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经口机器人舌扁桃体切除术后口咽狭窄

Oropharyngeal stenosis after transoral robotic lingual tonsillectomy.

作者信息

Muderris Togay, Sevil Ergun, Bercin Sami, Gul Fatih, Kiris Muzaffer

机构信息

*Department of Otorhinolaryngology, Head and Neck Surgery, Ataturk Training and Research Hospital, Ankara †Department of Otorhinolaryngology, Head and Neck Surgery, Karaman State Hospital, Karaman ‡Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey.

出版信息

J Craniofac Surg. 2015 May;26(3):853-5. doi: 10.1097/SCS.0000000000001584.

Abstract

Transoral robotic-assisted lingual tonsillectomy seems to confirm good tolerability with efficient results in both adult and pediatric populations, and the complication rate is usually dependent on the specific procedure and not related to the use of the robotic techniques. In these clinical reports, a 44-year-old woman (patient 1) and a 49-year-old woman (patient 2) were referred to our clinic with long-term complaints of dysphagia, snoring, and globus sensation. The patients were diagnosed with a lingual tonsillar hypertrophy, and lingual tonsillectomy was performed through transoral robotic surgery using the robotic da Vinci surgical system. After 2 months of uneventful follow-up, the patients returned with dysphagia, and examination of the patients revealed a cicatricial synechia surrounding the oropharynx. We report 2 cases of oropharyngeal stenosis that occurred during the late postoperative period after transoral assisted lingual tonsillectomy with epiglottoplasty. Possible risk factors and treatment alternatives were also discussed.

摘要

经口机器人辅助舌扁桃体切除术似乎证实了其在成人和儿童群体中具有良好的耐受性且效果显著,并发症发生率通常取决于具体手术操作,而非与机器人技术的使用相关。在这些临床报告中,一名44岁女性(患者1)和一名49岁女性(患者2)因长期吞咽困难、打鼾和咽部异物感前来我院就诊。患者被诊断为舌扁桃体肥大,并使用达芬奇机器人手术系统通过经口机器人手术进行了舌扁桃体切除术。经过2个月的平稳随访后,患者因吞咽困难再次前来,检查发现口咽周围有瘢痕性粘连。我们报告2例经口辅助舌扁桃体切除术联合会厌成形术后晚期发生口咽狭窄的病例。还讨论了可能的危险因素和治疗方案。

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