Robotic-assisted gynecologic surgery associated tympanic membrane perforation: A report of two cases and review of the literature.
| Autor: | Swartz AZ; Vanderbilt University School of Medicine, Nashville, TN, USA., Novoa Y Arruga Novoa V; Vanderbilt University Medical Center, Department of Gynecologic Oncology, Nashville, TN, USA., Hassoun JS; Vanderbilt University Medical Center, Department of Gynecologic Oncology, Nashville, TN, USA., Crispens MA; Vanderbilt University Medical Center, Department of Gynecologic Oncology, Nashville, TN, USA., Prescott LS; Vanderbilt University Medical Center, Department of Gynecologic Oncology, Nashville, TN, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Gynecologic oncology reports [Gynecol Oncol Rep] 2023 Feb 22; Vol. 46, pp. 101151. Date of Electronic Publication: 2023 Feb 22 (Print Publication: 2023). |
| DOI: | 10.1016/j.gore.2023.101151 |
| Abstrakt: | Robotic gynecologic surgery is associated with the use of steep Trendelenburg positioning. Steep Trendelenburg is necessary to provide optimal exposure to the pelvis but is associated with an increased risk of non-surgical complications such as suboptimal ventilation, facial and laryngeal edema, increased intraocular and intracranial pressure as well as neurologic injury. Several case reports have described otorrhagia after robotic assisted surgery; however, there are limited reports on the risk of tympanic membrane perforation. To our knowledge, there are no published reports on tympanic membrane perforation in gynecologic nor gynecologic oncology surgery. We report two cases of perioperative tympanic membrane rupture and bloody otorrhagia associated with robot-assisted gynecologic surgery. In both cases otolaryngology/Ear Nose and Throat (ENT) was consulted, and the perforations resolved with conservative management. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2023 The Authors.) |
| Databáze: | MEDLINE |
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