Transoral robotic surgery for obstructive sleep apnea syndrome: Principles and technique

Objective: The present study is a review of transoral robotic surgery (TORS) for the treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods: The review presents the experience of the robotic center that developed the technique with regards to patient selection, surgical method, and...

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Autores principales:	Claudio Vicini, Filippo Montevecchi, Riccardo Gobbi, Andrea De Vito, Giuseppe Meccariello
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2017
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/575bc8a13ec74ac3be5c84237abce308
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spelling	oai:doaj.org-article:575bc8a13ec74ac3be5c84237abce3082021-12-02T11:49:47ZTransoral robotic surgery for obstructive sleep apnea syndrome: Principles and technique2095-881110.1016/j.wjorl.2017.05.003https://doaj.org/article/575bc8a13ec74ac3be5c84237abce3082017-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881117300501https://doaj.org/toc/2095-8811Objective: The present study is a review of transoral robotic surgery (TORS) for the treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods: The review presents the experience of the robotic center that developed the technique with regards to patient selection, surgical method, and post-operative care. In addition, the review provides results of a systematic review and meta-analysis of the complications and clinical outcomes of TORS when applied in the management of OSAHS. Results: The rate of success, defined as 50% reduction of pre-operative AHI and an overall AHI <20 events/h, is achieved in up to 76.6% of patients with a range between 53.8% and 83.3%. The safety of this approach is reasonable as the main complication (bleeding) affected 4.2% of patients (range 4.2%â5.3%). However, transient dysphagia (7.2%; range 5%â14%) does compromise the quality of life and must be discussed with patients preoperatively. Conclusions: TORS for the treatment of OSAHS appears to be a promising and safe procedure for patients seeking an alternative to traditional therapy. Appropriate patient selection remains an important consideration for successful implementation of this novel surgical approach requiring further research. Keywords: Transoral robotic surgery, TORS, Partial glossectomy, Midline glossectomy, Posterior glossectomy, Obstructive sleep apnea, Sleep surgeryClaudio ViciniFilippo MontevecchiRiccardo GobbiAndrea De VitoGiuseppe MeccarielloKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 3, Iss 2, Pp 97-100 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Claudio Vicini Filippo Montevecchi Riccardo Gobbi Andrea De Vito Giuseppe Meccariello Transoral robotic surgery for obstructive sleep apnea syndrome: Principles and technique
description	Objective: The present study is a review of transoral robotic surgery (TORS) for the treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods: The review presents the experience of the robotic center that developed the technique with regards to patient selection, surgical method, and post-operative care. In addition, the review provides results of a systematic review and meta-analysis of the complications and clinical outcomes of TORS when applied in the management of OSAHS. Results: The rate of success, defined as 50% reduction of pre-operative AHI and an overall AHI <20 events/h, is achieved in up to 76.6% of patients with a range between 53.8% and 83.3%. The safety of this approach is reasonable as the main complication (bleeding) affected 4.2% of patients (range 4.2%â5.3%). However, transient dysphagia (7.2%; range 5%â14%) does compromise the quality of life and must be discussed with patients preoperatively. Conclusions: TORS for the treatment of OSAHS appears to be a promising and safe procedure for patients seeking an alternative to traditional therapy. Appropriate patient selection remains an important consideration for successful implementation of this novel surgical approach requiring further research. Keywords: Transoral robotic surgery, TORS, Partial glossectomy, Midline glossectomy, Posterior glossectomy, Obstructive sleep apnea, Sleep surgery
format	article
author	Claudio Vicini Filippo Montevecchi Riccardo Gobbi Andrea De Vito Giuseppe Meccariello
author_facet	Claudio Vicini Filippo Montevecchi Riccardo Gobbi Andrea De Vito Giuseppe Meccariello
author_sort	Claudio Vicini
title	Transoral robotic surgery for obstructive sleep apnea syndrome: Principles and technique
title_short	Transoral robotic surgery for obstructive sleep apnea syndrome: Principles and technique
title_full	Transoral robotic surgery for obstructive sleep apnea syndrome: Principles and technique
title_fullStr	Transoral robotic surgery for obstructive sleep apnea syndrome: Principles and technique
title_full_unstemmed	Transoral robotic surgery for obstructive sleep apnea syndrome: Principles and technique
title_sort	transoral robotic surgery for obstructive sleep apnea syndrome: principles and technique
publisher	KeAi Communications Co., Ltd.
publishDate	2017
url	https://doaj.org/article/575bc8a13ec74ac3be5c84237abce308
work_keys_str_mv	AT claudiovicini transoralroboticsurgeryforobstructivesleepapneasyndromeprinciplesandtechnique AT filippomontevecchi transoralroboticsurgeryforobstructivesleepapneasyndromeprinciplesandtechnique AT riccardogobbi transoralroboticsurgeryforobstructivesleepapneasyndromeprinciplesandtechnique AT andreadevito transoralroboticsurgeryforobstructivesleepapneasyndromeprinciplesandtechnique AT giuseppemeccariello transoralroboticsurgeryforobstructivesleepapneasyndromeprinciplesandtechnique
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Transoral robotic surgery for obstructive sleep apnea syndrome: Principles and technique

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