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Robot-assisted versus endoscopic submandibular gland resection via retroauricular approach: a prospective nonrandomized study

 Hyoung Shin Lee  ;  Dae Kim  ;  So Yoon Lee  ;  Hyung Kwon Byeon  ;  Won Shik Kim  ;  Hyun Jun Hong  ;  Yoon Woo Koh  ;  Eun Chang Choi 
 British Journal of Oral & Maxillofacial Surgery, Vol.52(2) : 179-184, 2014 
Journal Title
 British Journal of Oral & Maxillofacial Surgery 
Issue Date
Adenoma, Pleomorphic/surgery ; Adolescent ; Adult ; Blood Loss, Surgical ; Drainage ; Endoscopy/methods* ; Esthetics ; Feasibility Studies ; Female ; Follow-Up Studies ; Hospitalization ; Humans ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Patient Satisfaction ; Postoperative Complications ; Prospective Studies ; Robotics/methods* ; Sialadenitis/surgery ; Submandibular Gland Diseases/surgery* ; Submandibular Gland Neoplasms/surgery ; Treatment Outcome ; Young Adult
Endoscopic ; Face lift ; Hairline ; Robotic ; Submandibular gland
The aim of this study was to compare the short-term clinicopathological results of robot-assisted and endoscopic resection of the submandibular gland by the retroauricular approach. We present a prospective, non-random, study of 35 patients who had endoscope-assisted (n=22), or robot-assisted (n=13), resection of the submandibular gland using a retroauricular approach. Patients selected one of the two methods, and short-term clinical outcomes were then compared, including maximum diameter of the tumour and gland, length of incision, total operating time, amount of operative bleeding, amount and duration of drainage, duration of hospital stay, cosmesis, and complications. The operation was feasible in all patients with no appreciable operative complications or need to convert to a conventional open operation. The operating time of the robot-assisted group (63.4 (6.3)min) was comparable with that of the endoscopic group (66.5 (9.1)min) (p=0.15). There were no differences in the other clinical outcomes between the 2 groups. Both groups of patients were extremely satisfied with their postoperative cosmesis, and did not differ significantly (p=0.89). Robotic and endoscopic resection of the submandibular gland gave comparable early surgical outcomes and excellent cosmetic results. Despite the technical convenience for the surgeon, the robot gave no apparent clinical benefit over the endoscope in this series.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kho, Yoon Woo(고윤우)
Kim, Won Shik(김원식)
Byeon, Hyung Kwon(변형권)
Lee, Hyoung Shin(이형신)
Choi, Eun Chang(최은창)
Hong, Hyun Jun(홍현준)
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