A Multi‐Institutional Study of Radiofrequency Volumetric Tissue Reduction for OSAS

Woodson, B. Tucker; Nelson, Lionel M.; Mickelson, Samuel A.; Huntley, Tod; Sher, Aaron E.

doi:10.1067/mhn.2001.118958

Cited by 105 publications

(82 citation statements)

References 13 publications

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“…The postoperative complication rate varies between 0 and 41%, and is mostly below 5% [229,232,233,263,[267][268][269][270]. A severe potential complication is the formation of an abscess of the tongue base [229,232,262,271]. No changes of swallowing or speech were observed [232,263,267,271].…”

Section: Overview Of the Evidencementioning

confidence: 99%

“…A severe potential complication is the formation of an abscess of the tongue base [229,232,262,271]. No changes of swallowing or speech were observed [232,263,267,271]. The addition of radiofrequency surgery to other surgical approaches, such as UPPP, nasal surgery, tonsillar surgery, palatal implants or hyoid suspension, did not lead to an increase in morbidity [270,[272][273][274][275][276][277].…”

Section: Overview Of the Evidencementioning

confidence: 99%

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Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

Eur Respir J

311

179

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In view of the high prevalence and the relevant impairment of patients with obstructive sleep apnoea syndrome (OSAS) lots of methods are offered which promise definitive cures for or relevant improvement of OSAS.This report summarises the efficacy of alternative treatment options in OSAS.An interdisciplinary European Respiratory Society task force evaluated the scientific literature according to the standards of evidence-based medicine.Evidence supports the use of mandibular advancement devices in mild to moderate OSAS. Maxillomandibular osteotomy seems to be as efficient as continuous positive airway pressure (CPAP) in patients who refuse conservative treatment. Distraction osteogenesis is usefully applied in congenital micrognathia or midface hypoplasia. There is a trend towards improvment after weight reduction. Positional therapy is clearly inferior to CPAP and long-term compliance is poor. Drugs, nasal dilators and apnoea triggered muscle stimulation cannot be recommended as effective treatments of OSAS at the moment. Nasal surgery, radiofrequency tonsil reduction, tongue base surgery, uvulopalatal flap, laser midline glossectomy, tongue suspension and genioglossus advancement cannot be recommended as single interventions. Uvulopalatopharyngoplasty, pillar implants and hyoid suspension should only be considered in selected patients and potential benefits should be weighed against the risk of long-term side-effects. Multilevel surgery is only a salvage procedure for OSA patients.

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Section: Overview Of the Evidencementioning

confidence: 99%

Section: Overview Of the Evidencementioning

confidence: 99%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

Eur Respir J

311

179

View full text Add to dashboard Cite

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“…Woodson ve ark.ları 12 retroglossal obstruksiyonu bulunan 73 hastada ortalama 5.4 tedavi seansı uygulamış ve her hastada uygulanan ortalama enerji miktarını 13.994 +/-5459 j olarak belirtmiştir. Yine Nelson ve ark.…”

Section: Discussionunclassified

“…3 Uyku apnesi olan hastalarda en sık tercih edilen cerrahi yöntemin UPPP (Uvulopalatopharyngoplasty) olmasına karşılık UPPP cerrahisinin yetersizliği konusunda en sık ileri sürülen görüşlerden biri dil kökü hipertrofilerinin gözden kaçırıldığı konusundadır. 4,5 Radyofrekans ile doku ablasyonunun medikal uygulamalarda kullanılmasının ardından, dil kökü hipertrofisinin tedavisinde ilk kullanan 1999 yılında Powell olmuştur. 6 Bu tarihten itibaren minimal invaziv bir tedavi seçeneği olarak, dil kökü hipertrofisinin tedavisinde giderek artan sıklıkta kullanılmaya başlanılmış-tır.…”

Section: Introductionunclassified

Our experiences with tongue base radiofrequency, for treatment of obstructive sleep apnea

