目的:本研究的目的是对通过经口机器人手术(TORS)在Eagle综合征(ES)中进行茎样切除术的现有文献进行系统回顾。
方法:两名独立的审稿人(RC和AC)对PubMed和Embase数据库进行了系统的审查,寻找用于ES治疗的TORS文章。搜索于2023年7月进行。审查是根据系统审查和荟萃分析(PRISMA)指南的首选报告项目进行的。
方法:本综述共纳入17名成年患者,包括12名女性和5名男性,平均年龄为52.2岁,所有诊断为ES。
方法:对于每位患者,我们评估了茎突的总长度,受影响的一方,总干预持续时间,住院时间,术前术后视觉模拟评分(VAS)评分,以及轻微和主要并发症的存在。
结果:我们在文献中确定了4篇文章,描述了17例TORS作为ES的手术治疗,共18个茎管切除术.患者的平均年龄为52.2岁,有12名女性和5名男性。平均操作时间,包括对接阶段,是68.8分钟。16例患者(占总数的94.1%)在手术后症状完全消失或接近完全缓解。一名患者(5.9%)显示出无意义的改善。在17例手术中,仅报告了1例轻微并发症(5.9%)。
OBJECTIVE: The 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).
METHODS: Two 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.
METHODS: The
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.
METHODS: For 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.
RESULTS: We 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%).