{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T02:43:28Z","timestamp":1785206608160,"version":"3.55.0"},"reference-count":26,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T00:00:00Z","timestamp":1716422400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: To investigate the perception of young European otolaryngologists (OTOs), i.e., head and neck surgeons, toward transoral robotic surgery (TORS). Methods: Members of the Young Confederation of European Otorhinolaryngology-Head and Neck Surgery and Young Otolaryngologists of International Federation of Otorhinolaryngological Societies were surveyed about TORS perception and practice. Results: The survey was completed by 120 young OTOS (26%). The most important barriers to TORS were robot availability (73%), cost (69%), and lack of training (37%). The participants believed that the main benefits include better surgical filed view (64%), shorter hospital stay (62%), and better postoperative outcomes (61%) than the conventional approach. Head and neck surgeons considered cT1-T2 oropharyngeal cancers (94%), resection of base of tongue for sleep apnea (86%), or primary unknown cancer (76%) as the most appropriate indications. A total of 67% of TORS surgeons assessed themselves as adequately trained in TORS. Conclusions: Young European OTOs report positive perception, adoption, and knowledge of TORS. The cost-related unavailability and the lack of training or access are reported to be the most important barriers for the spread of TORS.<\/jats:p>","DOI":"10.3390\/jcm13113055","type":"journal-article","created":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T05:35:20Z","timestamp":1716442520000},"page":"3055","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Perception of Young European Otolaryngologists toward Transoral Robotic Surgery in Head and Neck Oncology and Surgery"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0845-0845","authenticated-orcid":false,"given":"Jerome R.","family":"Lechien","sequence":"first","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Department of Otolaryngology and Head and Neck Surgery, Foch Hospital, Paris Saclay University, 91190 Paris, France"},{"name":"Department of Otolaryngology and Head and Neck Surgery, Division of Broncho-Esophagology, EpiCURA Hospital, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), 7000 Mons, Belgium"},{"name":"Elsan Polyclinic of Poitiers, 86000 Poitiers, France"},{"name":"Laboratory of Anatomy and Cell Biology, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMONS), Avenue du Champ de Mars, 6, 7000 Mons, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul-Latif","family":"Hamdan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut 1107, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Fakhry","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Department of Otolaryngology and Head and Neck Surgery, Aix-Marseille Univ, AP-HM, La Conception Hospital, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7789-145X","authenticated-orcid":false,"given":"Luigi A.","family":"Vaira","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1781-2809","authenticated-orcid":false,"given":"Giannicola","family":"Iannella","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Department of \u201cOrgani di Senso\u201d, University \u201cSapienza\u201d, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle M.","family":"Gengler","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati Medical Center, Cincinnati, OH 45267, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Michel","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Aix Marseille University, APHM, CNRS, IUSTI, La Conception University Hospital, ENT-HNS Department, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5939-5372","authenticated-orcid":false,"given":"Thomas","family":"Radulesco","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Aix Marseille University, APHM, CNRS, IUSTI, La Conception University Hospital, ENT-HNS Department, 13005 Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Remacle","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head and Neck Surgery, Foch Hospital, Paris Saclay University, 91190 Paris, France"},{"name":"Department of Otolaryngology, Head and Neck Surgery, Eich Hospital, 1460 Eich, Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephane","family":"Hans","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Department of Otolaryngology and Head and Neck Surgery, Foch Hospital, Paris Saclay University, 91190 Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Cammaroto","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Department of Otolaryngology-Head and Neck Surgery, Forli Hospital, 47122 Forli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1457-6871","authenticated-orcid":false,"given":"Alberto M.","family":"Saibene","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences, Universit\u00e0 degli Studi di Milano, 26900 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1829-6597","authenticated-orcid":false,"given":"Miguel","family":"Mayo-Yanez","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Hospital San Rafael (HSR), 15006 A Coru\u00f1a, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1251-0185","authenticated-orcid":false,"given":"Antonino","family":"Maniaci","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France"},{"name":"Faculty of Medicine and Surgery, University of Enna Kore, 94100 Enna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,23]]},"reference":[{"key":"ref_1","first-page":"E2190","article-title":"Decision management in transoral robotic surgery: Indications, individual patient selection, and role in the multidisciplinary treatment for head and neck cancer from a European perspective","volume":"38","author":"Jowett","year":"2016","journal-title":"Head Neck"},{"key":"ref_2","first-page":"135","article-title":"The First Pilot Comprehensive Evaluation of 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Head Neck Surg"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1553","DOI":"10.1002\/hed.24475","article-title":"Implementation of a comprehensive competency-based transoral roboticsurgery training curriculum with ex vivo dissection models","volume":"38","author":"Sobel","year":"2016","journal-title":"Head Neck"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/11\/3055\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:46:59Z","timestamp":1760107619000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/11\/3055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,23]]},"references-count":26,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["jcm13113055"],"URL":"https:\/\/doi.org\/10.3390\/jcm13113055","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,23]]}}}