Abstract
Classic approaches to the head and neck are well described in the surgical literature. These “external” or “open” approaches correspond to traditional anatomic dissections and are thus very familiar to head and neck surgeons. In contrast, the anatomy of the larynx and pharynx from a transoral robotic (TORS) standpoint must be approached from an “inside-out” perspective. Thorough knowledge of this anatomic perspective is necessary for achieving appropriate oncologic resection as well as avoiding potentially catastrophic complications.
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References
Steiner W, Ambrosch P. Endoscopic laser surgery of the upper aerodigestive tract: with special emphasis on cancer surgery. New York: Theime Stuttgart; 2000.
Begum S, Cao D, Gillison M, Zahurak M, Westra WH. Tissue distribution of human papillomavirus 16 DNA in patients with tonsillar carcinoma. Clin Cancer Res. 2005;11(16):5694–9.
Janfaza P, Nadol JB, Galla RJ, Fabian RL, Montgomery WW, editors. Surgical anatomy of the head and neck. Philadelphia, PA: Lippincott Williams & Wilkins; 2011.
Ohtsuka K, Tomita H, Murakami G. Anatomy of the tonsillar bed: topographical relationship between the palatine tonsil and the lingual branch of the glossopharyngeal nerve. Acta Otolaryngol Suppl. 2002;546:99–109.
Dallan I, Seccia V, Muscatello L, Lenzi R, Castelnuovo P, Bignami M, Montevecchi F, Tschabitscher M, Vicini C. Transoral endoscopic anatomy of the parapharyngeal space: a step-by-step logical approach with surgical considerations. Head Neck. 2011;33(4):557–61.
Holsinger FC, McWhorter AJ, Ménard M, Garcia D, Laccourreye O. Transoral lateral oropharyngectomy for squamous cell carcinoma of the tonsillar region: I. Technique, complications, and functional results. Arch Otolaryngol Head Neck Surg. 2005;131:583–91.
Weinstein GS, O’Malley BW, Snyder W, Sherman E, Quon H. Transoral robotic surgery: radical tonsillectomy. Arch Otolaryngol Head Neck Surg. 2007;133:1220–6.
Tubbs RS, Loukas M, Dixon J, Cohen-Gadol AA. Compression of the cervical internal carotid artery by the stylopharyngeus muscle: an anatomical study with potential clinical significance. Laboratory investigation. J Neuosurg. 2010;113:881–4.
Wang C, Kundaria S, Fernandez-Miranda J, Duvvuri U. A description of arterial variants in the transoral approach to the parapharyngeal space. Clin Anat. 2014;27(7):1016–22.
Goins MR, Pitovski DZ. Posttonsillectomy taste disturbance: a significant complication. Laryngoscope. 2004;114(7):1206–13.
Moore EJ, Janus J, Kasperbauer J. Transoral robotic surgery of the oropharynx: clinical and anatomic considerations. Clin Anat. 2012;25:135–41.
Lim CM, Mehta V, Chai R, Pinheiro CN, Rath T, Snyderman C, Duvvuri U. Transoral anatomy of the tonsillar fossa and lateral pharyngeal wall: anatomic dissection with radiographic and clinical correlation. Laryngoscope. 2013;123(12):3021–5.
Weinstein GS, O’malley BW. Transoral robotic surgery (TORS). San Diego: Plural; 2012.
Deutsch MD, Kriss VM, Willging JP. Distance between the tonsillar fossa and internal carotid artery in children. Arch Otolaryngol Head Neck Surg. 1995;121(12):1410–2.
Pfeiffer J, Ridder GJ. A clinical classification system for aberrant internal carotid arteries. Laryngoscope. 2008;118(11):1931–6.
Ozgur Z, Celik S, Govsa F, Aktug H, Ozgur T. A study of the course of the internal carotid artery in the parapharyngeal space and its clinical importance. Eur Arch Otorhinolaryngol. 2007;264(12):1483–9. Epub 19 July 2007.
Moore EJ, Ebrahimi A, Price DL, Olsen KD. Retropharyngeal lymph node dissection in oropharyngeal cancer treated with transoral robotic surgery. Laryngoscope. 2013;123:1676–81.
Byeon HK, Duvvuri U, Kim WS, Park YM, Hong HJ, Koh YW, Choi EC. Transoral robotic retropharyngeal lymph node dissection with or without lateral oropharyngectomy. J Craniofac Surg. 2013;24(4):1156–61.
Hollinshead WH. Anatomy for surgeons: the head and neck. 3rd ed. Philadelphia: Harper and Row Publishers; 1982.
Sanders I, Mu L. A three-dimensional atlas of human tongue muscles. Anat Rec. 2013;296(7):1102–14.
Dallan I, Seccia V, Faggioni L, Castelnuovo P, Montevecchi F, Casani AP, Tschabitscher M, Vicini C. Anatomical landmarks for transoral robotic tongue base surgery: comparison between endoscopic, external and radiological perspectives. Surg Radiol Anat. 2013;35(1):3–10.
Lauretano AM, Li KK, Caradonna DS, Khosta RK, Fried MP. Anatomic location of the tongue base neurovascular bundle. Laryngoscope. 1997;107(8):1057–9.
Vaughan CW. Vocal fold exposure in phonosurgery. J Voice. 1993;7(2):189–94.
Joshi VM, Wadhwa V, Mukherji SK. Imaging in laryngeal cancer. Indian J Radiol Imaging. 2012;22(3):209–26.
Reidenbach MM. The paraglottic space and transglottic cancer: anatomical considerations. Clin Anat. 1996;9(4):244–51.
Weinstein GS, O’Malley Jr BW, Snyder W, Hockstein NG. Transoral robotic surgery: supraglottic partial laryngectomy. Ann Otol Rhinol Laryngol. 2007;116(1):19–23.
Rudert HH, Werner JA. Endoscopic resections of glottic and supraglottic carcinomas with the CO2 laser. Eur Arch Otorhinolaryngol. 1995;252(3):146–8.
Rusu MC, Nimigean V, Banu MA, Cergan R, Niculescu V. The morphology and topography of the superior laryngeal artery. Surg Radiol Anat. 2007;29(8):653–60.
Goyal N, Yoo F, Setabutr D, Goldenberg D. Surgical anatomy of the supraglottic larynx using the da Vinci robot. Head Neck. 2013;36:1126–31.
Souvirón R, Maranillo E, Vázquez T, Patel N, McHanwell S, Cobeta I, Scola B, Sañudo J. Proposal of landmarks for clamping neurovascular elements during endoscopic surgery of the supraglottic region. Head Neck. 2013;35:57–60.
Liu JL, Liang CY, Xiang T, Wang F, Wang LH, Liu SX, Yang HJ. Aberrant branch of the superior laryngeal artery passing through the thyroid foramen. Clin Anat. 2007;20:256–9.
Raikos A, Paraskevas GK. The thyroid foramen: a systematic review and surgical considerations. Clin Anat. 2013;26(6):700–8.
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Yarlagadda, B.B., Grillone, G.A. (2015). Anatomic Considerations in Transoral Robotic Surgery. In: Grillone, G., Jalisi, S. (eds) Robotic Surgery of the Head and Neck. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1547-7_2
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DOI: https://doi.org/10.1007/978-1-4939-1547-7_2
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