Endoscopic omohyoid muscle transection surgery, a novel procedure against omohyoid muscle syndrome

目的 肩胛舌骨肌综合征是一种罕见病,其表现为吞咽时颈侧区膨出性包块.由于常规手术会有5 cm左右的手术瘢痕,因此研究者设计并实施了腔镜手术,以满足患者的美观需求.方法 从2010年1月至2014年1月,共计5例患者于首都医科大学附属北京世纪坛医院肿瘤外科诊断为肩胛舌骨肌综合征,并接受腔镜手术.研究者对患者的术中情况及术后随访情况进行回顾性分析.结果 手术时间(35±13)min,术中出血量(3±1)ml.无中转开放手术.未发生主要血管及神经损伤.术后,吞咽时出现的颈部包块完全消失,颈部完全无瘢痕.所有的患者均在术后2d内出院.在术后1年的随访中,无复发病例.结论 腔镜手术适合于治疗肩胛舌骨肌综合征,其技术安全、有效,具备美容效果.Objective Omohyoid muscle syndrome (OMS) is a rare disease that characterized as a protruding lateral neck mass feature during swallowing.Because there is an 5 cm scar after traditionally surgery,investigator design a laparoscopic surgery procedure to meet the cosmetic needs of patients.Methods From Jan.2010 to Jan.2014,there were 5 patients diagnosed as omohyoid muscle syndrome and underwent laparoscopic surgery.Operative and postoperative follow-up data was summarized.Results Average surgery time was (35 ± 13) min.Average blood loss was (3 ± 1)ml.No case converted to open surgery.No major vessel or nerve damage complication occurred.After the surgery,the neck mass completely disappeared during swallowing,and there were no operative scars on the neck.All the patients were discharged within 2 d.During the follow-up of a year,no recurrence occurred.Conclusions Endoscopic procedure is suitable for OMS.It's a safe,effective and cosmetic surgery.北京市医院管理局扬帆重点课题基金资助项目282-841