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Robot-Assisted Free Flap Reconstruction for Oropharyngeal Cancer: A Systematic Review
Panagiotis Vrakas,Deepak Kalaskar,Raghav C Dwivedi 대한이비인후과학회 2024 대한이비인후과학회지 두경부외과학 Vol.67 No.2
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.