Should Transcervical Arterial Ligation Be Performed During TORS?

Ligation of the lingual artery after a neck dissection in a TORS base of the tongue Cancer case (Surgeon: J Granell).

This is a Trilogical Society Best Practice paper by Michael C. TopfJohn R. de Almeida, and F. Christopher Holsinger. Is is free access.

And the answer is clear: YES.

“Given the significant potential benefit with limited risk of complications, transcervical arterial ligation should be performed concurrently with TORS to decrease the risk of severe postoperative bleeding.”

For further discussion on the vascular anatomy for TORS visit our webpage.

J Granell. May 12, 2025

Topf MC, de Almeida JR, Holsinger FC. “Should Transcervical Arterial Ligation Be Performed During Transoral Robotic Surgery?”. Laryngoscope. 2025 May 9. doi: 10.1002/lary.32251.

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