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ORIGINAL RESEARCH article

Front. Surg.
Sec. Otorhinolaryngology - Head and Neck Surgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1471207

Transoral robotic salivary surgery for hilar\parenchymal submandibular stones

Provisionally accepted
Pasquale Capaccio Pasquale Capaccio 1matteo lazzeroni matteo lazzeroni 1Sara Torretta Sara Torretta 1*lorenzo solimeno lorenzo solimeno 1valentina cristofaro valentina cristofaro 1michele proh michele proh 2giovanni cammaroto giovanni cammaroto 3giuseppe meccariello giuseppe meccariello 3claudio vicini claudio vicini 3Lorenzo Pignataro Lorenzo Pignataro 1
  • 1 University of Milan, Milan, Italy
  • 2 IRCCS Ca 'Granda Foundation Maggiore Policlinico Hospital, Milan, Lombardy, Italy
  • 3 L. Pierantoni GB Morganis Hospital, Forlì, Italy

The final, formatted version of the article will be published soon.

    Objectives: A prospective interventional study was designed to describe our series of patients with submandibular stones undergoing sialendoscopy-assisted TORSS (trans-oral robotic salivary surgery) by means of Si or Xi Da Vinci robotic system between January 2019 and June 2023, in order to assess safety and effectiveness of the procedure.Methods: 54 adult patients with submandibular stones undergoing sialendoscopy-assisted TORSS between January 2019-June 2023.The global success rate was 81.5%, with better surgical outcomes in patients with palpable hilar/hilo-parenchymal stones compared to non-palpable pure parenchymal ones (92.7 vs. 46.2%). In addition, the mean stone size in cases failing TORSS was smaller than that documented in successfully treated patients (7.8 ± 1.8 vs. 9.8 ± 2.4 mm). No major untoward effects were observed (transitory lingual nerve dysfunction in 3 patients undergoing Xi Da Vinci surgery). A positive outcome in terms of post-operative surgical pain, patient's satisfaction and recovery time was observed.Conclusions: Intrinsic stone features (such as size, location/palpability) seems to be predictor for surgical success; an accurate pre-operative planning is mandatory to better select which patient can benefit most from TORSS procedure.

    Keywords: robotic surgery, Submandibular, stones, Sialolithiasis, sialendoscopy

    Received: 26 Jul 2024; Accepted: 16 Oct 2024.

    Copyright: © 2024 Capaccio, lazzeroni, Torretta, solimeno, cristofaro, proh, cammaroto, meccariello, vicini and Pignataro. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Sara Torretta, University of Milan, Milan, Italy

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.