Influence of Otolaryngological Subspecialties on Perception of Transoral Robotic Surgery: An International YO-IFOS Survey

Author:

Maniaci Antonino123ORCID,Chiesa Estomba Carlos14,Fakhry Nicolas13,Vaira Luigi Angelo15ORCID,Remacle Marc6,Cammaroto Giovanni17ORCID,Barillari Maria Rosaria18ORCID,Iannella Giannicola19ORCID,Mayo-Yanez Miguel110ORCID,Saibene Alberto Maria111ORCID,Baudouin Robin112,Maza-Solano Juan113ORCID,Mendelsohn Abie H.14,Holsinger Floyd Christopher15,Ceccon Fabio P.16,Haddad Leonardo16,Hans Stephane12,La Mantia Ignazio17,Cocuzza Salvatore17ORCID,Gulinello Federica17,Ayad Tareck118,Lechien Jerome R.1192021ORCID

Affiliation:

1. Robotics Study Group of Young Otolaryngologists, International Federation of Oto-Rhino-Laryngological Societies, 75000 Paris, France

2. Faculty of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, Italy

3. Department of Oto-Rhino-Laryngology Head and Neck Surgery, La Conception University Hospital, AP-HM, Aix Marseille Univ, 13005 Marseille, France

4. Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, 20003 San Sebastian, Spain

5. Maxillofacial Surgery Unit, University Hospital of Sassari, 07025 Sassari, Italy

6. Department of Otorhinolaryngology-Head and Neck Surgery, CHL-Eich, Rue d’Eich 78, 1111 Luxembourg, Luxembourg

7. Head-Neck, and Oral Surgery Unit, Department of Head-Neck Surgery, Otolaryngology, Morgagni Pierantoni Hospital, 47121 Forlì, Italy

8. Department of Mental and Physical Health and Preventive Medicine, “L. Vanvitelli” University, 80121 Naples, Italy

9. Organi di Senso Department, Sapienza University of Rome, Viale del Policlinico 151, 00161 Rome, Italy

10. Otorhinolaryngology-Head and Neck Surgery Department, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, 15001 Galicia, Spain

11. Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences, Università degli Studi di Milano, 20121 Milan, Italy

12. Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), 75000 Paris, France

13. Service of Otolaryngology, ENT Deparment, Virgen de la Macarena University Hospital, 41000 Seville, Spain

14. Department of Head and Neck Surgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 94305, USA

15. Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA

16. Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo (UNIFESP), 06000 São Paulo, Brazil

17. Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia” ENT Section, University of Catania, 95123 Catania, Italy

18. Division of Otolaryngology-Head and Neck Surgery, Center Hospitalier de l’Université de Montréal, Head and Neck Deparment, Montreal, QC 54550, Canada

19. Department of Otolaryngology and Head and Neck Surgery, Foch Hospital, Paris Saclay University, 75000 Paris, France

20. 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), 7031 Mons, Belgium

21. Department of Otolaryngology and Head and Neck Surgery, Elsan Polyclinic of Poitiers, 86000 Poitiers, France

Abstract

Background: To investigate perception, adoption, and awareness on the part of otolaryngology and head and neck surgeons (OTO-HNS) of transoral robotic surgery (TORS). Methods: Several items assessed: awareness/perception; access to TORS; training; indications and advantages/hurdles to TORS practice. A subanalysis was performed to assess differences according to the identified otolaryngological subspecialties. Results: A total of 359 people completed the survey. Among subspecialties, while for otolaryngologists 30/359 (8.4%) and H&N surgeons 100/359 (27.9%) TORS plays an effective role in hospital stay, laryngologists frequently disagreed (54.3%). There was a lower incidence among rhinologists and otologists (1.9%). Pediatric surgeons (0.8%) reported a positive response regarding the adoption of robotic surgery, and head and neck specialists expressed an even greater response (14.2%). Low adherence was related to perceived cost-prohibitive TORS, by 50% of H&N surgeons. Conclusions: Perception, adoption, and knowledge about TORS play a key role in the application of the robotic system, significantly varying across subspecialties.

Publisher

MDPI AG

Subject

Medicine (miscellaneous)

Reference25 articles.

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4. Neck dissection and trans oral robotic surgery for oropharyngeal squamous cell carcinoma;Meccariello;Auris Nasus Larynx,2021

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