{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T09:50:10Z","timestamp":1791625810009,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp;amp; Neck"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The robotic\u2010assisted extended \u201cSistrunk\u201d approach (RESA) is a minimally invasive technique providing access to hypopharyngeal and laryngeal structures via a submental incision and vallecular pharyngotomy, bypassing the base of tongue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We report 10 RESA procedures in previously irradiated head and neck cancer patients, including six organ\u2010preservation surgeries and four total laryngectomies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>RESA enabled completion of the planned surgery, achieving R0 margins in all cases. Postoperative bleeding occurred in four patients (three Clavien\u2013Dindo IIIb; one II). One cervical abscess was managed endoscopically. After total laryngectomy, three patients developed a subclinical pharyngeal dehiscence visualized on barium swallow exam, without evidence of a pharyngo\u2010cutaneous fistula. Disease\u2010specific survival was 100% (median 15.5\u2009months); two patients died of unrelated causes. Swallowing improved or remained stable in seven patients at 1\u2009year (three developed recurrence, a second primary, or died).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RESA is a feasible salvage option with acceptable oncologic and functional outcomes in selected patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70343","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T06:10:41Z","timestamp":1780726241000},"page":"3180-3192","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Robotic\u2010Assisted Extended Sistrunk Approach (\n                    <scp>RESA<\/scp>\n                    ) for Salvage Surgery After Head and Neck Irradiation"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4677-0783","authenticated-orcid":false,"given":"Bartosz","family":"Wojtera","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne (UNIL)  Lausanne Switzerland"},{"name":"Department of Head and Neck Surgery, Greater Poland Cancer Centre Poznan University of Medical Sciences (PUMS)  Poznan Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avinash","family":"Beharry","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karma","family":"Lambercy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascaline","family":"D\u00fcbi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelena","family":"Todic","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne (UNIL)  Lausanne 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