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CC BY-NC-ND 4.0 · J Neurol Surg Rep 2025; 86(01): e14-e18
DOI: 10.1055/a-2466-7414
Original Report

A Novel Technique for Nasopharyngeal Stenosis Repair: Combined Transoral Robotic and Endonasal Approaches for Enhanced Visualization and Surgical Precision

Russel T. Wagner
1   Intent Medical Group, Department of Neurosciences, Northwest Community Hospital, Part of Endeavor Health, Arlington Heights, Illinois, United States
,
Sammy Khalili
1   Intent Medical Group, Department of Neurosciences, Northwest Community Hospital, Part of Endeavor Health, Arlington Heights, Illinois, United States
,
Blake Henning
1   Intent Medical Group, Department of Neurosciences, Northwest Community Hospital, Part of Endeavor Health, Arlington Heights, Illinois, United States
,
Neil S. Mundi
1   Intent Medical Group, Department of Neurosciences, Northwest Community Hospital, Part of Endeavor Health, Arlington Heights, Illinois, United States
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Abstract

Nasopharyngeal stenosis is a challenging condition characterized by a narrowed nasopharynx, leading to nasal congestion, impaired breathing, and recurrent sinus issues. In this report, we present a unique surgical approach that combines the use of both the Da Vinci Xi robot and a 70-degree nasal endoscope in a patient with a type II stenosis of the nasopharynx. The benefits of improved visualization, maneuverability, and precision of this novel combined approach are highlighted. It also highlights the benefit of using mitomycin C in minimizing the risk of re-stenosis. This previously undescribed technique can not only improve patient outcomes, but it also paves the way for future advancements and broader applications in robotically assisted procedures involving the skull base and oropharynx.

Keywords

nasopharyngeal stenosis - robotic-assisted surgery - Da Vinci Xi - robot endoscopic surgery - transoral robotic surgery (TORS) - skull base surgery - nasal endoscope - mitomycin C - ENT surgery - head and neck surgery


Publikationsverlauf

Eingereicht: 14. August 2024

Angenommen: 11. November 2024

Accepted Manuscript online:
13. Januar 2025

Artikel online veröffentlicht:
27. Januar 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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