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Surgical management of large oropharygneal malignancies has always been a challenging procedure due to the risk of significant morbidity. Traditional approaches to surgical management of these tumors involved a lip-splitting mandibulotomy to completely excise these complex lesions and appropriately reconstruct the defects.Biron et al present an interesting and innovative approach (Fig 1) to managing these malignancies surgically, with a less morbid approach. The use of robotic surgeryin oral and maxillofacial, and head and neck surgery, continues to increase. Biron et al compared the outcomes of patients with oropharyngeal squamous cell carcinoma, 18 ofwhom were treated with transoral robotic surgery (TORS) resection and reconstruction with a radial forearm free flap (RFFF), and 39 patients being treated with a lip-splittingmandibulotomy and RFFF reconstruction. Their results demonstrated that addressing these lesions with TORS led to a shorter hospital stay post-operatively (14.4 daysvs. 19.7 days), but no significant differences in regards to post-operative complications or morbidity. It is important to note that the RFFF inset was not performed with TORS,but with direct visualization via the neck dissection incision and lateral pharyngotomy approach.This study describes another treatment modality for oropharygneal malignancies, and demonstrates the primary benefit of decreased hospital length of stay postoperatively.The use of TORS in head and neck surgery also affords us the ability to appropriately treat patients with a less morbid approach.

journal of diagnostics and treatment of oral and maxillofacial pathology

Review of ‘‘Transoral Robotic Surgery With Radial Forearm Free Flap Reconstruction: Case Control Analysis’’ by Biron VL, O’Connell DA, Barber B, Clark JM, Andrews C, Jeffery CC, Côté DW, Harris J, Seikaly H in Journal of Otolaryngology–Head and Neck Surgery