Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.
Clin Orthop Surg. 2023 Aug;15(4):637-642. doi: 10.4055/cios22296. Epub 2023 May 26.
This study described the surgical technique of a robot-assisted retroauricular anterior scalenectomy and assessed clinical outcomes and complications for patients with neurogenic thoracic outlet syndrome (nTOS).
Between February 2014 and August 2016, 5 patients underwent robot-assisted retroauricular anterior scalenectomy using the da Vinci Xi system for nTOS. For clinical assessment, visual analog scale (VAS) symptom score, pinch and grip strength, and disabilities of arm, shoulder and hand (DASH) score were assessed to compare preoperative and postoperative outcomes. Postoperative complications were also reviewed.
The VAS symptom, pinch and grip strength, and DASH scores improved 1 year after the operation. All patients were satisfied with the surgical scars. Temporary postoperative complications, which spontaneously resolved within 3 months, were noticed in 2 patients: one with vocal cord palsy and the other with upper brachial plexus palsy.
The robot-assisted retroauricular anterior scalenectomy for patients with nTOS seems feasible and safe, providing satisfactory cosmetic results.
本研究描述了机器人辅助耳后前路前斜角肌切除术的手术技术，并评估了神经源性胸廓出口综合征（nTOS）患者的临床结果和并发症。
2014 年 2 月至 2016 年 8 月，5 例 nTOS 患者采用达芬奇 Xi 系统行机器人辅助耳后前路前斜角肌切除术。临床评估采用视觉模拟评分（VAS）症状评分、捏力和握力、手臂、肩部和手的残疾（DASH）评分来比较术前和术后的结果。还回顾了术后并发症。
术后 1 年，VAS 症状、捏力和握力、DASH 评分均得到改善。所有患者均对手术疤痕满意。2 例患者出现暂时性术后并发症，均在 3 个月内自行缓解：1 例声带麻痹，1 例臂丛上干麻痹。
机器人辅助耳后前路前斜角肌切除术治疗 nTOS 患者似乎是可行且安全的，可获得满意的美容效果。
