Transoral robotic surgery for oncocytic ductal cyst of hypopharynx: a lesion with a high probability of recurrence

Hypopharyngeal cysts are very uncommon pathology. They are presented in adult people over 60 years. Although oncocytic cysts are benign tumors, an incomplete resection causes recurrence. The symptoms are not specific, but the more frequent are dyspnea and foreign body sensation upon swallowing. Diag...

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Bibliographic Details
Published in:Journal of robotic surgery 2018-12, Vol.12 (4), p.731-735
Main Authors: Cadena, Enrique, Romero-Rojas, Alfredo, Guerra, Ricardo, Pérez-Mitchell, Carlos
Format: Article
Language:English
Subjects:
Aged
Anesthesia
Asymptomatic
Case Report
Cysts
Cysts - surgery
Cytoplasm
Dyspnea
Endoscopy
Female
Foreign bodies
General anesthesia
Humans
Intubation
Laryngoscopy
Larynx
Lesions
Medical instruments
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Pharyngeal Diseases - surgery
Pyriform Sinus - surgery
Recurrence
Risk
Robotic surgery
Robotic Surgical Procedures - instrumentation
Robotic Surgical Procedures - methods
Sinuses
Surgeons
Surgery
Tomography
Tumors
Urology
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Summary:Hypopharyngeal cysts are very uncommon pathology. They are presented in adult people over 60 years. Although oncocytic cysts are benign tumors, an incomplete resection causes recurrence. The symptoms are not specific, but the more frequent are dyspnea and foreign body sensation upon swallowing. Diagnosis usually is under general anesthesia during intubation. A flexible fiberoptic laryngoscopy could be insufficient; the trumpet maneuver during this examination can reveled occult cysts. To perform a total resection, the surgeon must have a complete exposition of the operative field. We present a new case of a patient with a symptomatic hypopharyngeal cyst successfully treated with transoral robotic extirpation; our view was tridimensional magnified and the robotic instruments provided great range of movement that permitted complete and safe removal hypopharyngeal lesion.
ISSN:1863-2483
1863-2491
DOI:10.1007/s11701-017-0762-5