Surgical management of Eagle syndrome: A 17-year experience with open and transoral robotic styloidectomy
| Autor: | Joshua D. Waltonen, J. Dale Browne, Marcus J. Magister, Thomas H. Fitzpatrick, Christopher A. Sullivan, Benjamin D. Lovin |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Operative Time Population Blood Loss Surgical 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Blood loss Statistical significance Transoral robotic surgery medicine Humans 030223 otorhinolaryngology education Transcervical resection education.field_of_study Surgical approach business.industry Ossification Heterotopic Temporal Bone Eagle syndrome Length of Stay Middle Aged medicine.disease Otorhinolaryngologic Surgical Procedures Surgery Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Operative time Female business |
| Zdroj: | American Journal of Otolaryngology. 41:102324 |
| ISSN: | 0196-0709 |
| Popis: | Eagle Syndrome (ES) is a rare disorder that can present with symptoms ranging from globus sensation to otalgia that is attributed to an elongated styloid process and/or calcified stylohyoid ligament. No standardized treatment algorithm exists, and although various surgical approaches have been described, data on the use of transoral robotic surgery (TORS) in this population is limited. To investigate the utility of TORS in the treatment of ES, a retrospective review in 19 ES patients was carried out at a single academic, tertiary medical center between 2000 and 2017. Nineteen patients underwent twenty-one styloid resections: 6 performed via TORS and 15 via transcervical approach. Across all patients, 90% reported some degree of lasting improvement in symptoms while 55% reported significant improvement. When TORS was compared to transcervical resection, there was no difference in the subjective rate of “meaningful” (83 vs. 57%) versus rate of “non-meaningful” symptom improvement (17 vs. 43%) (p = 0.35). There was a trend towards less estimated blood loss (EBL), operative time, and post-operative length of stay (LOS) with TORS versus transcervical cases (9.2 mL vs. 30.0 mL, 98 vs. 156 min, and 0.7 vs. 1.2 days); however, these did not reach statistical significance (p = .11, 0.13, and 0.42, respectively). Three patients experienced complications associated with an open approach, as compared to none with TORS. In select patients, TORS styloidectomy is a reasonable surgical alternative to traditional transoral and transcervical techniques as it provides similar symptom improvement, and reduced length of stay, blood loss, and operative time. |
| Databáze: | OpenAIRE |
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