Robotic-Assisted Extended Sistrunk Approach (RESA) for Salvage Surgery After Head and Neck Irradiation - Takeaways - MDSpire

Robotic-Assisted Extended Sistrunk Technique for Salvage Surgery Following Head and Neck Radiation Therapy

  • By

  • Bartosz Wojtera

  • Avinash Beharry

  • Karma Lambercy

  • Pascaline Dübi

  • Jelena Todic

  • Christian Simon

  • June 5, 2026

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  • 1

    The robotic-assisted extended Sistrunk approach (RESA) provides a minimally invasive surgical option for head and neck cancer patients with prior radiation.

  • 2

    RESA allows direct access to hypopharyngeal and laryngeal structures through a submental incision, bypassing transoral limitations.

  • 3

    This technique facilitates controlled en bloc resection and preserves anterior cervical musculature, reducing access-related morbidity.

  • 4

    Patients in the study had previously undergone radiotherapy, highlighting RESA's potential for salvage surgery in challenging cases.

  • 5

    The study evaluates outcomes of RESA procedures, including organ-preserving resections and total laryngectomy, in irradiated patients.

Original Source(s)

Robotic-Assisted Extended Sistrunk Approach (RESA) for Salvage Surgery After Head and Neck Irradiation

  • by Bartosz Wojtera, Avinash Beharry, Karma Lambercy, Pascaline Dübi, Jelena Todic, Christian Simon

  • June 5, 2026

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