Transoral Robotic Glossectomy for the Treatment of Obstructive Sleep Apnea‐Hypopnea Syndrome

Friedman, Michael; Hamilton, Craig S.; Samuelson, Christian G.; Kelley, Kanwar; Taylor, David; Pearson-Chauhan, Kristine; Maley, Alexander; Taylor, Renwick; Venkatesan, Thiagarajan

doi:10.1177/0194599811434262

Cited by 125 publications

(196 citation statements)

References 12 publications

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“…The average volume removal (10.29 ml) was lower than the removed tissue in an open approach (25 ml) [2] but higher than in the TORS approach described by Friedman (about 3 ml) [4]. The open approach is more effective at tissue removal and AHI reduction but has not been widely adopted because of pain, length of hospitalization, dysphagia and cosmetic sequelae.…”

Section: Discussionmentioning

confidence: 99%

“…It was devised as a transoral robotic modification of Chabolle's open tongue base reduction and hyoid epiglottopexy [2]. At this time, it is estimated that more than 450 transoral robotic surgeries (TORS) for OSAHS have been performed throughout the world; 201 of them have been reported in the literature (table 1) [1,3,4,5,6,7,8]. However, there have been no multi-institutional studies examining the safety and efficacy of TORS.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Outcomes and Complications Associated with TORS for OSAHS: A Benchmark for Evaluating an Emerging Surgical Technology in a Targeted Application for Benign Disease

Vicini

Montevecchi

Campanini

et al. 2014

ORL

126

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Background: The aim of this study was to create benchmarks for evaluating clinical outcomes and complications of transoral robotic surgeries (TORS) in a multicenter setting. Methods: 243 TORS for obstructive sleep apnea/hypopnea syndrome (OSAHS) operations, carried out between 2008 and 2012, were analyzed at 7 different centers. The average hospitalization was 3.5 days. The mean patient age was 50 ± 12 years, the average BMI at the time of the procedure was 28.53 ± 3.87 and the majority of the patients were men (81%). Results: The mean preoperative and postoperative apnea/hypopnea index was 43.0 ± 22.6 and 17.9 ± 18.4, respectively (p < 0.001). The mean preoperative and postoperative Epworth Sleepiness Scale score was 12.34 ± 5.19 and 5.7 ± 3.49, respectively (p < 0.001). The mean pre- and postoperative lowest O₂ saturation was 79.5 ± 8.77 and 83.9 ± 6.38%, respectively (p < 0.001). Conclusions: Patients undergoing TORS as part of a multilevel approach for the treatment of OSAHS have a reasonable expectation of success with minimal long-term morbidity.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical Outcomes and Complications Associated with TORS for OSAHS: A Benchmark for Evaluating an Emerging Surgical Technology in a Targeted Application for Benign Disease

Vicini

Montevecchi

Campanini

et al. 2014

ORL

126

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“…The appliance was activated seven days after osteotomy once each day at the rate of 1mm per day and stabilise for 30-60 days after distraction.  Transoral robotic surgery (TORS) for lingual tonsils, epiglottis, and tongue base reduction (Friedman, 2012). Success was 66.7%.…”

Section: Conservatively It Include-mentioning

confidence: 99%

Modalities of treatment for sleep disordered breathing

Tin¹,

Ohn²

2016

Asian J. Med. Biol. Res

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Abstract:Sleep disordered breathing is a spectrum of diseases that includes snoring, upperairway resistance syndrome and obstructive sleep apnea. It occurs more in obese males, resulting in hypertension and cardiac complications if untreated. There are various treatments, conservatively and surgically, starting from simple tonsillectomy to multi-level surgeries and multi discipline. Literature review was carried out on the pathophysiology, clinical presentation, complications, diagnosis and various treatments, using internet Google, search PubMed. Additional information was obtained by cross referencing, using text and journals in the medical libraries.

