Retroauricular Endoscope-Assisted Approach to the Neck: Early Experience in Latin America

AUTOR(ES)

Lira, Renan Bezerra, Chulam, Thiago Celestino, Koh, Yoon Woo Woo, Choi, Eun Chang Chang, Kowalski, Luiz Paulo

FONTE

Int. Arch. Otorhinolaryngol.

DATA DE PUBLICAÇÃO

2016-06

RESUMO

Abstract Introduction There has been a significant increase in concern towards improving aesthetic and functional outcomes without compromising the oncologic effectiveness in head and neck surgery. In this subset, endoscope-assisted and robotic procedures allowed the development of new approaches to the neck, including the retroauricular access, which is now routinely used, especially in Korea. Objectives This study aims to provide a descriptive analysis of our initial experience with retroauricular endoscope-assisted approach assessing feasibility, safety, and aesthetic results. Methods Prospective analysis of the first 11 eligible patients submitted to retroauricular endoscope-assisted approach for neck procedures in the Head and Neck Surgery Department at AC Camargo Cancer Center. Results A total of 18 patients were included in this study, comprising 7 supraomohyoid neck dissections, 8 submandibular gland excisions, 3 thyroid lobectomies, and one paraganglioma excision. There was no significant local complications, surgical accident, or need for conversion into conventional open procedure in this series. Conclusion Our initial experience has shown us that this approach is feasible, safe, oncologically efficient, and applicable to selected cases, with a clear cosmetic benefit.

Documentos Relacionados

• Endoscope-assisted retrosigmoid approach in hemifacial spasm: our experience
• Importance of ectopic thyroid tissue detected in the midline of the neck: single center experience
• Robotic-Assisted Neck Dissection: Our Experience
• Spindle cell carcinoma of head and neck: an immunohistochemical and molecular approach to its pathogenesis
• Adherence to antiretroviral prophylaxis during early infancy in Latin America