Transoral robotic surgery using an image guidance system.

OBJECTIVES To describe a novel technique using the image guidance system for transoral robotic surgery of the pharyngeal and parapharyngeal spaces. STUDY DESIGN Case series presentation. METHODS Three cases of oropharyngeal and pharyngeal space lesions are reviewed for presentation, workup, and original management. RESULTS Final pathology of a vascular malformation, an acinic cell adenocarcinoma, and a squamous cell carcinoma were located and minimally invasively removed by a transoral robotic approach with the aid of image guidance. No complications or recurrences were observed on an average of 7 month follow-up. CONCLUSIONS Transoral robotic surgery using an image guidance system seems safe and effective in assisting dissection.