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“…Kulak burun boğaz hastalıklarında TORC ilk olarak O'Malley ve Weinstein tarafından uygulanmaya başlanmış, 2009 yılında Amerikan Gıda ve İlaç Birliği TORC'nin ağız, dil, tonsil, farenks ve larenks benign ve malign lezyonlarında kullanımını onaylamıştır. [5] Dil köküne bağlı OUAS'nin cerrahi tedavisinde TORC'nin kullanımı ilk olarak Vicini tarafından tanımlanmıştır. [1] Transoral robotik cerrahinin en önemli avantajı üç boyutlu görüş ve her düz-lemde doku rezeksiyonu imkanı sayılabilmesidir.…”

Section: şEkil 2 Ameliyat Sırası Görüntüunclassified

“…[5] Transoral robotik cerrahisi teknik olarak da ağız boşluğu, hipofarenks, orofarenks, supraglottik bölgelerde hemostazın sağlanması için de oldukça güvenli bir yöntemdir. [4] Fakat transoral robotik cerrahi sonrası koterizasyon gerektiren ameliyat sonrası kanamaların olduğu gösterilmiş olsa da [4] yapı-lan çalışmalarda mikroskopik yaklaşımlara göre TORC'de ameliyat süresinin ve kanama miktarının daha az olduğu bildirilmiştir.…”

Section: şEkil 2 Ameliyat Sırası Görüntüunclassified

Transoral robotic surgery for sleep apnea syndrome

Oysu

Aa²,

Önder³

2014

Kulak Burun Bogaz Ihtis Derg

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Obstrüktif uyku apnesi sendromu (OUAS) başta kardiyovasküler sistem olmak üzere tüm vücut sistemlerini ve yaşam kalitesini olumsuz yönde etkileyen multisistemik bir hastalıktır. Obstrüktif uyku apnesi sendromu tedavisinde sürekli pozitif hava yolu basıncı etkin bir tedavi seçeneği olmakla birlikte, hastaların önemli bir kısmı bu tedaviyi tolere edememekte ve alternatif tedavi yöntemleri aranmaktadır. Transoral robotik lingual tonsillektomi, OUAS'li hastaların cerrahi tedavisinde yeni bir tekniktir. Bu yazıda transoral robotik lingual tonsillektomi uygulanan iki taraflı lingual tonsiller hipertrofi nedeniyle OUAS tanısı konulan 57 yaşında bir kadın olgu sunuldu. Bildiğimiz kadarıyla, bu olgu Türk tıp literatüründe bildirilmiş robotik lingual tonsillektomi uygulanan ilk OUAS olgusudur.Anahtar Sözcükler: Lingual tonsil; obstrüktif uyku apne sendromu; transoral robotik cerrahi.Obstructive sleep apnea syndrome (OSAS) is a multisystem disorder which adversely affects all body systems including cardiovascular system particularly and the quality of life. Although continuous positive airway pressure is an effective way of treatment in the treatment of OSAS, a substantial proportion of patients are not able to tolerate this treatment and seek for alternative treatment modalities. Transoral robotic lingual tonsillectomy is a novel technique for the surgical management of patients with OSAS. In this article, we report a 57-year-old female case with OSAS due to bilateral lingual tonsillar hypertrophy who underwent transoral robotic lingual tonsillectomy. To the best of our knowledge, this is the first case report of OSAS who underwent robotic lingual tonsillectomy in Turkish medical literature.

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Transoral Robotic Glossectomy for the Treatment of Obstructive Sleep Apnea‐Hypopnea Syndrome

Abstract: Robotically assisted partial glossectomy feasibly can be performed without the need for tracheotomy. This technique resulted in greater AHI reduction but increased morbidity compared with the other techniques studied.

Cited by 125 publications

References 12 publications

Clinical Outcomes and Complications Associated with TORS for OSAHS: A Benchmark for Evaluating an Emerging Surgical Technology in a Targeted Application for Benign Disease

Clinical Outcomes and Complications Associated with TORS for OSAHS: A Benchmark for Evaluating an Emerging Surgical Technology in a Targeted Application for Benign Disease

Modalities of treatment for sleep disordered breathing

Transoral robotic surgery for sleep apnea syndrome

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