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This is the basis for the widespread transoral surgical techniques, as the Thunderbeat<jats:sup>\u00ae<\/jats:sup>.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>To date, the use of Thunderbeat<jats:sup>\u00ae<\/jats:sup> in transoral surgery is still little known and widespread. So, this study analyzes, with a systematic review, current literature about the transoral use of Thunderbeat<jats:sup>\u00ae<\/jats:sup> and shows our case studies.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The research was carried out on Pubmed, Scopus, Web of Science and Cochrane databases using specific keywords. Then, a retrospective study was carried out on 10 patients who underwent transoral surgery by Thunderbeat<jats:sup>\u00ae<\/jats:sup> in our ENT Clinic. Both in our cases and in the systematic review the following parameters have been evaluated: treated anatomical site and subsite, histological diagnosis, type of surgery, duration of nasogastric tube and hospitalization, post-operative complications, tracheostomy, resection margin status.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The review included 3 articles that described transoral use of Thunderbeat<jats:sup>\u00ae<\/jats:sup> for a total of 31 patients suffering from oropharyngeal, hypopharyngeal and\/or laryngeal carcinoma. Nasogastric tube was removed after 21.5\u00a0days on average, temporary tracheostomy was performed in 6 patients. The main complications were: bleeding (12.90%) and pharyngocutaneous fistula (29.03%). Thunderbeat<jats:sup>\u00ae<\/jats:sup> shaft was 35\u00a0cm long and 5\u00a0mm large. Our case studies included 5 males and 5 females, mean age 64.4\u2009\u00b1\u200910.28, with oropharyngeal or supraglottic carcinoma, parapharyngeal pleomorphic adenoma and cavernous hemangioma of the tongue base. Temporary tracheostomy was performed in 8 patients. Free resection margins were achieved in all cases (100%). No peri-operative complications occurred. Nasogastric tube was removed after 5.3\u2009\u00b1\u20092\u00a0days on average. All patients were discharged without tracheal tube and NGT after 18.2\u2009\u00b1\u20094.72\u00a0days on average.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This study demonstrated that Thunderbeat<jats:sup>\u00ae<\/jats:sup> has several advantages over other transoral surgical approaches, such as CO2 laser and robotic surgery, in terms of best combination of oncological and functional success, less post-operative complications and costs. So, it could represent a step forward in transoral surgery.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-023-07944-8","type":"journal-article","created":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T01:59:15Z","timestamp":1680746355000},"page":"3415-3425","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Thunderbeat\u00ae: a new step forward in transoral surgery\u2014systematic review of literature and our experience"],"prefix":"10.1007","volume":"280","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1072-0736","authenticated-orcid":false,"given":"Carmelo","family":"Saraniti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1940-5281","authenticated-orcid":false,"given":"Verro","family":"Barbara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,4,4]]},"reference":[{"issue":"11","key":"7944_CR1","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1177\/0003489415588556","volume":"124","author":"G Tirelli","year":"2015","unstructured":"Tirelli G, Camilot D, Bonini P, Del Piero GC, Biasotto M, Quatela E (2015) Harmonic scalpel and electrothermal bipolar vessel sealing system in head and neck surgery: a prospective study on tissue heating and histological damage on nerves. 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