STUDY DESIGN We investigate on the surgical reliability of nasal palatine line for the transnasal approach and introduce a conceptually analogue radiological line as a reliable predictor of the maximal superior extension of the transoral approach. We have also compared radiological and surgical lines to find possible radiological references points to predict preoperatively the maximal extent of...

BACKGROUND We aimed to describe our experience with transoral robotic-assisted supraglottic laryngectomy. METHODS We retrospectively reviewed the records of patients who underwent transoral robotic-assisted supraglottic laryngectomy at our institution between May 2007 and November 2008. RESULTS During the study period, 7 patients with malignancy underwent the procedure (4 men, 3 women; aver...

Although photoglottography (PGG) has been used as a measure proportional to glottal area, it has not been widely applied in the clinic to study dysphonic patient populations. Historically, PGG has required the insertion of either a light source or photosensor at least to the level of the oropharynx or nasopharynx. This invasive nature of PGG has probably limited its appeal to those who are unwi...

The aim of the present study was to evaluate the oncological efficacy of salvage total laryngectomy in patients who had previously undergone supracricoid partial laryngectomy or transoral laser microsurgery for treatment of laryngeal squamous cell carcinoma. We retrospectively reviewed the medical, surgical and pathological records of 35 patients who underwent salvage total laryngectomy after r...

OBJECTIVES/HYPOTHESIS The transoral robotic approach to parapharyngeal space (PPS) tumors is a new technique with limited data available on its feasibility, safety, and efficacy. We analyzed our experience with transoral robotic excisions of PPS tumors to evaluate the safety and efficacy of this technique. STUDY DESIGN Retrospective chart analysis at tertiary academic medical center. From Jul...

OBJECTIVE To assess transoral treatment of submandibular lithiasis. DESIGN Study of a series of patients with submandibular stones undergoing transoral removal of the sialoliths. Duration of follow-up: 6 months to 7 years. SETTING Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany, center for treatment of salivary stones. PATIENTS...

We present a case of submandibular duct calculi diagnosed using transoral sonography. Sonography is the first-line imaging modality of salivary gland calculi. However, it is performed via a transcutaneous approach, which is limited in identifying small salivary duct calculi. Using an intraoral transducer, transoral sonography can visualize the submandibular duct and detect the presence of small...

Open partial or total laryngectomies with or without radiotherapy (RT) or chemoradiotherapy (CRT) are the only mainstays in the treatment of laryngeal carcinomas. However, minimally invasive procedures such as transoral endoscopic carbondioxide laser microsurgery (TLM) or transoral robotic surgeries (TRS) are now being increasingly used in selected patients. The laryngeal framework is not distu...

Adenoidectomy is a common ENT procedure performed in hospitals in Malaysia. Adenoidectomy is indicated in patients with recurrent adenoiditis, nasal obstruction or sleep apnoea secondary to adenoid hypertrophy when conservative management has failed. Over the years, there are advances in the techniques of adenoidectomy, from the conventional transoral to endoscopic transnasal/transoral adenoide...

BACKGROUND Transoral robotic-assisted oncologic surgery of the head and neck offers promising functional results. Nonetheless, the efficacy of oncologic surgery remains critically dependent on obtaining negative margins. We aimed to integrate a miniaturized high-resolution fiber-optic microendoscope (HRME), which provides real-time histological assessment, with the da Vinci robotic system (Intu...