Advanced Robotic Surgery of the Parapharyngeal Space: Transoral Robotic Styloidectomy in Eagle Syndrome

Rizzo-Riera, Elena; Rubi-Oña, Carlos; García-Wagner, Miguel; Costa, Ana Araujo-Da; Miralles, Joan; Enchev, Enrik; Rama-López, Julio

doi:10.1097/scs.0000000000006804

Cited by 9 publications

(5 citation statements)

References 8 publications

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“…Another interesting point regards the comparison with the main results obtained in other Centers by transoral robotic surgery (TORS), a relatively new procedure in the treatment of parapharyngiomas. Its indications are substantially similar to those mentioned above for the transoral approach [ 33 , 34 , 35 , 36 , 37 , 38 ]. The procedure is based on the use of the Da Vinci Surgical Robotic System, a robotic device that combines great operational precision with easy use and handling.…”

Section: Discussionmentioning

confidence: 58%

Parapharyngeal Space Tumors: Our Experience

Galli

Rolesi

Gallus³

et al. 2023

JPM

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Para-pharyngeal space (PPS) tumors include an heterogeneous group of neoplasms, accounting for approximatively 0.5–1.5% of all head and neck tumors. Management of these neoplasms requires a careful diagnostic workout and an appropriate surgical approach to obtain good outcomes associated with minimal aesthetic drawbacks. In this study we investigated clinical onset, histologic features, surgical treatment outcomes, peri operative complications and follow up of 98 patients treated for PPS tumors in our Centre between 2002 and 2021. Furthermore, we reviewed our preliminary experience of preoperative embolization of hyper vascular PPS tumors trough SQUID12, an ethylene vinyl alcohol copolymers (EVOH) which exhibits many advantages over other embolic agents, due to its better devascularization rate and lower risk of systemic complications. Our data support the hypothesis that transoral surgery scenario should be significantly revised, as it could represent a valid treatment for tumors located in lower and prestyloyd portion of PPS. Moreover, SQUID12, a novel embolization agent, may be a very promising choice for PPS hyper vascularized tumors, ensuring higher devascularization rate, safer procedures and lower risk of systemic dispersion compared to traditional Contour treatment.

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Section: Discussionmentioning

confidence: 58%

Parapharyngeal Space Tumors: Our Experience

Galli

Rolesi

Gallus³

et al. 2023

JPM

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“…19 Among the complications, a single case of suture dehiscence 4 days after surgery was described. 18 Regarding pain control, discomfort resolution, or any other Eagle syndrome-related symptoms, we noted that 10 patients (59% of the total) experienced complete relief from their symptoms.…”

Section: Key Pointsmentioning

confidence: 81%

“…One patient (5.9%) complained about sporadic right side chewing discomfort. 18 The last six patients (35%) were divided by the author (Fitzpatrick et al 16 ) into a group of five patients with a 'meaningful' improvement of the symptoms and a group with still an improvement but defined 'non-meaningful' in one patient. The 'meaningful' group included improvements from a moderate to a near complete resolution.…”

Section: Key Pointsmentioning

confidence: 99%

Transoral robotic styloidectomy for Eagle syndrome: A systematic review

Campisi,

Caranti,

Meccariello

et al. 2024

Clinical Otolaryngology

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ObjectivesThe aim of the study is to conduct a systematic review of the existing literature on styloidectomy performed through transoral robotic surgery (TORS) in Eagle syndrome (ES).Design and SettingTwo independent reviewers (RC and AC) conducted a systematic review of PubMed and Embase databases, seeking articles on TORS performed for ES treatment. The search was conducted in July 2023. The review was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines.ParticipantsThe review included a total of 17 adult patients, comprising 12 females and 5 males, with an average age of 52.2 years, all diagnosed with ES.Main Outcome MeasuresFor each patient, we assessed the overall length of the styloid process, the affected side, total intervention duration, hospitalization duration, pre and postoperative Visual Analogue Scale (VAS) scores, and the presence of minor and major complications.ResultsWe identified 4 articles describing 17 instances of TORS as a surgical treatment for ES in the literature, totaling 18 styloidectomies. The mean age of the patients was 52.2 years, with 12 females and 5 males. The average operation time, inclusive of the docking phase, was 68.8 minutes. Sixteen patients (94.1% of the total) experienced complete symptom disappearance or near‐complete resolution after surgery. One patient (5.9%) showed improvement categorized as 'non‐meaningful.' Only one case of minor complication was reported among the 17 procedures (5.9%).

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“…In some patients, partial styloidectomy is preferred to complete resection 20 . The transoral approach is a viable alternative to styloidectomy 29,30 . Piezosurgery styloidectomy, endoscopic or robotic, is considered outstanding by some authors 20,30,31 .…”

Section: Eagle Syndromementioning

confidence: 99%

Peculiar Features and Surgical Approach in Syndromes With Maxillofacial Implications: A Case Series and Updated Review

Grillo¹,

Madruga²,

Júnior³

et al. 2023

JBSMFS

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Objectives: This paper aims to discuss some important aspects of surgical planning and treatment of some syndromes with maxillofacial implications. Methods: A case series of five different syndromes with maxillofacial implications was reported. We searched MEDLINE for a surgical approach to these maxillofacial syndromes. PROCESS guidelines have been adopted for the current case series. A Pearson correlation test was performed and considered significant only with a 95% confidence interval. Discussion: The number of publications on the subject of maxillofacial surgery is not related to the incidence of the reported syndromes. Surgical planning and treatment have been discussed in cases of Eagle´s syndrome, Jacob´s disease, Crouzon syndrome, Cleidocranial dysplasia, and Goldenhar syndrome. A brief report of the features of the syndrome and surgical procedures involved were evaluated. Conclusions: Styloidectomy and coronoidectomy are considered the best treatments for Eagle´s syndrome and Jacob´s disease, respectively. For some syndromes, tailored surgical treatment is essential. Some data must be considered in surgical planning and treatment. Depending on one characteristic or another, the surgical procedure can be chosen.

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Advanced Robotic Surgery of the Parapharyngeal Space: Transoral Robotic Styloidectomy in Eagle Syndrome

Cited by 9 publications

References 8 publications

Parapharyngeal Space Tumors: Our Experience

Parapharyngeal Space Tumors: Our Experience

Transoral robotic styloidectomy for Eagle syndrome: A systematic review

Peculiar Features and Surgical Approach in Syndromes With Maxillofacial Implications: A Case Series and Updated Review

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