Civelek¹,

Ozcelik²,

Emre³

et al. 2013

Turk Arch Otolaryngol

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Tıkayıcı uyku apne sendromunda dil kökü radyofrekansı sonrası komplikasyonlarımız Özet Amaç: Toplumdaki prevalansı giderek artmakta olan tıkayıcı uyku apne sendromunun cerrahi tedavisinde giderek daha minimal invaziv yaklaşımlar tercih edilmektedir. Günümüzde giderek yaygın kullanılmaya başlayan ve submukozal doku ablasyonu sağlayan radyofrekans cerrahisi de özellikle dil kökü hipertrofilerinin tedavisinde avantajlı bir alternatif oluşturmaktadır. Çalışmamızda 2004 yılından beri uyku apne cerrahisinde tercih ettiğimiz bir yöntem olan dil kökü radyofrenkans cerrahisi ile ilgili deneyimlerimizin retrospektif olarak gözden geçirilmesi ve komplikasyon oranlarımızın belirlenmesi amaçlandı. Bu bilgiler doğrultusunda verilerimizin literatürdeki çalışmalarda yer alan komplikasyon oranları ile kaşılaştırılması ve dil kökü radyofrekansı uygulamalarının güvenilirliğinin değerlendirilmesi amaçlandı. Bulgular: İntraoperatif komplikasyon ile karşılaşılmadı. Postoperatif dönemde 9 tanesi erken postoperatif (birinci hafta) dö-nemde 2 tanesi geç postoperatif dönemde olmak üzere toplam 75 hastada komplikasyon gözlenen hasta sayısı 9 (%1.2) idi. Komplikasyonlar 4 hastada yüzeyel mukozal ülserasyon, 2 hastada ağrılı odinofaji,1 hastada geçici sinir paralizisi 2 hastada ise abse formasyonu şeklinde idi. Komplikasyon gözlenen hastaların hepsi medikal tedavi edildi. Abse formasyonu gözlenen hastalar yatırılarak parenteral antibiyoterapi uygulandı. Hiç bir hastada havayolu obstruksiyonu gelişmedi.Sonuç: Dil kökü hipertrofisinin cerrahi tedavisinde minimal invaziv bir tedavi seçeneği olan radyofrekans ile doku ablasyonu giderek daha yaygın bir kullanım alanı bulmaktadır. Bununla birlikte yapılacak uygulamanın şekli ve verilecek enerji miktarı ile ilgili tartışmalar halen devam etmektedir. Literatürde komplikasyon oranlarına yönelik farklı sonuçlar bulunmakla birlikte diğer cerrahi yöntemler ile kıyaslandığında dil kökü radyofrekansı uygulamaları halen güvenilir ve etkin bir tedavi yöntemidir. Çalışmamızda takip ettiğimiz dil kökü radyofrekans uygulanmış hastalardaki komplikasyon oranlarımız literatürde kabul gören oranlarla uyumludur. The frequently used radiofrequency ablation technique for the treatment of tongue base hypertrophy is a favorable alternative. In our study, we aimed to evaluate our complication rates and evaluate our experiences with radiofrequency application to the tongue, which we have preferred for the treatment of OSA since 2004. We planned to compare our complications rates with those in literature.Methods: Seventy-five patients with OSAS treated in our clinic, between 2004-2009, using radiofrequency, were retrospectively evaluated regarding the rate and type of complication.Results: There were no intraoperative complications. 9 out 75 patients (1.2%) had complications where 7 of them were observed in the first week. Two others were observed further on after treatment. 4 patients had mucosal ulceration, 2 patients had odynophagia, 1 patient had temporary nerve paralysis and 2 patients had abscess formation. All the...

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“…Regardless of the position dependency, various rates of success have been achieved through techniques like suspension of the tongue base [5] by monopolar radiofrequency application on the base of the tongue [6] , or the submucosal minimally invasive excision technique applied to the tongue base [7] .…”

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confidence: 99%

Low-Temperature Bipolar Radiofrequency Ablation (Coblation) of the Tongue Base for Supine-Position-Associated Obstructive Sleep Apnea

Babademez

Çiftçi

Acar

et al. 2010

ORL

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Objective: To assess the effectiveness of low-temperature bipolar radiofrequency ablation for Coblation of the tongue base in the multilevel management of supine-position-associated obstructive sleep apnea syndrome (OSAS). Study Design and Setting: A retrospective analysis of the data of 16 subjects undergoing uvulopalatopharyngoplasty and tongue base Coblation. The efficacy of the procedure was investigated on the basis of polysomnographic results. Results: The success rate was 62.5% in 16 patients who underwent surgery for OSAS, with decreases in the mean Apnea Hypopnea Index of 20.1–8.9. The success rate was separately evaluated according to the subjects’ posture. A rate of 87.5% was found for the supine position, while the rate was 56.6% in non-supine positions. The minimum postoperative O₂ saturation was significantly increased for REM and non-REM stage 3 sleep rates. Conclusion: It is important to evaluate the relation of the disease to the body position in sleep apnea subjects. Coblation of the tongue base is an applicable method of therapy for patients who have sleep apnea that is more marked in the supine position.

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A Multi‐Institutional Study of Radiofrequency Volumetric Tissue Reduction for OSAS

Abstract: In mild obstructive sleep apnea, treatment of symptomatic outcomes with RFTVR may be an alternative to CPAP.

Cited by 105 publications

References 13 publications

Non-CPAP therapies in obstructive sleep apnoea

Non-CPAP therapies in obstructive sleep apnoea

Our experiences with tongue base radiofrequency, for treatment of obstructive sleep apnea

Low-Temperature Bipolar Radiofrequency Ablation (Coblation) of the Tongue Base for Supine-Position-Associated Obstructive Sleep Apnea

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