Vascular lesions of the oropharynx may impair swallowing and breathing functions, bleed repeatedly, or cause airway compromise. Conservative management with steroids, interferon, or propranolol may be attempted, but surgery is often needed. Surgical approaches traditionally involved open procedures; however, with the growth of transoral robotic surgery, a new approach is available. This report ...

Coding CPT 43201 Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance 43210 Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed 43236 Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance 43257 Esophagogastroduodenoscopy, fl...

BACKGROUND The laryngeal schwannoma is a rare benign tumor of the larynx, most frequently found in the aryepiglottic fold, which can be rather bulky when diagnosed. METHODS We present a primary transoral robotic surgery (TORS) for a laryngeal schwannoma and highlight the advantages of the robotic assistance. RESULTS Thanks to the high-definition 3D dynamic vision and an improved freedom of ...

OBJECTIVES The transoral atlantoaxial reduction plate system treats irreducible atlantoaxial dislocation from transoral atlantoaxial reduction plate-I to transoral atlantoaxial reduction plate-III. However, this system has demonstrated problems associated with screw loosening, atlantoaxial fixation and concealed or manifest neurovascular injuries. This study sought to design a set of individual...

The management of parapharyngeal tumor is surgical, but the approach remains a challenge. Attention should be paid to avoidance intra-operative bleeding or cranial nerves damage. We report a case of a 67-year-old male complaining of left-ear fullness. A submucosal mass arising from the lateral wall of oropharynx on the left side was observed. Magnetic resonance imaging detected a mass arising f...

The transoral approach is an effective way to decompress the craniocervical junction due to basilar invagination. This approach has been described and refined, but significant limitations and technical challenges remain. Specifically, should the transoral route be used for intradural pathology, such as a meningioma, or should an inadvertent durotomy occur during extradural dissection, achieving...

BACKGROUND To evaluate the oncologic effectiveness of transoral laser surgery of supraglottic cancer, we compared a group of patients treated with laser surgery, with a stage-matched group treated with a transcervical approach. METHODS Twenty-six patients who underwent laser surgery were retrospectively compared with 26 patients who underwent a transcervical approach. In both groups, the pati...