强调机器人辅助前列腺癌根治术（RARP）后罕见的内耳气压伤作为术后并发症。一名被诊断患有局限性前列腺癌的65岁男子在陡峭的Trendelenburg位置接受了选择性RARP。术后,患者主诉令人烦恼的头晕和周围旋转伴有恶心。患者被诊断为患有继发于内耳气压伤的前庭症状。他开始服用丙氯拉嗪12.5毫克和抗生素，随后患者好转。向患者教授前庭康复练习。治疗3天后，患者病情良好，无头晕。患者每天服用25mg的桂利嗪片剂出院，持续一周。关于后续行动，患者无症状。内耳气压伤可能是机器人手术和气腹期间长时间陡峭的Trendelenburg合并的罕见并发症。只有进一步报告此类事件才能帮助确定诱发因素和预防此类事件的预防措施。
To highlight a rare case of inner ear barotrauma as a post-operative complication following robot-assisted radical prostatectomy (RARP). A 65-year-old man diagnosed with localised prostate carcinoma underwent elective RARP in a steep Trendelenburg position. Postoperatively, the patient complained of bothersome dizziness and spinning of surroundings associated with nausea. The patient was diagnosed to have vestibular symptoms secondary to inner ear barotrauma. He was started on prochlorperazine 12.5 mg and antibiotics, following which the patient improved. Vestibular rehabilitation exercises were taught to the patient. After 3 days of treatment, the patient did well with no episodes of dizziness. The patient was discharged on tablet cinnarizine 25 mg thrice daily for a week. On follow-up, the patient is asymptomatic. Inner ear barotrauma can be a rare complication of a combination of prolonged steep Trendelenburg during robotic surgery and pneumoperitoneum. Only further reporting of such incidents can help determine predisposing factors and precautions for preventing such incidents.
