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Methodology in Conventional Head and Neck Reconstruction Following Robotic Cancer Surgery: A Bridgehead Robotic Head and Neck Reconstruction

Authors
 Jongmin Won  ;  Jong Won Hong  ;  Mi Jung Kim  ;  In-Sik Yun  ;  Woo Yeol Baek  ;  Won Jai Lee  ;  Dae Hyun Lew  ;  Yoon Woo Koh  ;  Se-Heon Kim 
Citation
 YONSEI MEDICAL JOURNAL, Vol.63(8) : 759-766, 2022-08 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2022-08
MeSH
Head and Neck Neoplasms* / surgery ; Humans ; Neoplasms* ; Reconstructive Surgical Procedures* / methods ; Retrospective Studies ; Robotic Surgical Procedures* / adverse effects ; Robotics* / methods ; Surgical Flaps
Keywords
Head neck cancer ; plastic reconstructive surgery ; robotic surgery
Abstract
Purpose: Robotic head and neck surgery is widespread nowadays. However, in the reconstruction field, the use of robotic operations is not. This article aimed to examine methodologies for conventional head and neck reconstruction after robotic tumor surgery 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 reconstructive 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 lesions were 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 and narrow field wider, we changed the patient's posture in pre-op field, additional dissection was done. We used radial forearm flap mostly (62.2%).

Conclusion: Conventional head and neck reconstruction after robotic ENT cancer surgery is possible. One key step is to secure additional space in the deep and narrow space left after robotic surgery. For this, we opted for a radial forearm flap mostly. This can be performed as a bridgehead to perform robotic head and neck reconstruction.
Files in This Item:
T202203985.pdf Download
DOI
10.3349/ymj.2022.63.8.759
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Yoon Woo(고윤우)
Kim, Se Heon(김세헌)
Baek, Wooyeol(백우열) ORCID logo https://orcid.org/0000-0002-6638-4110
Lew, Dae Hyun(유대현)
Yun, In Sik(윤인식) ORCID logo https://orcid.org/0000-0003-1103-7047
Lee, Won Jai(이원재) ORCID logo https://orcid.org/0000-0003-3056-0503
Hong, Jong Won(홍종원) ORCID logo https://orcid.org/0000-0002-7762-0940
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/191910
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