Transoral robotic surgery (TORS) for excision of a retropharyngeal intramuscular lipoma

Publication date: Available online 10 December 2016
Source:Auris Nasus Larynx
Author(s): Chase M. Heaton, Saqib R. Ahmed, William R. Ryan
ObjectiveTo describe the feasibility, effectiveness, and improved morbidity profile of transoral robotic surgery (TORS) for the excision of a retropharyngeal intramuscular lipoma.MethodsCase report of a robot-assisted transoral resection of a retropharyngeal intramuscular lipoma.ResultsA 62-year-old woman presented with tongue pain and globus with dysphagia for six months. Transoral exam revealed a pharyngeal submucosal mass, and MRI demonstrated a prevertebral lipomatous lesion with protrusion into the airway. The patient elected for robot-assisted transoral surgical treatment. The patient tolerated the procedure well, experienced no complications, and was discharged on post-operative day one. At six months post-operatively, the patient was without dysphagia and was disease free on imaging.ConclusionsTORS is an effective, safe, feasible, and likely more efficient way to excise a retropharyngeal intramuscular lipoma or other retropharyngeal masses.



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