Montevecchi Filippo, Caranti Alberto, Cammaroto Giovanni, Meccariello Giuseppe, Vicini Claudio
Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, Forlì, Italy.
Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, Forlì, Italy,
ORL J Otorhinolaryngol Relat Spec. 2019;81(1):36-40. doi: 10.1159/000493736. Epub 2018 Dec 11.
Eagle syndrome is a rare and poorly understood clinical condition caused by an elongated or disfigured styloid process. The possible managements of Eagle syndrome include conservative medical treatment or surgical intervention. The surgical removal of the elongated styloid process may be efficiently achieved either by an intraoral or a transcervical approach. An effective styloidectomy may be either total or partial, provided the bony residue's length is within the range of normality. Here, we report our experience with a bilateral robotic-assisted styloidectomy in a young female patient. Our experience showed that this procedure is a safe alternative to traditional surgical approaches, granting an excellent view and a safe manipulation by robotic arms, and, thereby, avoiding iatrogenic damage to neurovascular structures. Moreover, transoral robotic surgery could represent the gold standard for the treatment of bilateral Eagle syndrome cases allowing a quick and safe single-time surgery.
鹰嘴综合征是一种由茎突过长或畸形引起的罕见且了解较少的临床病症。鹰嘴综合征的可能治疗方法包括保守药物治疗或手术干预。通过口内或经颈入路可有效实现对过长茎突的手术切除。有效的茎突切除术可以是完全切除或部分切除，前提是骨残留长度在正常范围内。在此，我们报告我们在一名年轻女性患者中进行双侧机器人辅助茎突切除术的经验。我们的经验表明，该手术是传统手术方法的一种安全替代方案，通过机器人手臂可提供极佳视野和安全操作，从而避免对神经血管结构造成医源性损伤。此外，经口机器人手术可能代表治疗双侧鹰嘴综合征病例的金标准，允许进行快速且安全的一次性手术。
