{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:30:50Z","timestamp":1791549050137,"version":"4.3.4"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,10,28]],"date-time":"2015-10-28T00:00:00Z","timestamp":1445990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"C.D. Humphrey's Research Fund, Department of Otolaryngology, Stanford University, Palo Alto, CA"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To describe the application of a novel flexible robotic surgical system to transoral endoscopic head and neck surgery of the tonsillar fossa and lateral oropharyngeal wall.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Preclinical anatomic study using three human cadavers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Transoral resection of the lateral oropharyngeal wall with mucosal and muscular resection of the tonsillar fossa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This single\u2010port flexible robotic system could be used to successfully perform transoral resection of this region. The optimal angle to dock the patient\u2010side cart was at a 90\u2010degree angle to the operating room table. The placement of the remote center of the robotic instrument arm was evaluated in three positions. When the cannula tip was placed at 10 to 15 cm, all instruments could be deployed past the first and second joggle joint settings, without collision or restriction of arm movement. Using this position and docking location, all four arms were deployed inside the oral cavity without collision or restriction of movement in all three cadavers. The Da Vinci SP (Intuitive Surgical, Inc., Sunnyvale, CA) provided sufficient access, reach, and visualization in order to complete a transoral lateral oropharyngectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The first preclinical feasibility study of a novel, flexible, single\u2010arm robotic surgical system is presented for its use in transoral endoscopic head and neck surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>N\/A. <jats:italic>Laryngoscope<\/jats:italic>, 126:864\u2013869, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.25724","type":"journal-article","created":{"date-parts":[[2015,10,28]],"date-time":"2015-10-28T12:35:09Z","timestamp":1446035709000},"page":"864-869","source":"Crossref","is-referenced-by-count":57,"title":["A flexible, single\u2010arm robotic surgical system for transoral resection of the tonsil and lateral pharyngeal wall: Next\u2010generation robotic head and neck surgery"],"prefix":"10.1002","volume":"126","author":[{"given":"F. Christopher","family":"Holsinger","sequence":"first","affiliation":[{"name":"Division of Head and Neck Surgery Department of Otolaryngology Stanford University Palo Alto California U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.36.4596"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.27631"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.14.8841"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2015.62.3157"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e32832924f5"},{"key":"e_1_2_7_7_1","volume-title":"Endoscopic Laser Surgery of the Upper Aerodigestive Tract \u2013 With Special Emphasis on Cancer Surgery","author":"Steiner W","year":"2000"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000164714.90354.7D"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000170848.76045.47"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23294"},{"key":"e_1_2_7_11_1","unstructured":"The United States Food and Drug Administration.501(k) Summary Section III: Indications for Use for Intuitive Surgical Endoscopic Instrument Control System for Transoral Otolaryngology Procedures.2009.http:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf9\/K090993.pdf"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813503446"},{"key":"e_1_2_7_13_1","unstructured":"The United States Food and Drug Administration.501(k) Summary: SP999 da Vinci\u00ae Sp\u2122 Surgical System2014.http:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf13\/K131962.pdf"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.06.039"},{"key":"e_1_2_7_15_1","first-page":"433","article-title":"L'C. L'. \u2010coagulation dans le \u00e9le le tion de l'amygdale\u2010palatine. [Electrocoagulation in epitheliomas of the tonsils]","volume":"68","author":"Huet PC","year":"1951","journal-title":"Ann Otolaryngol"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.131.7.583"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25724","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25724","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.25724","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T01:42:43Z","timestamp":1696556563000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.25724"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,28]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1002\/lary.25724"],"URL":"https:\/\/doi.org\/10.1002\/lary.25724","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,28]]}}}