{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T05:58:23Z","timestamp":1776491903904,"version":"3.51.2"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"vor","delay-in-days":3226,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:p>\n          Background  Robots have allowed head and neck surgeons to extirpate oropharyngeal tumors safely without the need for lip-split incision or mandibulotomy. Using robots in oropharyngeal reconstruction is new but essential for oropharyngeal defects that result from robotic tumor excision. We report our experience with robotic free-flap reconstruction of head and neck defects to exemplify the necessity for robotic reconstruction.<\/jats:p><jats:p>\n          Methods  We investigated head and neck cancer patients who underwent ablation surgery and free-flap reconstruction by robot. Between July 1, 2011 and March 31, 2012, 5 cases were performed and patient demographics, location of tumor, pathologic stage, reconstruction methods, flap size, recipient vessel, necessary pedicle length, and operation time were investigated.<\/jats:p><jats:p>\n          Results  Among five free-flap reconstructions, four were radial forearm free flaps and one was an anterolateral thigh free-flap. Four flaps used the superior thyroid artery and one flap used a facial artery as the recipient vessel. The average pedicle length was 8.8 cm. Flap insetting and microanastomosis were achieved using a specially manufactured robotic instrument. The total operation time was 1,041.0 minutes (range, 814 to 1,132 minutes), and complications including flap necrosis, hematoma, and wound dehiscence did not occur.<\/jats:p><jats:p>\n          Conclusions  This study demonstrates the clinically applicable use of robots in oropharyngeal reconstruction, especially using a free flap. A robot can assist the operator in insetting the flap at a deep portion of the oropharynx without the need to perform a traditional mandibulotomy. Robot-assisted reconstruction may substitute for existing surgical methods and is accepted as the most up-to-date method.<\/jats:p>","DOI":"10.5999\/aps.2013.40.4.353","type":"journal-article","created":{"date-parts":[[2013,7,22]],"date-time":"2013-07-22T08:13:53Z","timestamp":1374480833000},"page":"353-358","source":"Crossref","is-referenced-by-count":51,"title":["Robot-Assisted Free Flap in Head and Neck Reconstruction"],"prefix":"10.1055","volume":"40","author":[{"given":"Han Gyeol","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In Sik","family":"Yun","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Won Jai","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dae Hyun","family":"Lew","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong Kyun","family":"Rah","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,1]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1097\/PRS.0b013e31824ecc0b","article-title":"Robotic latissimus dorsi muscle harvest: a case series","volume":"129","author":"JC Selber","year":"2012","journal-title":"Plast Reconstr Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.anorl.2011.05.002","article-title":"Transoral robotic surgery for head and neck cancer: a series of 17 cases","volume":"128","author":"K Aubry","year":"2011","journal-title":"Eur Ann Otorhinolaryngol Head Neck Dis"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1016\/j.bjoms.2012.08.015","article-title":"Oncological and functional outcomes of transoral robotic surgery for oropharyngeal cancer","volume":"51","author":"YM Park","year":"2013","journal-title":"Br J Oral Maxillofac 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robot-assisted neck dissections via a transaxillary and retroauricular (\"TARA\") approach in head and neck cancer: preliminary results","volume":"19","author":"WS Kim","year":"2012","journal-title":"Ann Surg Oncol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"3871","DOI":"10.1245\/s10434-012-2423-2","article-title":"Robot-assisted Supraomohyoid neck dissection via a modified face-lift or retroauricular approach in early-stage cN0 squamous cell carcinoma of the oral cavity: a comparative study with conventional technique","volume":"19","author":"HS Lee","year":"2012","journal-title":"Ann Surg Oncol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1978","DOI":"10.1097\/PRS.0b013e3181f448e3","article-title":"Transoral robotic reconstruction of oropharyngeal defects: a case series","volume":"126","author":"JC Selber","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1177\/0194599813478934","article-title":"Robot-assisted selective neck dissection of levels II to V via a modified facelift or retroauricular approach","volume":"148","author":"YM Park","year":"2013","journal-title":"Otolaryngol Head Neck Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2013.40.4.353.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T23:16:29Z","timestamp":1651446989000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2013.40.4.353"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7]]},"references-count":10,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,5,1]]},"published-print":{"date-parts":[[2013,7]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2013.40.4.353","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7]]}}}