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Case Reports in Otolaryngology
Volume 2014 (2014), Article ID 497528, 6 pages
http://dx.doi.org/10.1155/2014/497528
Case Report

Transoral Robotic Surgery: Step-by-Step Radical Tonsillectomy

Otorhinolaryngology Department, Rey Juan Carlos University Hospital, Gladiolo s/n, Mostoles, 28933 Madrid, Spain

Received 22 December 2013; Accepted 24 January 2014; Published 6 April 2014

Academic Editors: W. Issing and K. Morshed

Copyright © 2014 Jose Granell et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Transoral robotic surgery (TORS) radical tonsillectomy is an emerging minimally invasive surgical procedure for the treatment of cancer of the tonsil. The detailed surgical technique and claims for its reproducibility have been previously published. Case Presentation. We present a patient with a T2N2bM0 epidermoid carcinoma of the tonsil to illustrate step by step the surgical procedure for TORS radical tonsillectomy. Neck dissection and TORS were staged. No surgical reconstruction of the defect was required. No tracheostomy was necessary. The patient could eat without any feeding tube and was on full oral diet on the fifth postoperative day. Discussion. The transoral approach offers the benefits of minimally invasive surgery to patients with cancer of the tonsil. The excellent exposure and high precision provided by robotic instrumentation allow the surgeon to closely follow and accomplish the surgical steps, which is the best warranty for safety and effectiveness.