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

Antonino Maniaci; Carlos Chiesa Estomba; Nicolas Fakhry; Luigi Angelo Vaira; Marc Remacle; Giovanni Cammaroto; Maria Rosaria Barillari; Giannicola Iannella; Miguel Mayo-Yanez; Alberto Maria Saibene; Robin Baudouin; Juan Maza-Solano; Abie H Mendelsohn; Floyd Christopher Holsinger; Fabio P Ceccon; Leonardo Haddad; Stephane Hans; Ignazio La Mantia; Salvatore Cocuzza; Federica Gulinello; Tareck Ayad; Jerome R Lechien

doi:10.3390/jpm13121717

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

J Pers Med. 2023 Dec 15;13(12):1717. doi: 10.3390/jpm13121717.

Authors

Antonino Maniaci^{1

2

3}, Carlos Chiesa Estomba^{1

4}, Nicolas Fakhry^{1

3}, Luigi Angelo Vaira^{1

5}, Marc Remacle⁶, Giovanni Cammaroto^{1

7}, Maria Rosaria Barillari^{1

8}, Giannicola Iannella^{1

9}, Miguel Mayo-Yanez^{1

10}, Alberto Maria Saibene^{1

11}, Robin Baudouin^{1

12}, Juan Maza-Solano^{1

13}, Abie H Mendelsohn¹⁴, Floyd Christopher Holsinger¹⁵, Fabio P Ceccon¹⁶, Leonardo Haddad¹⁶, Stephane Hans¹², Ignazio La Mantia¹⁷, Salvatore Cocuzza¹⁷, Federica Gulinello¹⁷, Tareck Ayad^{1

18}, Jerome R Lechien^{1

19

20

21}

Affiliations

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.

Keywords: awareness; head and neck surgery; otolaryngology; robotic; survey; transoral.

Grants and funding

This research received no external funding.