Purpose: Single-port robotic platforms represent an emerging approach in head and neck surgery, yet their comparative effectiveness against traditional multiport systems remains unclear. Methods: A systematic review of PubMed, Scopus, Cochrane CENTRAL, and ClinicalTrials.gov was conducted from inception to January 17, 2025. From 93 potentially relevant articles, 5 retrospective comparative studies met the inclusion criteria, comprising 1,000 patients (single-port, 453; multiport, 547). Random-effects meta-analysis was performed for operative parameters. Results: Single-port surgery demonstrated shorter docking times (pooled effect size, –1.05; 95% confidence interval [CI], –1.47 to –0.64) with moderate heterogeneity (I2 = 74.27%). Console times showed no significant difference between approaches (effect size, –0.05; 95% CI, –0.35 to 0.25). Total operative times, reported in 2 studies, indicated modest reductions with the single-port approach (295 ± 92 minutes vs. 315 ± 101 minutes; 101.9 ± 23.6 minutes vs. 114.9 ± 32.8 minutes). Major complication rates were comparable (single-port, 1.8%–9.7%; multiport, 2.7%–4.3%). Negative margin rates favored single-port procedures (57%–100% vs. 48%–92.6%). Conclusion This systematic review suggests that single-port robotic surgery offers advantages in docking time while maintaining comparable safety profiles to multiport approaches in head and neck procedures. However, the quality of evidence remains low due to the observational nature of available studies and heterogeneity in outcome reporting.

Objective: Analysis of our traumatic brain injury data, reviewing current literatures and assessing planning valuable decision making in frontal sinus fracture for young neurosurgeons. Methods: Hospital data base for head trauma was retrieved after board permission for retrospective analysis of cases admitted from 2010–2020. Patients with frontal sinus fractures and head trauma were identified according to a flow chart. Variables of the study included patients' demographics, mechanism of injury, incidence of cerebrospinal fluid (CSF) leakage, types of associated injuries, imaging findings and operative techniques. Results: Three-hundred eighty two patients were eligible to be screened in our study and represented the sample size under investigations in the following sections, 206 (53.9%) of patients were treated conservatively while 176 patients (46.1%) were identified as having an indication for surgical intervention. Eighty-four percent of patients were males. The mean age was 36.2±9.4 years (14–86 years). Depressed skull fracture was commonly associated injury (17.61%). Leakage of CSF was found in 32.95% of patients. Conclusion Frontal sinus fracture is not an easy scenario. It harbors many proportions and deliver many varieties in which, deep understanding of anatomy, naso-frontal outflow tract status, CSF leakage and neurological injury are of important points in decision. Our institutional algorithm provide rapid, accessible and applicable treatment protocol for resident and young neurosurgeons which minimizes consultations of other specialties.