Our Summary
This research paper discusses the use of transoral robotic surgery (TORS) - which is a type of surgery performed through the mouth using a robot - in treating conditions related to the throat and voice box, as well as the parts of the head and neck. The paper reveals that TORS has been successful in treating these conditions safely and effectively, with good outcomes for patients. It has significantly reduced complications, improved the quality of life of patients, and made it possible to access areas that were previously difficult to reach without more severe surgical methods. This has dramatically changed how tumors in these areas are treated. The authors also look at recent studies on the use of robotic surgery in treating conditions of the nose, sinuses, and base of the skull, discussing its current benefits and limitations.
FAQs
- What is transoral robotic surgery (TORS) and what areas can it be used for?
- How has TORS improved the quality of life and reduced morbidity for patients with oropharynx, hypopharynx, supraglottis, and glottis surgeries?
- What are the current advantages and limitations of robotic surgery in managing sinonasal and skull base pathology?
Doctor’s Tip
A helpful tip a doctor might tell a patient about sinus surgery is to follow the post-operative care instructions carefully to ensure proper healing and minimize the risk of complications. This may include keeping the nasal passages clean, avoiding strenuous activity, and attending follow-up appointments with your healthcare provider. It’s also important to communicate any concerns or changes in symptoms to your doctor promptly.
Suitable For
Sinus surgery may be recommended for patients with chronic sinusitis, nasal polyps, deviated septum, sinus tumors, and other sinus and nasal conditions that have not responded to conservative treatment. Patients who experience recurrent sinus infections, nasal congestion, facial pain, and difficulty breathing may also be candidates for sinus surgery. Additionally, patients with sinus or skull base tumors may benefit from robotic surgery for more precise and minimally invasive tumor removal.
Timeline
Before sinus surgery:
- The patient may experience chronic sinusitis symptoms such as facial pain, pressure, congestion, and drainage.
- The patient may undergo diagnostic tests such as CT scans or endoscopic sinus exams to determine the extent of the sinus disease.
- The patient may try conservative treatments such as antibiotics, nasal sprays, and decongestants to manage symptoms.
After sinus surgery:
- The patient will undergo the robotic sinus surgery procedure, which involves the use of a robotic system to remove diseased tissue and improve sinus drainage.
- The patient may experience some discomfort, swelling, and nasal congestion in the days following surgery.
- The patient will have follow-up appointments with their surgeon to monitor healing and ensure proper recovery.
- Over time, the patient should experience improved sinus function, reduced symptoms, and a better quality of life.
What to Ask Your Doctor
- What specific type of sinus surgery do you recommend for my condition?
- What are the potential risks and complications associated with this surgery?
- How long is the recovery period after sinus surgery?
- Will I need any post-operative care or follow-up appointments?
- Are there any alternative treatment options to consider before undergoing surgery?
- How will sinus surgery improve my quality of life or alleviate my symptoms?
- Will I need any additional imaging or tests before the surgery?
- How experienced are you in performing sinus surgery with robotic techniques?
- What is the success rate of robotic sinus surgery compared to traditional methods?
- What can I expect in terms of pain management and discomfort after the surgery?
Reference
Authors: Rangarajan S, Hachem RA, Ozer E, Beer-Furlan A, Prevedello D, Carrau RL. Journal: Otolaryngol Clin North Am. 2017 Jun;50(3):633-641. doi: 10.1016/j.otc.2017.01.013. Epub 2017 Mar 24. PMID: 28347482