{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T22:44:53Z","timestamp":1785451493843,"version":"3.56.0"},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,12,19]],"date-time":"2018-12-19T00:00:00Z","timestamp":1545177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Grant-in-Aid for Scientific Research (C) from the Ministry of Education, Culture, Sports, Science, and Technology of Japan","award":["#16K11243"],"award-info":[{"award-number":["#16K11243"]}]},{"name":"Grant-in-Aid for Scientific Research (C) from the Ministry of Education, Culture, Sports, Science, and Technology of Japan","award":["2016-2020"],"award-info":[{"award-number":["2016-2020"]}]},{"name":"Stanford University Head and Neck Research Fund, Palo Alto, California, U.S.A."}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To describe a hybrid supracricoid partial laryngectomy with cricohyoidoepiglottopexy (hybrid SCPL\u2010CHEP) combining limited transcervical and transoral robotic approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Preclinical cadaveric study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using six human cadavers in a series of three preclinical laboratories (July 2016\u2013February 2018), we developed a novel hybrid technique for SCPL\u2010CHEP. A flexible single\u2010port robotic surgical system was utilized for the transoral aspects of the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Detailed procedural steps are defined: 1) transoral: mucosal incisions under direct visualization of the laryngopharynx (tumor resection); 2) transcervical: incision and mobilization of the larynx and pexis; and 3) transoral: mucosal closure. Hybrid SCPL\u2010CHEP was technically feasible and allowed for complete transoral mucosal reconstruction. We discuss potential clinical significance of adding this TORS approach to conventional open SCPL\u2010CHEP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This hybrid technique for SCPL\u2010CHEP provides two main advantages over the standard technique: direct visualization during tumor resection prior to laryngotomy and full closure of the laryngopharynx defect. These technical refinements might facilitate postoperative recovery and in turn make this larynx preservation procedure more accessible to patients and surgeons. A clinical trial evaluating the efficacy of hybrid SCPL\u2010CHEP appears warranted to validate these observations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA<\/jats:p><jats:p><jats:italic>Laryngoscope<\/jats:italic>, 129:2065\u20132070, 2019<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27628","type":"journal-article","created":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T07:20:41Z","timestamp":1545290441000},"page":"2065-2070","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Hybrid supracricoid partial laryngectomy with cricohyoidoepiglottopexy via transoral robotic surgery"],"prefix":"10.1002","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7131-470X","authenticated-orcid":false,"given":"Meijin","family":"Nakayama","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Yokohama City University  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9594-1414","authenticated-orcid":false,"given":"F. Christopher","family":"Holsinger","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Otolaryngology Stanford University  Palo Alto California U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7885-4327","authenticated-orcid":false,"given":"Ryan K.","family":"Orosco","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery University of California San Diego  San Diego California U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,19]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"677","article-title":"Technique de laryngectomie permetant de conserver la permeabilite respiratoire. 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