International Journal of Head and Neck Surgery

Register      Login

VOLUME 7 , ISSUE 4 ( October-December, 2016 ) > List of Articles

RESEARCH ARTICLE

Medrobotics Flex System for Laryngeal Surgery: A Feasible Study in Two Cadavers

Soham Roy, Syed HS Naqvi, Ron J Karni

Citation Information : Roy S, Naqvi SH, Karni RJ. Medrobotics Flex System for Laryngeal Surgery: A Feasible Study in Two Cadavers. Int J Head Neck Surg 2016; 7 (4):204-206.

DOI: 10.5005/jp-journals-10001-1289

Published Online: 00-12-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective

To report the feasibility of Medrobotics Flex® System for laryngeal surgery.

Materials and methods

Cadaver study in research laboratory.

Results

The Medrobotics Flex System was utilized with the Medrobotics Flex Retractor to evaluate robotic laryngeal surgery in a cadaver model. Two surgeons using two cadavers tested the robotic system to expose the larynx and facilitate robotic airway surgery using the Flex Instruments. In both cadavers, these procedures were performed transorally with excellent visualization: supraglottoplasty, arytenoidectomy, epiglottectomy, vocal cord lesion excision, posterior cordotomy, hemilaryngectomy, and endoscopic anterior/posterior cricoid split. Laryngeal cleft repair was limited by availability of suture to close the interarytenoid band. Laryngeal exposure was rated as “excellent” by both surgeons using the robotic platform.

Conclusion

Robotic surgery for the head and neck, while still in relative infancy, remains one of the newest platforms for the otolaryngologist. Currently available robotic platforms, while adapted to head and neck and airway surgery, were not designed for this purpose and pose challenges in size and accessibility to the larynx. The Flex System is specifically designed for head and neck and laryngeal surgery. This system provides outstanding visualization of hard to access areas in the larynx and hypopharynx. The flexible surgical instruments used with the Flex System allow for reasonable surgical exposure and technique. The Flex System may provide an improved robotic experience for transoral laryngeal and head and neck surgery.

How to cite this article

Roy S, Naqvi SHS, Karni RJ. Medrobotics Flex System for Laryngeal Surgery: A Feasible Study in Two Cadavers. Int J Head Neck Surg 2016;7(4):204-206.


PDF Share
  1. Demonstration of transoral surgery in cadaveric specimens with the Medrobotics flex system. Laryngoscope 2013 May;123(5):1168-1172.
  2. Transoral surgery for oropharyngeal tumors using the Medrobotics(®)Flex(®) System – a case report. Int J Surg Case Rep 2015 Mar;10:173-175.
  3. First use of a new retractor in transoral robotic surgery (TORS). Eur Arch Otorhinolaryngol 2015 Jul;273(7):1913-1917.
  4. Transoral robotic surgery of the larynx and airway. Robotic Surg Head Neck 2015 Jan;83-97.
  5. Applications of robotics for laryngeal surgery. Otolaryngol Clin North Am 2013;41(4):781-791.
  6. Critical analysis of robotic surgery for laryngeal tumours. Acta Otorrinolaringol Esp 2014 Nov-Dec;65(6):365-372.
  7. Potential applications of the da Vinci minimally invasive surgical robotic system in otolaryngology. Ear Nose Throat J 2005 Aug;84(8):483-487.
  8. Potential advantages of a single-port, operator-controlled flexible endoscope system for transoral surgery of the larynx. Ann Otol Rhinol Laryngol 2015 Aug;124(8):655-662.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.