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 adenoca...

OBJECTIVES The transoral removal of stones by sialodochoplasty has been popularized in the treatment of submandibular sialolithiasis. However, the effectiveness of sialodochoplasty is controversial, and there are no reports on the long-term outcomes of this procedure. The purpose of this study was to assess the effectiveness and long-term outcomes of sialodochoplasty in patients with submandibu...

AIM Percutaneous Endoscopic Gastrostomy (PEG) placement is a useful but invasive method. Recently, the hemodynamic change of ultrathin transnasal esophagogastroduodenoscopy (transnasal EGD) was reported as less than that of conventional transoral EGD (transoral EGD). This study compared hemodynamic changes between transnasal EGD and transoral EGD in the setting of PEG placement using a modified...

OBJECTIVES This study aims to evaluate the risks and benefits of the transoral approach for removal of the submandibular gland compared to the transcervical approach. PATIENTS AND METHODS Twenty consecutive patients who underwent submandibular gland excision surgery via the transoral (6 males, 4 females; mean age 45.4 years) or transcervical (7 males, 3 females; mean age 44.1 years) approach ...

BACKGROUND From April of 1998 to May of 2003, the minimally invasive transoral approach for endoscopically assisted reduction and osteosynthesis of 62 displaced condylar mandible fractures was performed in 58 patients. METHODS By means of limited transoral incision, the endoscopically assisted reduction and fixation of condylar fractures was performed using 30- and 45-degree angled endoscopes...

We report three patients having transoral fusion at C2/3 or C3/4 after fractures, with no infections or surgical complications and sound union. The operative technique and the relative merits of different approaches to the upper cervical spine are discussed and the transoral approach to the anterior aspect of the upper three cervical vertebrae is commended to the specialist surgeon.

STUDY DESIGN A retrospective cohort analysis of prospectively collected data. OBJECTIVE The aim of this study was to analyze morbidity and mortality in adult patients undergoing transoral approach using a large national database. SUMMARY OF BACKGROUND DATA The transoral approach to the anterior skull base and atlanto-axial cervical spine provides a direct corridor to the lower clivus, C1, C...

Management of small tumours involving the true vocal folds can be contentious. Tumour control is achieved in over 95% of patients presenting with T1 glottic cancer employing external beam radiation therapy, vertical hemilaryngectomy, or transoral endoscopic resection. Given adequate resources, the weight of evidence favours endoscopic transoral resection as the most cost-effective approach with...

Significant technical changes and a shift toward transoral approach have occurred in the management of Zenker’s diverticulum over past three decades. Transoral stapling is already an established commonly performed procedure. Zenker peroral endoscopic myotomy (Z-POEM) endoscopy septotomy (Z-POES) are innovative techniques that rapidly spreading replacing more traditional therapeutic options. Thi...