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This article describes a technique called robotic thyroidectomy via posterior neck approach (RT-PNA) using the Da Vinci single port (Sp) robotic system. The authors report their initial experience using this technique in a Western patient population. The RT-PNA approach allows for thyroid surgery without an anterior neck scar and appears to be safe and feasible. The authors suggest that this technique has potential advantages over other approaches, such as improved visualization and maneuverability, and may be suitable for patients who wish to avoid a visible scar. Further studies will explore the feasibility of performing total thyroidectomy using this approach. [Extracted from the article]

Background: Following total laryngectomy (TL) or laryngopharyngectomy (TLP), patients may develop strictures that require multiple dilations to treat. However, the risk factors associated with dysphagia refractory to a single dilation are unknown. Methods: Single‐institution retrospective review of patients who underwent at least one stricture dilation after TL/TLP between March 2013 and March 2022. Results: A total of 49 patients underwent stricture dilation after TL/TLP. Thirty‐five (71%) underwent multiple dilations. Pharyngocutaneous fistula, primary chemoradiation therapy, and a shorter time interval from TL/TLP to first dilation were independently associated with dysphagia requiring multiple dilations. Patients in the multiple dilations group had a higher rate of limited diet and G‐tube dependence compared to patients in the single dilation group. Conclusions: Shorter time interval to stricture formation is a prognostic indicator of the need for multiple dilations following TL/TLP. Patients requiring multiple dilations are at increased risk of persistent dysphagia long‐term. [ABSTRACT FROM AUTHOR]