Robotic surgery in oral and maxillofacial,craniofacial and head and neck surgery: A systematic review of the literature |
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| Authors: | J De Ceulaer C De Clercq GRJ Swennen |
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| Institution: | 1. Professor, Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea;2. Associate Professor, Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Republic of Korea;3. Associate Professor, Department of Otolaryngology and Head and Neck Surgery, Queen Alexandra Hospital, Portsmouth and Cancer Sciences, University of Southampton, Southampton, United Kingdom;4. Clinical Fellow, Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea;5. Assistant Professor, Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea;1. Department of Otolaryngology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan;2. Research Center for Developmental Biology and Regenerative Medicine, National Taiwan University, Taipei, Taiwan;1. Oral and Maxillofacial Surgeon, PreciDent Center for Facial and Dental Medicine, St. Petersburg, FL;2. Oral and Maxillofacial Surgeon, Triangle Implant Center, Durham, NC;1. Department of Biomedical Radiation Sciences, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, South Korea;2. Department of Oral and Maxillofacial Surgery, Chonnam National University Hospital, Gwangju, South Korea;3. Department of Oral and Maxillofacial Surgery and Dental Research Institute, School of Dentistry, Seoul National University, South Korea;4. Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea |
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| Abstract: | A systematic review of the literature concerning robotic surgery in oral and maxillofacial (OMF), craniofacial and head and neck surgery was performed. The objective was to give a clear overview of the different anatomical areas of research in the field of OMF, craniofacial and head and neck surgery, in all its fields (pre-clinical and clinical). The present indications are outlined and the critical reader is invited to assess the value of this new technology by highlighting different relevant parameters. A PubMed and Cochrane library search yielded 838 papers published between 1994 and 2011. After screening the abstracts, 202 articles were considered clinically or technically relevant and were included. These full papers were screened in detail and classified as articles on synopsis (n = 41), educational aspects (n = 3), technical/practical aspects (n = 11) and clinical papers (n = 147). Regarding clinical feasibility this systematic review revealed the following main indications: transoral robotic surgery (TORS) for upper digestive and respiratory tract lesions; TORS for skull base surgery; and TORS for trans-axillary thyroid and endocrine surgery. Regarding functional outcome, this systematic review revealed a promising reduction of morbidity in patients with cancer of the upper digastric and respiratory tract. |
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