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Alternative Applications of Trans-Oral Robotic Surgery (TORS): A Systematic Review

Unit of Otolaryngology, Hospital Morgagni Pierantoni, 47100 Forlì, Italy
Unit of Otolaryngology, University of Messina, 98100 Messina, Italy
Unit of Otolaryngology, University of Ferrara, 44121 Ferrara, Italy
Unit of Otolaryngology, Head and Neck Surgery, Royal London Hospital, Whitechapel road, E1 1FR London, UK
Department Department of biochemical, surgical and Dental sciences university of Milan, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
Department of Otorhinolaryngology, Alexandria University, 21568 Alexandria, Egypt
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(1), 201;
Received: 15 December 2019 / Revised: 1 January 2020 / Accepted: 8 January 2020 / Published: 11 January 2020
(This article belongs to the Special Issue Robotic Surgery)
Background: The role of robotic surgery in the field of oncology has been widely described, in particular for the tumours of the oropharynx and larynx, but its efficacy for benign pathology is inconsistent. Methods: An exhaustive review of the English literature on trans-oral robotic surgery (TORS) for benign conditions was performed using PubMed electronic database. Results: The research was performed in March 2019 and yielded more than eight hundred articles, with 103 meeting the inclusion criteria and considered in the present study. Conclusions: The application of TORS for the treatment of obstructive sleep apnoea syndrome seems to be particularly well documented. Additionally, there exists a special interest in its use where high precision in limited anatomic space is required. There are still different structural and economic limitations for the application of TORS, however, the progressive technologic innovations and the increasing adoption of robotic surgery seem to encourage the uptake of this technique. View Full-Text
Keywords: TORS; OSAS; benign diseases; oropharynx; larynx TORS; OSAS; benign diseases; oropharynx; larynx
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Cammaroto, G.; Stringa, L.M.; Zhang, H.; Capaccio, P.; Galletti, F.; Galletti, B.; Meccariello, G.; Iannella, G.; Pelucchi, S.; Baghat, A.; Vicini, C. Alternative Applications of Trans-Oral Robotic Surgery (TORS): A Systematic Review. J. Clin. Med. 2020, 9, 201.

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