caa a22 4500 606184260 CHVBK 20210128100825.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00405-014-3423-6 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3423-6 TransOral endoscopic UltraSonic Surgery (TOUSS): a preliminary report of a novel robotless alternative to TORS [Elektronische Daten] [Mario Fernández-Fernández, Lourdes Montes-Jovellar, Pablo Parente Arias, Primitivo Ortega del Alamo] The objective of this study is to describe and evaluate the feasibility of TransOral UltraSonic Surgery (TOUSS), a new endoscopic alternative to transoral robotic surgery for approaching pharyngeal and laryngeal tumours based on ultrasonic scalpel as a resection tool. This is a prospective study on 11 consecutive patients with pharyngeal and supraglottic carcinomas between December 2013 and August 2014. All tumours were resected transorally with 35cm ThunderbeatTM. Exposure was achieved using GyrusTM FK-retractor and Olympus ENDOEYE Flex 5mm 2D/10mm 3D deflecting tip video laparoscopes. We evaluated tumour staging, surgical margins, surgical time, blood transfusions, tracheostomy, enteral feeding, postoperative pain and hospital stay. The operating room setup and procedure are described. This series comprised seven early and four locally advanced carcinomas. The mean setup for TOUSS and resection time were 16 and 70.9 minutes. No major intraoperative complications were identified. The average time of nasogastric feeding tube dependence (n=9) was 13days. Gastrostomy was performed in one patient. The average hospital stay was 14.3days. Postoperative pain was satisfactory treated with nonsteroidal anti-inflammatory drugs. We have described TOUSS as a new feasible and intuitive procedure to approach endoscopically pharyngeal and supraglottic tumours, with good intraoperative conditions and functional outcomes. The Author(s), 2014 Transoral surgery nationallicence Oropharyngeal carcinoma nationallicence Hypopharyngeal carcinoma nationallicence Supraglottic carcinoma nationallicence Robotic surgery nationallicence Thunderbeat nationallicence Fernández-Fernández Mario Department of Otolaryngology, Hospital Universitario del Henares, Avda Marie Curie s/n, 28822, Coslada, Madrid, Spain aut Montes-Jovellar Lourdes Otolaryngology Head & Neck Surgery Department, MD Anderson International, c/Arturo Soria 270, 28033, Madrid, Spain aut Parente Arias Pablo Department of Otolaryngology, Hospital Universitario de A Coruña, As Xubias s/n, 15006, A Coruña, Spain aut Ortega del Alamo Primitivo Department of Otolaryngology, Hospital Universitario de Móstoles, c/Río Júcar s/n, 28935, Mostoles, Madrid, Spain aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/12(2015-12-01), 3785-3791 0937-4477 272:12<3785 2015 272 405 https://doi.org/10.1007/s00405-014-3423-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3423-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fernández-Fernández Mario Department of Otolaryngology, Hospital Universitario del Henares, Avda Marie Curie s/n, 28822, Coslada, Madrid, Spain aut NATIONALLICENCE 700 1- Montes-Jovellar Lourdes Otolaryngology Head & Neck Surgery Department, MD Anderson International, c/Arturo Soria 270, 28033, Madrid, Spain aut NATIONALLICENCE 700 1- Parente Arias Pablo Department of Otolaryngology, Hospital Universitario de A Coruña, As Xubias s/n, 15006, A Coruña, Spain aut NATIONALLICENCE 700 1- Ortega del Alamo Primitivo Department of Otolaryngology, Hospital Universitario de Móstoles, c/Río Júcar s/n, 28935, Mostoles, Madrid, Spain aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/12(2015-12-01), 3785-3791 0937-4477 272:12<3785 2015 272 405