ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026
Robotic-assisted surgery for tumors in the anterior parotid and midcheek regions: a comparative study with conventional approaches.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Robotic-assisted parotidectomy as a remote-access alternative to conventional open surgery: a single-center comparative experience.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
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Abstract
introductionTo compare robotic-assisted and conventional surgical approaches for anterior parotid and midcheek tumors regarding surgical outcomes, complications, cosmetic results, and oncologic safety.
methodsBetween March 2020 and March 2024, a total of 47 patients who underwent surgery for anterior parotid or midcheek tumors at Yongin Severance hospital were included in the study. Among them, 22 underwent robotic-assisted surgery and 25 underwent conventional surgery. Clinical data including demographics, tumor characteristics, operative outcomes, complications, cosmetic satisfaction, and oncologic outcomes were analyzed and compared between the two groups.
resultsThe robotic group demonstrated significantly lower mean intraoperative blood loss (24.9 ± 12.6 mL vs. 32.7 ± 17.2 mL; p = 0.04) and longer mean operative time (93.6 ± 8.9 min vs. 73.2 ± 7.2 min; p = 0.01). No facial nerve palsy occurred in the robotic group, compared to two cases in the conventional group. Cosmetic satisfaction scores were significantly higher in the robotic group (mean VAS 1.4 vs. 5.09; p < 0.001). Postoperative drainage volumes (57.3 ± 10.5 mL vs. 62.5 ± 12.4 mL; p = 0.45) and length of hospital stay (3.7 ± 0.2 vs. 4.2 ± 0.7 days; p = 0.09) did not differ significantly between groups. At a mean follow-up of 24.6 months, no tumor recurrences were observed in either group.
conclusionsIn this study, robotic-assisted surgery for anterior parotid and midcheek tumors was associated with reduced intraoperative blood loss and favorable cosmetic outcomes, with a possible advantage in facial nerve preservation, while maintaining oncologic feasibility compared to conventional approaches.
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