Robotic Assisted Type 1 Laryngeal Cleft Repair

Contributors: Umamaheshwar Duvvuri (University of Pittsburgh Medical Center)

A DaVinci Robot is used to dock in with a 30 degree up telescope.The oral cavity is exposed using a FK retractor or a modified McIvor mouth gag( one with a flat blade). Robotic 5 mm Maryland forceps and 5 mm monopolar diathermy forceps is used. After getting a good exposure of the laryngeal cleft the diathermy at a setting of 4-5 watts is used to make the incision.and using the maryland forceps the laryngeal and esophageal flaps are created.A 5.0 PDS suture with a P2 tapered needle is used.The apex of the esophageal flap is first closed with suturing it.After this the apex of the laryngeal surface is closed.For a laryngeal cleft repair 2-4 sutures are required to obtain a closure. The sutures on the laryngeal surface are buried.The patient is kept intubated for a day or two to avoid excess movement of larynx. Pre and post operative treatment of reflux is important for healing.

DOI: http://dx.doi.org/10.17797/z17zngnuwp

Flex Robotic-Assisted Branchial Cleft Excision via Retroauricular Approach

Contributors: Umamaheswar Duvvuri

An 18-year-old African American female with a large, type II branchial cleft cyst and a history of keloid scars presented for removal of branchial cleft cyst.  We present the first robotic-assisted excision of branchial cleft cyst using the new Flex Robotic© Surgery System.

Robotic-assisted Base of Tongue Resection for Adult Sleep Apnea

A 52-year-old female presented for an evaluation for sleep apnea surgery.  She complained of choking sensation at night.  She had an AHI of 6.7 events per hour, a oxygen saturation nadir of 71%, and BMI of 30.6.  She and a prior history of adenotonsillectomy as a child.  Flexible examination in the office revealed grade 4 lingual tonsil hypertrophy.  She was deemed a candidate for lingual tonsillectomy and was taken to the operating for robotic lingual tonsillectomy.  The technique for adult lingual tonsillectomy is shown in step-by-step fashion with tips for good results both operatively and functionally learned from robotic surgery for cancer of the unknown primary origin.

Contributors: Jessica Moskovitz, MD, Leila J. Mady, MD, PhD, MPH, Umamaheswar Duvvuri, MD, PhD

Your 30-second teaser has ended. Log in or sign up to watch the full video.

You have gained maximum
CME credits this year.

Your CME credits will reset next year. You can still continue to watch our videos.​

Newsletter Signup

"*" indicates required fields

Name*