You can manage bookmarks using lists, please log in to your user account for this.
Media type:
E-Article
Title:
Transoral robotic surgery for obstructive sleep apnea syndrome: Principles and technique
Contributor:
Vicini, Claudio;
Montevecchi, Filippo;
Gobbi, Riccardo;
De Vito, Andrea;
Meccariello, Giuseppe
imprint:
Wiley, 2017
Published in:World Journal of Otorhinolaryngology - Head and Neck Surgery
Language:
English
DOI:
10.1016/j.wjorl.2017.05.003
ISSN:
2095-8811;
2589-1081
Origination:
Footnote:
Description:
<jats:sec><jats:title>Objective</jats:title><jats:p>The present study is a review of transoral robotic surgery (TORS) for the treatment of obstructive sleep apnea‐hypopnea syndrome (OSAHS).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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%–5.3%). However, transient dysphagia (7.2%; range 5%–14%) does compromise the quality of life and must be discussed with patients preoperatively.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>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.</jats:p></jats:sec>