Case Report

Transoral Robotic Surgery: Step-by-Step Radical Tonsillectomy

Figure 1

TORS radical tonsillectomy intraoperative views. Right hand: spatula tip monopolar cautery. Left hand: Maryland dissector (left-right, top-down). (a) Right tonsil epidermoid carcinoma extending to the anterior tonsillar pillar and tongue base. (b) Mucosal incision with a wide arch in the soft palate to fall laterally to the constrictor muscle. (c) Lateral limit: dissection of the parapharyngeal fat, which is pushed laterally off the constrictor. (d) Medial limit: posterior pharyngeal wall. (e) Superior limit: soft palate cut. (f) Inferior limit: tongue base cut.
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(a)
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(b)
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(c)
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(d)
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(e)
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(f)