Introduction: The implementation of robotic-assisted surgery in head and neck procedures has revolutionized treatment approaches, especially in anatomically challenging regions. DaVinci SP (Single Port) robotic system represents an advanced technology, providing surgeons enhanced precision and visualization, which is particularly valuable in delicate surgeries in the larynx. We present a case report of its application in supraglottis.

Methods: DaVinci SP was introduced in Greifswald 2024. Logistical and training steps taken to implement the system and adapt it to the clinical environment are described. To illustrate its utility, we describe a case of transoral closure of the supraglottis performed on a 76-year-old with intractable aspiration after stroke. Surgical parameters, operative time, and postoperative outcomes were recorded.

Results: The implementation of the DaVinci SP involved specialized training for surgical and support staff, as well as the adaptation of preoperative and intraoperative protocols. In this patient, a previous open procedure led to a small remaining fistula which inhibited oral intake. With improved access to the laryngeal area and enhanced visualization surgery could be performed transorally. Limited access to anterior was still present due to unfavourable anatomy. There were no intraoperative complications. The patient reported minimal postoperative pain and significant improvement in aspiration.

Discussion: DaVinci SP demonstrated benefits for head and neck surgery with improvements in access and precision in anatomically restricted areas. This case supports the use of robotic assistance in complex airway surgeries and underscores the need for continued evaluation of robotic technology to broaden the scope of minimally invasive options.

Chia-Jung Busch: Research support: Bristol-Myers Squibb; Lecturing activity: Bristol-Myers Squibb, GSK, Merck, MSD, Sanofi-Aventis; Advisory activity: Bayer, Bristol-Myers Squibb, GSK, Merck, MSD; Training and Travel expenses: Intuitive surgical

Benjamin Fenske: Training and Travel expenses: Intuitive surgical

Markus Blaurock: Training and Travel expenses: Intuitive surgical