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Transoral robotic surgery for large mixed laryngocoele

Published online by Cambridge University Press:  28 February 2013

P G Ciabatti
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, San Donato Hospital, Arezzo, Italy
G Burali
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, San Donato Hospital, Arezzo, Italy
L D'Ascanio*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Città di Castello Civil Hospital, Perugia, Italy
*
Address for correspondence: Dr L D'Ascanio, Department of Otolaryngology – Head and Neck Surgery, Città di Castello Civil Hospital, Via Engels, 06012 Città di Castello, Perugia, Italy Fax: +39 (0)758509670 E-mail: l.dascanio@gmail.com

Abstract

Background:

A laryngocoele is an abnormal dilatation of Morgagni's ventricle in direct communication with the laryngeal lumen. Surgical excision through a cervical approach is traditionally considered the treatment of choice for large (external and mixed) laryngocoeles. This paper describes the first reported case of a large mixed laryngocoele treated with transoral robotic surgery without cervical incisions.

Method:

A 69-year-old female underwent transoral robotic surgery for the excision of a large mixed left laryngocoele. The surgery was performed using the da Vinci S surgical robotic system (Intuitive Surgical, Sunnyvale, California, USA).

Results:

No complications were observed and the patient was discharged 2 days post-operation.

Conclusion:

Transoral robotic surgery enabled accurate dissection with complete removal of the large mixed laryngocoele via a minimally invasive approach. The advantages of transoral robotic surgery over other techniques for laryngocoele excision are discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2013

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