More on the lingual artery in TORS

During extensive transoral oncologic resections at the base of the tongue, encountering the lingual artery is almost inevitable. Therefore, preparation is crucial. Surgical tips. While various anatomical references exist, the challenge lies in the fact that the soft tissue is movable, making fixed landmarks unreliable. Remember, the artery is typically found “down there in theContinue reading “More on the lingual artery in TORS”

Breakthrough Treatment for Sleep Apnea? Just need a drug?

The media is abuzz with claims of a new breakthrough treatment for sleep apnea. A recent international clinical trial suggests that tirzepatide, a pharmacological treatment, could be a game-changer for those suffering from this condition. Published in the New England Journal of Medicine (NEJM) on June 21, 2024, the SURMOUNT-OSA phase 3 trial has shownContinue reading “Breakthrough Treatment for Sleep Apnea? Just need a drug?”

H&N Robotic Surgery Update. June 22, 2024

What´s new in PubMed this week Wang JP, Li DP, Liu YC, Zhang L, Fu ZY, Liang BY, Yin SY, Yang YP, Fan M, Ding Z, Chen SW, Zhang L, Wu KL, Liu YH, Cao F, Pan HF, Han YX. Comparison of learning curves and related postoperative indicators between endoscopic and robotic thyroidectomy: a systematicContinue reading “H&N Robotic Surgery Update. June 22, 2024”

The second robot has already arrived to the hospital!!!

Rey Juan Carlos University Hospital opened on March 21, 2012 equipped with a refurbished, second-generation da Vinci S HD. The first robotic surgery was performed by the Department of Urology in December 13, 2012, and the first TransOral Robotic Surgery (TORS) in July 15, 2013. In 2017, the hospital upgraded to the fourth-generation da VinciContinue reading “The second robot has already arrived to the hospital!!!”

H&N Robotic Surgery Update. June 1, 2024

What´s new in PubMed this week Virós Porcuna D, Suen KH, Stein H, Pollán Guisasola C. New Approaches for Robot-Assisted Neck Surgery: Clavicular and Submental Approaches Using the da Vinci SP System. J Craniofac Surg. 2024 May 29. doi: 10.1097/SCS.0000000000010297. Epub ahead of print. PMID: 38810240. Our friends from “Can Ruti” (Germans Trias i PujolContinue reading “H&N Robotic Surgery Update. June 1, 2024”

Night Shift

No, it is not what you first thought. Night Shift is a “sleep positioner”. A device designed for positional therapy for the treatment of Obstructive Sleep Apnea (OSA). In most of the patients with Sleep Apnea, the obstruction of the airway and the subsequent apnea happen in the supine position. Positional therapy is a provenContinue reading “Night Shift”

H&N Robotic Surgery Update. May 25, 2024

What´s new in PubMed this week Moore R, Yeung R, Chen W, Zeng Q, Prisman E, Salcudean S. Enabling extracorporeal ultrasound imaging with the da Vinci robot for transoral robotic surgery: a feasibility study. Int J Comput Assist Radiol Surg. 2024 May 24. doi: 10.1007/s11548-024-03160-9. Epub ahead of print. PMID: 38789882 Cooperation with Biomedical EngineeringContinue reading “H&N Robotic Surgery Update. May 25, 2024”

#barefootsurgeon

I´d like to introduce a funny debate. I took this picture a few years ago on the way to Kanuhura. I suppose that it is safer to pilot an airplane barefoot than wearing flip-flops. It was a Canadian de Havilland DHC-6 twin otter, the most successful seaplane ever, but this is another story. Yesterday IContinue reading “#barefootsurgeon”

A Head&Neck Surgeon´s perspective on cosmetic enhancement

or why do I go on performing rhinoplasty As a seasoned otorhinolaryngologist – head and neck surgeon, I’ve delved deep into the intricate relationship between form and function within the human anatomy. Every contour, every curve, holds significance not just in terms of aesthetics but also in how it facilitates our physiological performance. Over theContinue reading “A Head&Neck Surgeon´s perspective on cosmetic enhancement”

On overtreatment and de-escalation

(talking about HPV-associated Oropharyngeal Cancer) Expanding on the content of this letter… To deintensify treatment for patients with human papillomavirus virus–associated oropharyngeal squamous cell carcinoma (HPV-OPSCC) is one of the hot topics in head and neck cancer. But, the imperative lies not merely in deintensifying but rather in averting overtreatment. Why? HPV-OPSCC presents as aContinue reading “On overtreatment and de-escalation”