Single-port transoral robotic combined approach with sialendoscopy for sialolithiasis: Case report and review of the literature

Ariel S Frost; Yasmeen M Byrnes; Christopher Z Wen; Christopher H Rassekh

doi:10.1002/hed.26356

Single-port transoral robotic combined approach with sialendoscopy for sialolithiasis: Case report and review of the literature

Head Neck. 2020 Sep;42(9):E12-E15. doi: 10.1002/hed.26356. Epub 2020 Jul 4.

Authors

Ariel S Frost¹, Yasmeen M Byrnes², Christopher Z Wen², Christopher H Rassekh¹

Affiliations

¹ Department of Otorhinolaryngology - Head & Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
² Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

PMID: 32621314
DOI: 10.1002/hed.26356

Abstract

Background: The da Vinci single-port (SP) is utilized in transoral robotic surgery (TORS) procedures for malignant oropharyngeal tumors. We report a case utilizing the da Vinci SP in TORS for sialolith removal.

Methods and results: A 75-year-old male with chronic right submandibular gland (SMG) sialadenitis underwent combined da Vinci SP TORS approach with sialendoscopy for multiple SMG sialoliths. We were unable to find a previous report of using the da Vinci SP in TORS for SMG sialolith removal.

Conclusion: The da Vinci SP has been utilized in a combined TORS approach with sialendoscopy for SMG sialolith removal. The da Vinci SP's additional arm provides improved retraction, enabling optimal visualization, dissection, and preservation of important structures such as the lingual nerve.

Keywords: TORS; case report; da Vinci SP; sialolithiasis; submandibular gland.

Publication types

Case Reports
Review

MeSH terms

Aged
Humans
Male
Oropharyngeal Neoplasms*
Robotic Surgical Procedures*
Robotics*
Salivary Gland Calculi* / surgery
Submandibular Gland / surgery