. 2024 May 23;13(11):3055.

doi: 10.3390/jcm13113055.

Perception of Young European Otolaryngologists toward Transoral Robotic Surgery in Head and Neck Oncology and Surgery

Jerome R Lechien^{1

2

3

4

5}, Abdul-Latif Hamdan⁶, Nicolas Fakhry^{1

7}, Luigi A Vaira^{1

8}, Giannicola Iannella^{1

9}, Isabelle M Gengler^{1

10}, Justin Michel^{1

11}, Thomas Radulesco^{1

11}, Marc Remacle^{2

12}, Stephane Hans^{1

2}, Giovanni Cammaroto^{1

13}, Alberto M Saibene^{1

14}, Miguel Mayo-Yanez^{1

15}, Antonino Maniaci^{1

16}

Affiliations

¹ Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France.
² Department of Otolaryngology and Head and Neck Surgery, Foch Hospital, Paris Saclay University, 91190 Paris, France.
³ Department of Otolaryngology and Head and Neck Surgery, Division of Broncho-Esophagology, EpiCURA Hospital, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), 7000 Mons, Belgium.
⁴ Elsan Polyclinic of Poitiers, 86000 Poitiers, France.
⁵ Laboratory of Anatomy and Cell Biology, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMONS), Avenue du Champ de Mars, 6, 7000 Mons, Belgium.
⁶ Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut 1107, Lebanon.
⁷ Department of Otolaryngology and Head and Neck Surgery, Aix-Marseille Univ, AP-HM, La Conception Hospital, 13005 Marseille, France.
⁸ Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy.
⁹ Department of "Organi di Senso", University "Sapienza", 00161 Rome, Italy.
¹⁰ Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati Medical Center, Cincinnati, OH 45267, USA.
¹¹ Aix Marseille University, APHM, CNRS, IUSTI, La Conception University Hospital, ENT-HNS Department, 13005 Marseille, France.
¹² Department of Otolaryngology, Head and Neck Surgery, Eich Hospital, 1460 Eich, Luxembourg.
¹³ Department of Otolaryngology-Head and Neck Surgery, Forli Hospital, 47122 Forli, Italy.
¹⁴ Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences, Università degli Studi di Milano, 26900 Milan, Italy.
¹⁵ Department of Otorhinolaryngology-Head and Neck Surgery, Hospital San Rafael (HSR), 15006 A Coruña, Spain.
¹⁶ Faculty of Medicine and Surgery, University of Enna Kore, 94100 Enna, Italy.

PMID: 38892767
PMCID: PMC11172773
DOI: 10.3390/jcm13113055

Perception of Young European Otolaryngologists toward Transoral Robotic Surgery in Head and Neck Oncology and Surgery

Jerome R Lechien et al. J Clin Med. 2024.

. 2024 May 23;13(11):3055.

doi: 10.3390/jcm13113055.

Authors

Affiliations

¹ Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France.
² Department of Otolaryngology and Head and Neck Surgery, Foch Hospital, Paris Saclay University, 91190 Paris, France.
³ Department of Otolaryngology and Head and Neck Surgery, Division of Broncho-Esophagology, EpiCURA Hospital, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), 7000 Mons, Belgium.
⁴ Elsan Polyclinic of Poitiers, 86000 Poitiers, France.
⁵ Laboratory of Anatomy and Cell Biology, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMONS), Avenue du Champ de Mars, 6, 7000 Mons, Belgium.
⁶ Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut 1107, Lebanon.
⁷ Department of Otolaryngology and Head and Neck Surgery, Aix-Marseille Univ, AP-HM, La Conception Hospital, 13005 Marseille, France.
⁸ Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy.
⁹ Department of "Organi di Senso", University "Sapienza", 00161 Rome, Italy.
¹⁰ Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati Medical Center, Cincinnati, OH 45267, USA.
¹¹ Aix Marseille University, APHM, CNRS, IUSTI, La Conception University Hospital, ENT-HNS Department, 13005 Marseille, France.
¹² Department of Otolaryngology, Head and Neck Surgery, Eich Hospital, 1460 Eich, Luxembourg.
¹³ Department of Otolaryngology-Head and Neck Surgery, Forli Hospital, 47122 Forli, Italy.
¹⁴ Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences, Università degli Studi di Milano, 26900 Milan, Italy.
¹⁵ Department of Otorhinolaryngology-Head and Neck Surgery, Hospital San Rafael (HSR), 15006 A Coruña, Spain.
¹⁶ Faculty of Medicine and Surgery, University of Enna Kore, 94100 Enna, Italy.

