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KMID : 0361020240670020063
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Korean Journal of Otolaryngology - Head and Neck Surgery
2024 Volume.67 No. 2 p.63 ~ p.73
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Robot-Assisted Free Flap Reconstruction for Oropharyngeal Cancer: A Systematic Review
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Panagiotis Vrakas
Deepak Kalaskar
Raghav C Dwivedi
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Abstract
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Management of oropharyngeal cancer is undergoing a shift due to different profiles of pa-tients, who tend to be younger and show better prognosis. Transoral robotic surgery is beingestablished as the first-line approach as the procedure has shown minimal invasiveness andgood oncological and functional outcomes, while avoiding extensive open surgery approachesand intensive chemoradiotherapy treatments. Naturally, the next step in the management oforopharyngeal cancer would be using the same technology for reconstruction to preserve thefunction and anatomy of the oropharynx. Free flaps, especially the radial forearm free flapand the anterolateral thigh flap, proved to be ideal for oropharyngeal reconstruction, and ro-botic assistance in these cases is yet to be explored. A limited number of studies have reportedrobot-assisted oropharyngeal reconstruction, so this review summarizes the currently avail-able data and explores the feasibility, safety, and functional outcomes of this novel technique.
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KEYWORD
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Free flaps, Oropharynx, Reconstructive surgery, Robot surgery, Squamous cell carcinoma
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