Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital, University of Adelaide, Adelaide, SA, 5000, Australia.
Department of Otolaryngology, Head and Neck Surgery, Flinders Medical Centre, Flinders University, Bedford Park, SA, 5042, Australia.
J Robot Surg. 2012 Dec;6(4):349-53. doi: 10.1007/s11701-011-0331-2. Epub 2012 Feb 14.
Second branchial arch cysts are a common cause of cystic neck mass in adults. The type-IV variant of the second branchial arch cyst is uncommon and presents as a parapharyngeal space mass. It lies medial to the carotid sheath and it is not easily amenable to access by the traditional, trans-cervical approach to the parapharyngeal space. Trans-oral robotic surgery is a new application of the da Vinci robotic surgical system (Intuitive Surgical, Sunnyvale, CA, USA). The system has only recently been approved by the FDA for trans-oral robotic resection of oropharyngeal cancers. The technology has since been used for new trans-oral applications, including resection of parapharyngeal space tumours. This is a case report of successful trans-oral robotic resection of a type IV second branchial arch cyst in the parapharyngeal space.
第二鳃弓囊肿是成人颈部囊性肿块的常见原因。第二鳃弓囊肿的 IV 型变异并不常见，表现为咽旁间隙肿块。它位于颈动脉鞘的内侧，传统的经颈入路不易进入咽旁间隙。经口机器人手术是达芬奇机器人手术系统（直觉外科公司，加利福尼亚州森尼韦尔）的新应用。该系统最近才获得 FDA 批准用于经口机器人切除口咽癌。此后，该技术已用于新的经口应用，包括切除咽旁间隙肿瘤。这是一例成功经口机器人切除咽旁间隙 IV 型第二鳃弓囊肿的病例报告。
