RESUMO
Eagle syndrome (ES) is characterized by symptomatic elongation of the styloid process or ossification of the stylohyoid ligament causing irritation and inflammation of the trigeminal, facial, glossopharyngeal, and vagus nerves. The use of robotic surgery has been accepted as a first-line treatment for some head and neck squamous cell carcinomas but not for styloidectomy. The aim of this article is to document our experience with a transoral robotic approach to treat ES and to present the outcomes of 6 patients.The author present the transoral robotic surgery as a successful alternative for the surgical management of ES. Our experience with this approach has been excellent, granting an optimal vision of the surgical field with the consequent safe manipulation of the instruments avoiding injuries to healthy tissue.
Assuntos
Ossificação Heterotópica/cirurgia , Espaço Parafaríngeo/cirurgia , Osso Temporal/anormalidades , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pescoço , Procedimentos Cirúrgicos Robóticos , Osso Temporal/cirurgiaRESUMO
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RESUMO
Oronasal fistulae are frequently symptomatic due to rhinolalia and regurgitation of solid food and liquids through the palate.1 When asymptomatic, fistulae can be managed with conservative therapies. Local flaps are useful to close small fistulae but cannot be used in bigger ones and cases with bad-quality surrounding tissues. Ideally, a thin double-layer mucosal tissue is required, but there are no suitable donor sites for this tissue in the human body. We report a palate fistula reconstruction with prelaminated fascia lata free flap.