Transoral robotic approach for laryngeal schwannoma

Millas, Teresa; Granell, José Campos; Garrido, Laura; Méndez-Benegassi, Iván; Gutiérrez-Fonseca, Raimundo

doi:10.1002/hed.23904

Cited by 10 publications

(7 citation statements)

References 13 publications

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“…Among the 479 articles resulting from our literature search, 60 primary research papers fulfilled our criteria ( Figure 1 ), providing a total of 74 laryngeal schwannoma patients for combined analysis ( Table 1 and Supplemental Tables S1 and S2, available in the online version of the article). 2-61 The included studies consisted primarily of single case reports (n = 55), 4 reports of 2 cases, and 1 larger case series of 11 patients. The mean age at diagnosis was 43.4 years, with women presenting at a later age compared with men (47.3 years vs 32.8, P < .05).…”

Section: Resultsmentioning

confidence: 99%

Diagnosis and Treatment of Laryngeal Schwannoma: A Systematic Review

Tulli

Bondi

Smart

et al. 2017

Otolaryngol.--head neck surg.

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Objective This review summarizes the clinical features, diagnostic workup, and surgical treatment of laryngeal schwannoma with the aim of providing guidance for the management of this rare disease. The collated data allowed the statistical testing of several hypotheses, including the efficacy of endoscopic vs open surgical intervention and the usefulness of preoperative biopsy. Data Sources PubMed, Google Scholar, Cochrane, and SCOPUS. Review Methods Basic epidemiological and clinical presentation data were collated together with details of diagnostic image modality, lesion attributes, and the use of preoperative biopsy. Surgical approach to intervention and outcome was also collated and simple statistical analyses applied. Results The 60 original articles selected provided a combined cohort of 74 patients for review. The combined data revealed that schwannoma with pedunculated morphology were always safely removed by endoscopic resection regardless of size and should be treated as a separate entity. Of the nonpedunculated schwannoma, larger tumors were more likely to undergo an open approach, which in turn was associated with higher rates of tracheotomy and postoperative vocal fold paralysis. The small cohort did not reveal a significant association between surgery type and persistent disease. Interestingly, the data revealed a significant association between the use of incisional biopsy and persistent disease. Cases exhibiting extralaryngeal extension of the lesion were shown to exclusively belong to patients with neurofibromatosis/schwannomatosis syndromes. Conclusions Taken together, these findings suggest that incisional biopsy should be avoided, and given the benign nature of the pathology, the least invasive radical approach should be employed.

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Section: Resultsmentioning

confidence: 99%

Diagnosis and Treatment of Laryngeal Schwannoma: A Systematic Review

Tulli

Bondi

Smart

et al. 2017

Otolaryngol.--head neck surg.

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“…A combined endoscopic transcervicaltransoral robotic approach is also possible. [38][39][40][41] In addition, interest in TORS for the resection of laryngocele is already reported. 35, 36 Chan and Richmon 37 described the surgical technique and perioperative care for the management of benign pharyngeal lesions.…”

Section: Discussionmentioning

confidence: 99%

“…Very few laryngeal tumors removed by TORS have been reported (ie, schwannoma, lipoma, or hemangioma). [38][39][40][41] In addition, interest in TORS for the resection of laryngocele is already reported. [42][43][44] F IGUR E 5 Patient B, "en bloc" resection of a 7-cm lipoma [Color figure can be viewed at wileyonlinelibrary.com] CHABRILLAC ET AL | 5 6 | C ONCL US I ON Although the literature on this subject is sparse, this surgical technique had few complications and resulted in short hospital stays, with satisfactory functional and recurrence outcomes.…”

Section: Ter Atu Re Rev I Ewmentioning

confidence: 99%

Transoral robotic resection of benign tumors of the upper aerodigestive tract: Experience of the French group of GETTEC

et al. 2018

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“…Otherwise, therapy of choice is the surgical removal mostly via transoral microsurgery 143 but also via open approaches, partly with tracheostomy 145 . In the recent literature, reports on transoral robotic removal with the DaVinci system are found 119 147 .…”

Section: Benign Tumorsmentioning

confidence: 99%

“…Ansonsten ist die Therapie der Wahl die chirurgische Entfernung, meist über die transorale Mikrochirurgie 143 , aber auch über offene Zugänge, teilweise mit Tracheotomie 145 . In der jüngeren Literatur finden sich Berichte zur transoralen robotischen Entfernung mit dem Da Vinci System 119 147 .…”

Section: 25 Schwannomeunclassified

Seltene Erkrankungen des Larynx, der Trachea und der Schilddrüse

Hackenberg¹,

Kraus²,

Scherzad³

2021

Laryngorhinootologie

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ZusammenfassungDer Übersichtsartikel beinhaltet eine Zusammenstellung seltener Erkrankungen von Larynx, Trachea und Schilddrüse. Im Speziellen werden angeborene Fehlbildungen, seltene Formen der entzündlichen Larynxerkrankungen, gutartige und bösartige epitheliale sowie nicht-epitheliale Tumoren, laryngeale und tracheale Manifestationen von Allgemeinerkrankungen und schließlich seltene Erkrankungen der Schilddrüse besprochen. Die einzelnen Kapitel beinhalten eine Übersicht über die Datenlage in der Literatur, das jeweilige klinische Erscheinungsbild, wichtige Stichpunkte zur Diagnostik und zur Therapie und eine abschließende Stellungnahme zur Prognose der Erkrankung. Des Weiteren finden sich Hinweise zu Studienregistern und Selbsthilfegruppen.

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Transoral robotic approach for laryngeal schwannoma

Abstract: Robotic-assisted surgery eased excision, supporting that it can expand the indications for transoral approaches.

Cited by 10 publications

References 13 publications

Diagnosis and Treatment of Laryngeal Schwannoma: A Systematic Review

Diagnosis and Treatment of Laryngeal Schwannoma: A Systematic Review

Transoral robotic resection of benign tumors of the upper aerodigestive tract: Experience of the French group of GETTEC

Seltene Erkrankungen des Larynx, der Trachea und der Schilddrüse

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