PMID: 38892767
PMCID: PMC11172773
DOI: 10.3390/jcm13113055

Abstract

Background: To investigate the perception of young European otolaryngologists (OTOs), i.e., head and neck surgeons, toward transoral robotic surgery (TORS). Methods: Members of the Young Confederation of European Otorhinolaryngology-Head and Neck Surgery and Young Otolaryngologists of International Federation of Otorhinolaryngological Societies were surveyed about TORS perception and practice. Results: The survey was completed by 120 young OTOS (26%). The most important barriers to TORS were robot availability (73%), cost (69%), and lack of training (37%). The participants believed that the main benefits include better surgical filed view (64%), shorter hospital stay (62%), and better postoperative outcomes (61%) than the conventional approach. Head and neck surgeons considered cT1-T2 oropharyngeal cancers (94%), resection of base of tongue for sleep apnea (86%), or primary unknown cancer (76%) as the most appropriate indications. A total of 67% of TORS surgeons assessed themselves as adequately trained in TORS. Conclusions: Young European OTOs report positive perception, adoption, and knowledge of TORS. The cost-related unavailability and the lack of training or access are reported to be the most important barriers for the spread of TORS.

Keywords: awareness; head and neck; otolaryngology; robotic; surgery; survey; transoral; young.

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Conflict of interest statement

Some young authors from the YO-IFOS and y-CEORL (J.R.L., N.F., T.R., A.S., I.G., G.I., G.C., and A.M.) are interested in the development of robotic surgery, which could be considered as a conflict of interest. Moreover, A.S., and S.H. received training from Intuitive^® (Oracle, CA, USA) prior to using the Da Vinci robot, which can be considered as an additional conflict of interest.

Figures

**Figure 1**
Training and instrument outcomes. The figure included the favorite instruments of TORS surgeons ((A): % of use), the mouth retractor used ((B); % of use), and the training provided (C). Abbreviations: OTO = otolaryngologist.

See this image and copyright information in PMC

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References

1. Lörincz B.B., Jowett N., Knecht R. Decision management in transoral robotic surgery: Indications, individual patient selection, and role in the multidisciplinary treatment for head and neck cancer from a European perspective. Head Neck. 2016;38((Suppl. S1)):E2190–E2196. doi: 10.1002/hed.24059. - DOI - PubMed
1. Sejima T., Morizane S., Fujiwara K., Ashida K., Saito H., Taniguchi Y., Nakamura H., Takenaka A. The First Pilot Comprehensive Evaluation of the Outcomes of Different Types of Robotic Surgeries in the Different Surgical Departments: The Penta, Tetra and Trifecta Achievements in Robotic Surgeries. Yonago Acta Med. 2016;59:135–142. - PMC - PubMed
1. Caporale C.D., Chiari F., D’Alessio P., Barbara F., Guarino P. Transoral robotic surgery for supraglottic cancer. A review of oncological and functional outcomes compared to open surgery. Acta Otorhinolaryngol. Ital. 2024;44((Suppl. S1)):S20–S27. doi: 10.14639/0392-100X-suppl.1-44-2024-N2919. - DOI - PMC - PubMed
1. Lechien J.R., Haddad L., Holsinger F.C., Mendelsohn A.H., Hans S. Awareness, Perception and Adoption of Otolaryngologist-Head Neck Surgeons toward Transoral Robotic Surgery: An International Survey. Oral Oncol. 2023;8:95–102. - PMC - PubMed
1. Chillakuru Y., Benito D.A., Strum D., Mehta V., Saini P., Shim T., Darwish C., Joshi A.S., Thakkar P., Goodman J.F. Transoral robotic surgery versus nonrobotic resection of oropharyngealsquamous cell carcinoma. Head Neck. 2021;43:2259–2273. doi: 10.1002/hed.26724. - DOI - PubMed

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Perception of Young European Otolaryngologists toward Transoral Robotic Surgery in Head and Neck Oncology and Surgery

Affiliations

Perception of Young European Otolaryngologists toward Transoral Robotic Surgery in Head and Neck Oncology and Surgery

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Abstract

Conflict of interest statement

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