Robotic surgery of the infratemporal fossa

Ryan R. McCool, Frank M. Warren, Richard H. Wiggins, Jason P. Hunt

Research output: Contribution to journalArticle

Abstract

Objective: To develop a minimally invasive technique for robotic access to the infratemporal fossa and describe the technical feasibility of using surgical robotics in this application. Design: A feasibility study of robotic dissection of the infratemporal fossa using a novel, midline suprahyoid port placement. Cadaveric dissections were performed through the lateral pharyngeal wall into the infratemporal fossa with identification and preservation of the lingual n., inferior alveolar n., internal and external carotid arteries, jugular vein, and CN IX-XII. Surgical clips were placed at the extent of dissection, and CT imaging confirmed access to the respective skull base foramina. Setting: Tertiary Care Cancer Hospital Patients: A total of six complete and two partial dissections of the infratemporal fossa were carried out on 1 fixed and 3 fresh cadaveric heads using the da Vinci Surgical Robot (Intuitive Surgical, Inc., Sunnyvale, CA). Results: CT imaging shows surgical clips placed successfully at the skull base foramina of major neurovascular structures of the infratemporal fossa. Conclusions: Robotic surgery offers several advantages over traditional endoscopic surgery with the addition of tremor-free, two-handed technique and microscopic 3-D visualization. A midline suprahyoid port placement provides minimally invasive access for excellent exposure of the infratemporal fossa bilaterally.

Original languageEnglish (US)
JournalLaryngoscope
Volume119
Issue numberSUPPL.3
DOIs
StatePublished - 2009
Externally publishedYes

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Robotics
Dissection
Skull Base
Surgical Instruments
External Carotid Artery
Cancer Care Facilities
Jugular Veins
Feasibility Studies
Internal Carotid Artery
Tremor
Tertiary Healthcare
Tongue
Head

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

McCool, R. R., Warren, F. M., Wiggins, R. H., & Hunt, J. P. (2009). Robotic surgery of the infratemporal fossa. Laryngoscope, 119(SUPPL.3). https://doi.org/10.1002/lary.21504

Robotic surgery of the infratemporal fossa. / McCool, Ryan R.; Warren, Frank M.; Wiggins, Richard H.; Hunt, Jason P.

In: Laryngoscope, Vol. 119, No. SUPPL.3, 2009.

Research output: Contribution to journalArticle

McCool, RR, Warren, FM, Wiggins, RH & Hunt, JP 2009, 'Robotic surgery of the infratemporal fossa', Laryngoscope, vol. 119, no. SUPPL.3. https://doi.org/10.1002/lary.21504
McCool RR, Warren FM, Wiggins RH, Hunt JP. Robotic surgery of the infratemporal fossa. Laryngoscope. 2009;119(SUPPL.3). https://doi.org/10.1002/lary.21504
McCool, Ryan R. ; Warren, Frank M. ; Wiggins, Richard H. ; Hunt, Jason P. / Robotic surgery of the infratemporal fossa. In: Laryngoscope. 2009 ; Vol. 119, No. SUPPL.3.
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