580 Robotic Microscope-Assisted Primary Cleft Palate Surgery First pilot

Dr. Derek Mendonca

Conventional palatoplasty involves operating in narrow oral cavity spaces with surgical loupe visualization. The challenge of surgery is the limited operative cavity with surgeon discomfort and back strain. The RoboticScope provided an enhanced head mounted 3D visualisation tool. This pilot study analyzes 8 pediatric patients, across two cohorts of four, comparing conventional palatoplasty to RoboticScope-assisted procedures. 100% of patients who underwent conventional palatoplasty required morphine, only 50% of RoboticScope patients required morphine. 57% of RoboticScope patients demonstrated good oral intake on day 1, and 50% were discharged 1 day earlier than the conventional group. Surgeons reported significantly better comfort, reduced strain and enhanced ergonomics. This study has demonstrated RoboticScope-assisted palatoplasty is safe and feasible, associated with fewer analgesic needs, better oral intake, and ergonomic benefits for surgeons than conventional palatoplasty. This is the first study in cleft palate surgery to show the benefits of robotic visualisation in improving outcomes.

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