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Robot-Assisted Free Flap Reconstruction for Oropharyngeal Cancer: A Systematic Review

Vrakas, Panagiotis; Kalaskar, Deepak; Dwivedi, Raghav C; (2024) Robot-Assisted Free Flap Reconstruction for Oropharyngeal Cancer: A Systematic Review. Korean Journal of Otorhinolaryngology-Head and Neck Surgery , 67 (2) pp. 63-73. 10.3342/kjorl-hns.2023.01053. Green open access

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Abstract

Management of oropharyngeal cancer is undergoing a shift due to different profiles of patients, who tend to be younger and show better prognosis. Transoral robotic surgery is being established as the first-line approach as the procedure has shown minimal invasiveness and good oncological and functional outcomes, while avoiding extensive open surgery approaches and intensive chemoradiotherapy treatments. Naturally, the next step in the management of oropharyngeal cancer would be using the same technology for reconstruction to preserve the function and anatomy of the oropharynx. Free flaps, especially the radial forearm free flap and the anterolateral thigh flap, proved to be ideal for oropharyngeal reconstruction, and robotic assistance in these cases is yet to be explored. A limited number of studies have reported robot-assisted oropharyngeal reconstruction, so this review summarizes the currently available data and explores the feasibility, safety, and functional outcomes of this novel technique.

Type: Article
Title: Robot-Assisted Free Flap Reconstruction for Oropharyngeal Cancer: A Systematic Review
Open access status: An open access version is available from UCL Discovery
DOI: 10.3342/kjorl-hns.2023.01053
Publisher version: https://doi.org/10.3342/kjorl-hns.2023.01053
Language: English
Additional information: © The Author(s), 2024. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
Keywords: Free flaps, Oropharynx, Reconstructive surgery, Robot surgery , Squamous cell carcinoma
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Ortho and MSK Science
URI: https://discovery.ucl.ac.uk/id/eprint/10191476
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