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

Lira RB, Chulam TC, Koh YW, Choi EC, Kowalski LP - Int Arch Otorhinolaryngol (2016)

Bottom Line: 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.Objectives This study aims to provide a descriptive analysis of our initial experience with retroauricular endoscope-assisted approach assessing feasibility, safety, and aesthetic results.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Head and Neck Surgery and Otorhinolaryngology, AC Camargo Cancer Center, São Paulo, SP, Brazil.

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.

No MeSH data available.


Related in: MedlinePlus

Retroauricular endoscopy-assisted SOHND combined with hemi-glossectomy and free-flap reconstruction. (A) Preparation; (B,C) Retroauricular scar and cosmetic result in 14th post-operative day.
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FI0334or-3: Retroauricular endoscopy-assisted SOHND combined with hemi-glossectomy and free-flap reconstruction. (A) Preparation; (B,C) Retroauricular scar and cosmetic result in 14th post-operative day.

Mentions: Regarding cosmetic results, there is a clear benefit of the retroauricular approach to neck surgery, especially as compared with conventional neck dissection and SMG excision, because the scar becomes hidden in the hair line with the retroauricular approach (Fig. 3). A patient satisfaction score analysis performed in a prospective study by Lee et al,16 showed a significant benefit of the retroauricular approach when compared with conventional neck dissection.


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

Lira RB, Chulam TC, Koh YW, Choi EC, Kowalski LP - Int Arch Otorhinolaryngol (2016)

Retroauricular endoscopy-assisted SOHND combined with hemi-glossectomy and free-flap reconstruction. (A) Preparation; (B,C) Retroauricular scar and cosmetic result in 14th post-operative day.
© Copyright Policy
Related In: Results  -  Collection

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getmorefigures.php?uid=PMC4835336&req=5

FI0334or-3: Retroauricular endoscopy-assisted SOHND combined with hemi-glossectomy and free-flap reconstruction. (A) Preparation; (B,C) Retroauricular scar and cosmetic result in 14th post-operative day.
Mentions: Regarding cosmetic results, there is a clear benefit of the retroauricular approach to neck surgery, especially as compared with conventional neck dissection and SMG excision, because the scar becomes hidden in the hair line with the retroauricular approach (Fig. 3). A patient satisfaction score analysis performed in a prospective study by Lee et al,16 showed a significant benefit of the retroauricular approach when compared with conventional neck dissection.

Bottom Line: 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.Objectives This study aims to provide a descriptive analysis of our initial experience with retroauricular endoscope-assisted approach assessing feasibility, safety, and aesthetic results.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Head and Neck Surgery and Otorhinolaryngology, AC Camargo Cancer Center, São Paulo, SP, Brazil.

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.

No MeSH data available.


Related in: MedlinePlus