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Robot-Assisted Retroauricular Anterior Scalenectomy for Neurogenic Thoracic Outlet Syndrome

Authors
 Won-Taek Oh  ;  Sang-Hee Kim  ;  Il-Hyun Koh  ;  Yoon Woo Koh  ;  Yun-Rak Choi 
Citation
 CLINICS IN ORTHOPEDIC SURGERY, Vol.15(4) : 637-642, 2023-08 
Journal Title
CLINICS IN ORTHOPEDIC SURGERY
ISSN
 2005-291X 
Issue Date
2023-08
MeSH
Decompression, Surgical / methods ; Humans ; Postoperative Complications / etiology ; Retrospective Studies ; Robotics* ; Thoracic Outlet Syndrome* / diagnosis ; Thoracic Outlet Syndrome* / etiology ; Thoracic Outlet Syndrome* / surgery ; Treatment Outcome
Keywords
Neurogenic ; Robotic surgical procedures ; Thoracic outlet syndrome
Abstract
Background: This study described the surgical technique of a robot-assisted retroauricular anterior scalenectomy and assessed clinical outcomes and complications for patients with neurogenic thoracic outlet syndrome (nTOS).

Methods: Between February 2014 and August 2016, 5 patients underwent robot-assisted retroauricular anterior scalenectomy using the da Vinci Xi system for nTOS. For clinical assessment, visual analog scale (VAS) symptom score, pinch and grip strength, and disabilities of arm, shoulder and hand (DASH) score were assessed to compare preoperative and postoperative outcomes. Postoperative complications were also reviewed.

Results: The VAS symptom, pinch and grip strength, and DASH scores improved 1 year after the operation. All patients were satisfied with the surgical scars. Temporary postoperative complications, which spontaneously resolved within 3 months, were noticed in 2 patients: one with vocal cord palsy and the other with upper brachial plexus palsy.

Conclusions: The robot-assisted retroauricular anterior scalenectomy for patients with nTOS seems feasible and safe, providing satisfactory cosmetic results.
Files in This Item:
T202305801.pdf Download
DOI
10.4055/cios22296
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Yoon Woo(고윤우)
Koh, Il Hyun(고일현) ORCID logo https://orcid.org/0000-0001-9823-8516
Oh, Won Taek(오원택) ORCID logo https://orcid.org/0000-0003-1815-0851
Choi, Yun Rak(최윤락)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/196545
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