Transoral Robotic Surgery Using an Image Guidance System

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 adenocarcinoma, and a squamous cell carcinoma were located and minimally invasively removed by a transoral robotic approach with the aid of image guidance. No complications or recurrences were observed on an average of 7 month follow-up. CONCLUSIONS: Transoral robotic surgery using an image guidance system seems safe and effective in assisting dissection.