Transoral Robotic Surgery for Larynx Cancer

Transoral robotic surgery (TORS) has become increasingly used to manage laryngeal and pharyngeal cancers, although the published experience in the larynx is small. Although there is burgeoning use of TORS for primary pharyngeal cancer, its application in the larynx is currently more limited. Successful TORS of the larynx has been predominantly as supraglottic laryngectomy, although there is some experience in total laryngectomy and cordectomy. Limitations of TORS of the larynx are primarily those of access and instrumentation, with respect to both the surgical robot and the retractors used to access the larynx transorally.