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Int Arch Otorhinolaryngol 2016; 20(02): 138-144
DOI: 10.1055/s-0036-1578807
Original Research
Thieme Publicações Ltda Rio de Janeiro, Brazil

Retroauricular Endoscope-Assisted Approach to the Neck: Early Experience in Latin America

Renan Bezerra Lira
1   Department of Head and Neck Surgery and Otorhinolaryngology, AC Camargo Cancer Center, São Paulo, SP, Brazil
,
Thiago Celestino Chulam
1   Department of Head and Neck Surgery and Otorhinolaryngology, AC Camargo Cancer Center, São Paulo, SP, Brazil
,
Yoon Woo Woo Koh
2   Department of Head and Neck Surgery and Otorhinolaryngology, Younsei University College of Medicine, Seoul, Korea the Republic of
,
Eun Chang Chang Choi
2   Department of Head and Neck Surgery and Otorhinolaryngology, Younsei University College of Medicine, Seoul, Korea the Republic of
,
Luiz Paulo Kowalski
1   Department of Head and Neck Surgery and Otorhinolaryngology, AC Camargo Cancer Center, São Paulo, SP, Brazil
› Author Affiliations
Further Information

Publication History

15 July 2015

06 December 2015

Publication Date:
07 March 2016 (online)

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Abstract

Introduction There has been a significant increase in concern towards improving aesthetic and functional outcomes without compromising the oncologic effectiveness in head and neck surgery. In this subset, endoscope-assisted and robotic procedures allowed the development of new approaches to the neck, including the retroauricular access, which is now routinely used, especially in Korea.

Objectives This study aims to provide a descriptive analysis of our initial experience with retroauricular endoscope-assisted approach assessing feasibility, safety, and aesthetic results.

Methods Prospective analysis of the first 11 eligible patients submitted to retroauricular endoscope-assisted approach for neck procedures in the Head and Neck Surgery Department at AC Camargo Cancer Center.

Results A total of 18 patients were included in this study, comprising 7 supraomohyoid neck dissections, 8 submandibular gland excisions, 3 thyroid lobectomies, and one paraganglioma excision. There was no significant local complications, surgical accident, or need for conversion into conventional open procedure in this series.

Conclusion Our initial experience has shown us that this approach is feasible, safe, oncologically efficient, and applicable to selected cases, with a clear cosmetic benefit.

Keywords

neck dissection - thyroidectomy - video-assisted surgery - minimally invasive surgical procedures
 

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