Transoral robotic study of the vascular anatomy of the head and neck

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We aimed to explore, highlight and accurately identify the vascular anatomy of the oropharynx, hypopharynx and supraglottis utilizing the transoral robotic perspective. This was a case series using anatomic studies of cadaveric specimens. The cadavers were injected with red- and blue-dyed silicone through the arterial and venous systems to define the macro- and microvasculature. Following injection of the specimen, a da Vinci robotic surgical system was engaged to perform a transoral dissection of the oropharynx, hypopharynx and supraglottic regions. Dissection was carried out under high-definition optics. Vascular structures were identified and followed to their terminal branches. We successfully performed transoral robotic dissections of five fresh frozen cadaveric human heads which had been injected with dyed silicone. The injection technique and use of a high-definition magnifying camera allowed us to visualize and identify the vasculature of the head and neck in a unique fashion. The cadaveric model provides an excellent educational tool to aid in training. Additionally, the use of this model and the transoral approach has allowed us to identify vessels which typically may not be visible on routine dissection. We believe this to be very relevant in training and improving performance for safe and bloodless transoral robotic surgery. To our knowledge this is the first study using the transoral robotic approach to examine the vascular anatomy of the oropharynx and larynx.

Original languageEnglish (US)
Pages (from-to)57-61
Number of pages5
JournalJournal of Robotic Surgery
Volume8
Issue number1
DOIs
StatePublished - Mar 1 2014

Fingerprint

Robotics
Blood Vessels
Anatomy
Neck
Head
Oropharynx
Dissection
Hypopharynx
Silicones
Injections
Larynx
Microvessels
Cadaver

All Science Journal Classification (ASJC) codes

  • Surgery
  • Health Informatics

Cite this

@article{c7673a39fbe74963afca64c49f0a0366,
title = "Transoral robotic study of the vascular anatomy of the head and neck",
abstract = "We aimed to explore, highlight and accurately identify the vascular anatomy of the oropharynx, hypopharynx and supraglottis utilizing the transoral robotic perspective. This was a case series using anatomic studies of cadaveric specimens. The cadavers were injected with red- and blue-dyed silicone through the arterial and venous systems to define the macro- and microvasculature. Following injection of the specimen, a da Vinci robotic surgical system was engaged to perform a transoral dissection of the oropharynx, hypopharynx and supraglottic regions. Dissection was carried out under high-definition optics. Vascular structures were identified and followed to their terminal branches. We successfully performed transoral robotic dissections of five fresh frozen cadaveric human heads which had been injected with dyed silicone. The injection technique and use of a high-definition magnifying camera allowed us to visualize and identify the vasculature of the head and neck in a unique fashion. The cadaveric model provides an excellent educational tool to aid in training. Additionally, the use of this model and the transoral approach has allowed us to identify vessels which typically may not be visible on routine dissection. We believe this to be very relevant in training and improving performance for safe and bloodless transoral robotic surgery. To our knowledge this is the first study using the transoral robotic approach to examine the vascular anatomy of the oropharynx and larynx.",
author = "Neerav Goyal and Dhave Setabutr and David Goldenberg",
year = "2014",
month = "3",
day = "1",
doi = "10.1007/s11701-013-0427-y",
language = "English (US)",
volume = "8",
pages = "57--61",
journal = "Journal of Robotic Surgery",
issn = "1863-2483",
publisher = "Springer London",
number = "1",

}

Transoral robotic study of the vascular anatomy of the head and neck. / Goyal, Neerav; Setabutr, Dhave; Goldenberg, David.

In: Journal of Robotic Surgery, Vol. 8, No. 1, 01.03.2014, p. 57-61.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Transoral robotic study of the vascular anatomy of the head and neck

AU - Goyal, Neerav

AU - Setabutr, Dhave

AU - Goldenberg, David

PY - 2014/3/1

Y1 - 2014/3/1

N2 - We aimed to explore, highlight and accurately identify the vascular anatomy of the oropharynx, hypopharynx and supraglottis utilizing the transoral robotic perspective. This was a case series using anatomic studies of cadaveric specimens. The cadavers were injected with red- and blue-dyed silicone through the arterial and venous systems to define the macro- and microvasculature. Following injection of the specimen, a da Vinci robotic surgical system was engaged to perform a transoral dissection of the oropharynx, hypopharynx and supraglottic regions. Dissection was carried out under high-definition optics. Vascular structures were identified and followed to their terminal branches. We successfully performed transoral robotic dissections of five fresh frozen cadaveric human heads which had been injected with dyed silicone. The injection technique and use of a high-definition magnifying camera allowed us to visualize and identify the vasculature of the head and neck in a unique fashion. The cadaveric model provides an excellent educational tool to aid in training. Additionally, the use of this model and the transoral approach has allowed us to identify vessels which typically may not be visible on routine dissection. We believe this to be very relevant in training and improving performance for safe and bloodless transoral robotic surgery. To our knowledge this is the first study using the transoral robotic approach to examine the vascular anatomy of the oropharynx and larynx.

AB - We aimed to explore, highlight and accurately identify the vascular anatomy of the oropharynx, hypopharynx and supraglottis utilizing the transoral robotic perspective. This was a case series using anatomic studies of cadaveric specimens. The cadavers were injected with red- and blue-dyed silicone through the arterial and venous systems to define the macro- and microvasculature. Following injection of the specimen, a da Vinci robotic surgical system was engaged to perform a transoral dissection of the oropharynx, hypopharynx and supraglottic regions. Dissection was carried out under high-definition optics. Vascular structures were identified and followed to their terminal branches. We successfully performed transoral robotic dissections of five fresh frozen cadaveric human heads which had been injected with dyed silicone. The injection technique and use of a high-definition magnifying camera allowed us to visualize and identify the vasculature of the head and neck in a unique fashion. The cadaveric model provides an excellent educational tool to aid in training. Additionally, the use of this model and the transoral approach has allowed us to identify vessels which typically may not be visible on routine dissection. We believe this to be very relevant in training and improving performance for safe and bloodless transoral robotic surgery. To our knowledge this is the first study using the transoral robotic approach to examine the vascular anatomy of the oropharynx and larynx.

UR - http://www.scopus.com/inward/record.url?scp=84893979827&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84893979827&partnerID=8YFLogxK

U2 - 10.1007/s11701-013-0427-y

DO - 10.1007/s11701-013-0427-y

M3 - Article

C2 - 27637240

AN - SCOPUS:84893979827

VL - 8

SP - 57

EP - 61

JO - Journal of Robotic Surgery

JF - Journal of Robotic Surgery

SN - 1863-2483

IS - 1

ER -