{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T16:31:54Z","timestamp":1783182714159,"version":"3.54.6"},"reference-count":8,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T00:00:00Z","timestamp":1753660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Submucosal foreign bodies of the medial pyriform sinus represent a challenge given limited visualization and difficult retraction with endoscopic approaches, and risk of injury to the recurrent laryngeal nerve with open approaches. Transoral robotic surgery (TORS) offers improved visualization and multiple working arms to facilitate retraction. We present a novel case utilizing the Da Vinci SP system for removal of an embedded fishbone of the medial pyriform sinus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An 84\u2010year\u2010old woman presented with five days of odynophagia and globus sensation after swallowing a fish bone. Non\u2010contrast computed tomography scan revealed a 3.0 cm submucosal object within the post\u2010cricoid soft tissue. On initial rigid endoscopy, the foreign body was completely submucosal and could not be identified. She ultimately underwent robotic\u2010assisted removal of the foreign body with the DaVinci SP system. Using the Feyh\u2013Kastenbauer retractor with a laryngeal blade for exposure, the post\u2010cricoid and medial pyriform mucosa were elevated in a submucosal plane superficial to the posterior cricoarytenoid muscle allowing for identification and removal of the foreign body. She resumed oral intake on postoperative day four and advanced to a regular diet. In\u2010office laryngoscopy at two weeks demonstrated normal vocal fold mobility bilaterally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TORS with the DaVinci SP system allows for greater access, visualization, and dexterity within the pyriform sinus than traditional endoscopic approaches while avoiding the morbidity of open surgery, making it an ideal option for embedded foreign bodies and other submucosal pathologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.32454","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T08:30:27Z","timestamp":1753691427000},"page":"4651-4654","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Transoral Robotic\u2010Assisted Removal of a Submucosal Pyriform Sinus Foreign Body"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3464-3579","authenticated-orcid":false,"given":"Elisabeth","family":"Wenneker","sequence":"first","affiliation":[{"name":"Bobby R. Alford Department of Otolaryngology \u2013 Head and Neck Surgery Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Doctor","sequence":"additional","affiliation":[{"name":"University of South Florida Morsani College of Medicine  Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1373-7338","authenticated-orcid":false,"given":"Ari","family":"Schuman","sequence":"additional","affiliation":[{"name":"Bobby R. Alford Department of Otolaryngology \u2013 Head and Neck Surgery Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8336-4832","authenticated-orcid":false,"given":"Adam","family":"Szymanowski","sequence":"additional","affiliation":[{"name":"Bobby R. Alford Department of Otolaryngology \u2013 Head and Neck Surgery Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7501-9089","authenticated-orcid":false,"given":"Ray","family":"Wang","sequence":"additional","affiliation":[{"name":"Bobby R. Alford Department of Otolaryngology \u2013 Head and Neck Surgery Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010019\u201007802\u20100"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.287"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817737272"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30882"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894241264942"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2017.04.006"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941011900403"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489419856391"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.32454","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:09:13Z","timestamp":1765876153000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.32454"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,28]]},"references-count":8,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/lary.32454"],"URL":"https:\/\/doi.org\/10.1002\/lary.32454","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,28]]},"assertion":[{"value":"2025-04-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}