Eagle syndrome is a rare condition caused by elongation of the styloid process or calcification of the stylohyoid ligament, leading to symptoms such as throat pain, dysphagia, and facial discomfort. When conservative treatments fail, surgical intervention becomes necessary. Transoral robotic styloidectomy, utilizing systems like the Da Vinci robotic platform, offers a minimally invasive and effective approach for resecting the elongated styloid process. This chapter details the indications for surgery, preoperative planning, and surgical technique involved in transoral robotic styloidectomy. Key surgical steps include patient positioning, exposure of the oropharyngeal region, and precise robotic dissection to safely remove the styloid process. Postoperative care emphasizes pain management, rapid recovery, and careful monitoring for complications. Compared to traditional methods, the robotic approach reduces recovery time, limits scarring, and enhances patient outcomes. Despite some risks, such as nerve injury or infection, the transoral robotic technique demonstrates high success rates with most patients experiencing significant symptom relief. The chapter also discusses future innovations in robotic technology that could further improve this surgical approach.

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Transoral Robotic Styloidectomy for Eagle Syndrome

  • Andrea Costantino,
  • Filippo Montevecchi,
  • Ruggero Campisi,
  • Alberto Caranti,
  • Claudio Vicini,
  • J. Scott Magnuson

摘要

Eagle syndrome is a rare condition caused by elongation of the styloid process or calcification of the stylohyoid ligament, leading to symptoms such as throat pain, dysphagia, and facial discomfort. When conservative treatments fail, surgical intervention becomes necessary. Transoral robotic styloidectomy, utilizing systems like the Da Vinci robotic platform, offers a minimally invasive and effective approach for resecting the elongated styloid process. This chapter details the indications for surgery, preoperative planning, and surgical technique involved in transoral robotic styloidectomy. Key surgical steps include patient positioning, exposure of the oropharyngeal region, and precise robotic dissection to safely remove the styloid process. Postoperative care emphasizes pain management, rapid recovery, and careful monitoring for complications. Compared to traditional methods, the robotic approach reduces recovery time, limits scarring, and enhances patient outcomes. Despite some risks, such as nerve injury or infection, the transoral robotic technique demonstrates high success rates with most patients experiencing significant symptom relief. The chapter also discusses future innovations in robotic technology that could further improve this surgical approach.