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Surgery: Current Research | ISSN: 2161-1076 | Volume 8
August 31-September 01, 2018 | Toronto, Canada
Plastic & Cosmetic Surgery
International Conference on
Dermatopathology & Skin Care
International Conference & Expo on
&
Functional outcome and complications of robot-assisted free flap oropharyngeal reconstruction
Chih-Sheng Lai, I-Chen Chen, Shih-An Liu ,Yen-Wei Chen, Chen-Te Lu
and
Jung-Hsing Yen
Taichung Veterans General Hospital, Taiwan
Purpose:
The purpose of this study was to assess the outcomes of robotic-assisted oropharyngeal reconstruction comparison
with conventional free flap reconstruction. The robotic surgical system provides a clear, magnified, 3-dimensional (3D) view
as well as a precise and stable instrumental movement, which minimizes many technical difficulties that may be encountered
in the surgical treatment of oropharyngeal tumors.
Materials and Methods:
A retrospective review of consecutive patients who underwent reconstructive operations using
free radial forearm fasciocutaneous flap for oropharyngeal defects over a 20-month period (May 2013 to December 2014).
The primary predictor variable was method of reconstruction (conventional versus robot-assisted). Outcome measures were
postoperative complication rates, revision rates, and postoperative functional outcomes.
Results:
The study sample consisted of 47 subjects who underwent reconstructive operations using free radial forearm
fasciocutaneous flap for oropharyngeal defects (33 conventional and 14 robot-assisted reconstructions). Complication
rates between the conventional and robot-assisted groups were similar for flap failure, partial necrosis, wound infections,
hematoma or seroma formation, wound dehiscence, and fistula formation. The revision requiring additional operation was
comparable between the two cohorts. The functional outcomes postoperatively of robot-assisted reconstructions are better
than conventional reconstructions as demonstrated by the Functional Intraoral Glasgow Scale scores.
Conclusion:
There is no significant difference in complication and revision rates between conventional versus robot-assisted
oropharyngeal reconstructions. The application of a robotic surgical system seems to be a safe option with better oral function
postoperatively in the free flap reconstruction of oropharyngeal defects without lip or mandible splitting.
Biography
He is an attending plastic surgeon at Taichung Veterans General Hospital, Taiwan. He has more than 10 years of experience as plastic surgeon and specializes in
wound treatment and reconstructive surgery. He obtained medical degree from Chung Shan Medical University. He has also authored many research publications
and is an active member of many surgery societies as Taiwan Society of Plastic Surgery, Member of Taiwan Society for Surgery of the Hand, Member of Taiwan
Society for Reconstructive Microsurgery.
o1978626@pchome.com.twChih-Sheng Lai et al., Surgery Curr Res 2018, Volume 8
DOI: 10.4172/2161-1076-C4-044