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. 2016 Apr;20(2):138-44.
doi: 10.1055/s-0036-1578807. Epub 2016 Mar 7.

Retroauricular Endoscope-Assisted Approach to the Neck: Early Experience in Latin America

Renan Bezerra Lira  1 , Thiago Celestino Chulam  1 , Yoon Woo Woo Koh  2 , Eun Chang Chang Choi  2 , Luiz Paulo Kowalski  1
Affiliations

Retroauricular Endoscope-Assisted Approach to the Neck: Early Experience in Latin America

Renan Bezerra Lira et al. Int Arch Otorhinolaryngol. 2016 Apr.

Abstract

Introduction There has been a significant increase in concern towards improving aesthetic and functional outcomes without compromising the oncologic effectiveness in head and neck surgery. In this subset, endoscope-assisted and robotic procedures allowed the development of new approaches to the neck, including the retroauricular access, which is now routinely used, especially in Korea. Objectives This study aims to provide a descriptive analysis of our initial experience with retroauricular endoscope-assisted approach assessing feasibility, safety, and aesthetic results. Methods Prospective analysis of the first 11 eligible patients submitted to retroauricular endoscope-assisted approach for neck procedures in the Head and Neck Surgery Department at AC Camargo Cancer Center. Results A total of 18 patients were included in this study, comprising 7 supraomohyoid neck dissections, 8 submandibular gland excisions, 3 thyroid lobectomies, and one paraganglioma excision. There was no significant local complications, surgical accident, or need for conversion into conventional open procedure in this series. Conclusion Our initial experience has shown us that this approach is feasible, safe, oncologically efficient, and applicable to selected cases, with a clear cosmetic benefit.

Keywords: minimally invasive surgical procedures; neck dissection; thyroidectomy; video-assisted surgery.

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Figures

Fig. 1
Fig. 1
Retroauricular incision planning.
Fig. 2
Fig. 2
Retroauricular endoscopy-assisted SOHND. (A) Overview of workspace; (B) Removal of levels II and III; (C) SMG duct being divided; (D) Final aspect of surgical field.
Fig. 3
Fig. 3
Retroauricular endoscopy-assisted SOHND combined with hemi-glossectomy and free-flap reconstruction. (A) Preparation; (B,C) Retroauricular scar and cosmetic result in 14th post-operative day.
See this image and copyright information in PMC

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