Lechien JR

[OBJECTIVE] To investigate the validity and the reliability of the Burp Score, a patient-reported outcome questionnaire documenting the retrograde cricopharyngeal dysfunction (R-CPD) symptoms. [STUDY DESIGN] Prospective controlled study. …

ImportanceThe learning curve for robotic thyroid surgery (RTS) remains incompletely characterized when considering the surgical approaches (axillary, transoral, transareolar, and facelift).ObjectiveThis systematic review investigated the le…

[OBJECTIVE] To assess the opinion, practices, and challenges of international key opinion leaders about two minimal invasive surgical techniques in supraglottic laryngeal tumours: transoral laser microsurgery (TLM) and the transoral robotic…

[OBJECTIVES] To compare the presurgical to postsurgical voice quality (VQ) outcomes of types I, II, III, and VI transoral laser cordectomies (TLC). [STUDY DESIGN] Prospective uncontrolled study. [SETTING] Multicenter study. [METHODS] Pat…

[OBJECTIVE] To compare the surgical, functional and oncological outcomes of Transoral Laser Microsurgery (TLM) and Transoral Robotic Surgery (TORS) for the treatment of supraglottic squamous cell carcinoma. [STUDY DESIGN] Retrospective cas…

[PURPOSE OF REVIEW] To review the pros and cons of treating supraglottic laryngeal cancer with transoral laser microsurgery (TOLM) or transoral robotic surgery (TORS). [RECENT FINDINGS] The use of TORS is limited by the cost and the availa…

[BACKGROUND] Total maxillectomy for malignant tumors presents significant challenges for functional and aesthetic rehabilitation. Advances in digital planning and additive manufacturing have reintroduced subperiosteal implants as a promisin…

This systematic review and meta-analysis evaluates the surgical, functional, and aesthetic outcomes of scapular free flaps in maxillary reconstruction. The primary objective is to assess early surgical complications, fistula formation, dono…

[BACKGROUND] High-definition 3-dimensional (HD-3D) exoscope is an emerging surgical tool in laryngology competing with classical operative microscopes. The aim of this systematic review was to investigate the current literature about indica…

ImportanceThe retrograde cricopharyngeus dysfunction (R-CPD) is an emerging topic in otolaryngology, gastroenterology, and primary care.ObjectiveTo review the current literature about the etiology, clinical presentation, and management of r…

[IMPORTANCE] Retrograde cricopharyngeus dysfunction (R-CPD) is an emerging disorder associated with disabling symptoms. The origin of R-CPD remains unknown. [OBJECTIVE] To investigate the development of symptoms, diagnosis approach, and th…

[OBJECTIVE] To investigate the effectiveness of vocal fold botulinum toxin injection (BTI) for treating patients with the glottic form of exercise-induced laryngeal obstruction (EILO). [METHODS] The outcomes of 13 patients treated with BTI…

[OBJECTIVE] To investigate the potential relationship between retrograde cricopharyngeal dysfunction (R-CPD) and laryngopharyngeal reflux disease (LPRD) at baseline and whether cricopharyngeal sphincter paralysis botulinum toxin injection (…

This paper introduces a new transnasal in-office technique for botulinum toxin injection into the cricopharyngeal muscle of patients with retrograde cricopharyngeal dysfunction (R-CPD).…

[BACKGROUND] To evaluate the performance of artificial intelligence (AI)-powered chatbots in generating treatment plans for facial aesthetic injections, focusing on their accuracy, safety, and clinical applicability. [METHODS] A comparativ…

This scoping review aimed to summarize the current literature on the etiological and pathophysiological mechanisms associated with the development of retrograde cricopharyngeus dysfunction (R-CPD) through a PRISMA literature search. Accordi…

[BACKGROUND] To evaluate the performance of two AI systems, ChatGPT 4.0 and Algor, in generating concept maps from validated otolaryngology clinical practice guidelines. [METHODS] Concept maps were generated by ChatGPT 4.0 and Algor from f…

[BACKGROUND] This review aimed to investigate the surgical, functional, and oncological outcomes of transoral laser microsurgery supraglottic laryngectomy (TOLM-SGL) for cT1-T3 laryngeal cancers. [METHODS] PubMed, Scopus, and Cochrane Libr…

[PURPOSE] In the present study, the findings related to the epidemiology, clinical presentation, and therapeutic outcomes of elderly patients treated with transoral laser microsurgery (TOLM) and transoral robotic surgery (TORS) for supraglo…

[OBJECTIVE] To investigate oncological, surgical and functional outcomes of transoral robotic surgery cordectomy (TORS-Co). [METHODS] A retrospective chart review of patients benefiting from TORS-Co for a cT1a vocal fold squamous cell carc…

[OBJECTIVE] To study the post-operative evolution of voice quality of patients treated by transoral CO laser microsurgery (TLM) according to the age. [METHODS] Patients treated by type I to VI TLM and post-operative speech therapy were pro…

[OBJECTIVE] To investigate indications, surgical and functional outcomes of robotic or endoscopic facelift thyroid surgery (FTS) and whether FTS reported comparable outcomes of other surgical approaches. [DATA SOURCES] PubMed, Cochrane Lib…

Over the last decade, technological growth has developed new devices for more precise surgery based on improved maneuverability, minimally invasive approaches, and magnification of the operating field. In this context, the exoscope has open…

[OBJECTIVE] Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) presents obvious advantage in laryngeal surgery and Transoral Laser Microsurgery (TLM). Airway fire represents a rare complication of TLM and may be the most…

[INTRODUCTION] The gracilis muscle free flap has gained popularity in head and neck reconstruction due to minimal donor-site morbidity, reliable vascular pedicle, strong muscular component, and possibility to perform nerve coaptation. Howev…

The development of transoral laser microsurgery (TLM) was an important step in the history of conservative laryngeal surgery. TLM reported comparable oncological outcomes and better functional postoperative and rehabilitation outcomes than …

[OBJECTIVE] The objective of this study was to investigate feasibility, surgical, oncological, and functional outcomes of transoral robotic cordectomy (TORS-Co) and whether TORS-Co reported comparable outcomes of transoral laser microsurger…

[OBJECTIVE] To investigate the feasibility and the outcomes of transoral laser CO microsurgery (TLM) for resection of early-stage squamous cell carcinoma (SCC) of the vocal folds through several additional surgical procedures and tips impro…