Transoral robotic surgery using an image guidance system

Objectives: To describe a novel technique using the image guidance system for transoral robotic surgery of the pharyngeal and parapharyngeal spaces. Study Design: Case series presentation. Methods: Three cases of oropharyngeal and pharyngeal space lesions are reviewed for presentation, workup, and original management. Results: Final pathology of a vascular malformation, an acinic cell adenocarcinoma, and a squamous cell carcinoma were located and minimally invasively removed by a transoral robotic approach with the aid of image guidance. No complications or recurrences were observed on an average of 7 month follow-up. Conclusions: Transoral robotic surgery using an image guidance system seems safe and effective in assisting dissection.