{Reference Type}: Journal Article
{Title}: Perception of Young European Otolaryngologists toward Transoral Robotic Surgery in Head and Neck Oncology and Surgery.
{Author}: Lechien JR;Hamdan AL;Fakhry N;Vaira LA;Iannella G;Gengler IM;Michel J;Radulesco T;Remacle M;Hans S;Cammaroto G;Saibene AM;Mayo-Yanez M;Maniaci A;
{Journal}: J Clin Med
{Volume}: 13
{Issue}: 11
{Year}: 2024 May 23
{Factor}: 4.964
{DOI}: 10.3390/jcm13113055
{Abstract}: Background: To investigate the perception of young European otolaryngologists (OTOs), i.e., head and neck surgeons, toward transoral robotic surgery (TORS). Methods: Members of the Young Confederation of European Otorhinolaryngology-Head and Neck Surgery and Young Otolaryngologists of International Federation of Otorhinolaryngological Societies were surveyed about TORS perception and practice. Results: The survey was completed by 120 young OTOS (26%). The most important barriers to TORS were robot availability (73%), cost (69%), and lack of training (37%). The participants believed that the main benefits include better surgical filed view (64%), shorter hospital stay (62%), and better postoperative outcomes (61%) than the conventional approach. Head and neck surgeons considered cT1-T2 oropharyngeal cancers (94%), resection of base of tongue for sleep apnea (86%), or primary unknown cancer (76%) as the most appropriate indications. A total of 67% of TORS surgeons assessed themselves as adequately trained in TORS. Conclusions: Young European OTOs report positive perception, adoption, and knowledge of TORS. The cost-related unavailability and the lack of training or access are reported to be the most important barriers for the spread of TORS.