

Al-Khudari S. 1, Bhandarkar V. S. 2, Deeb R. H. 1, Hall F. T. 1, Ghanem T. A. 1

1 Department of Otolaryngology, Head & Neck Surgery Henry Ford Hospital, Detroit, MI, USA;
2 Wayne State University School of Medicine, Detroit, MI, USA


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Otolaryngology has traditionally been on the forefront of modern technology, harnessing new innovations to better surgical performance. Operative microscopes, initially monocular but then binocular, were used to increase magnification of the surgical field. Additionally, endoscopic instruments enhanced the ability to perform of minimally invasive surgeries. These newer methods slowly began replacing conventionally open surgeries that were accompanied with increased post-operative morbidity and cosmetic deformities. As technology progressed, robotic systems slowly started to replace manual tasks in other surgical specialties. Robotic machines such as PUMA and PROBOT were used for orientation and marking boundaries on the surgical field; Endoassist and AESOP robots served as camera holders; and lastly, more sophisticated machines such as ZEUS and the Da Vinci Surgical System gave surgeons the ability to perform complete telerobotic surgeries, assuming a “master-slave” relationship between the operator and the robot. Otolaryngologists have since used said systems, especially the Da Vinci robot, to perform myriad operations, ranging from transoral robotic surgery (TORS) to microlaryngeal operations to skull-based sinus surgeries. The advent of robotics in Otolaryngology has led to better exposure of the surgical field, increased magnification, and the ability to mimic hand-like motions, leading to minimal operative blood loss, fewer complications, and faster recovery times. This paper aims to review the initial introduction of robotics in surgery and its applications in Otolaryngology, with special attention to operations that have been or are being performed in each sub-specialty in otolaryngology

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