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TORS as Part of Multilevel Surgery in OSA: The Importance of Careful Patient Selection and Outcomes

Transoral robotic surgery (TORS) for Obstructive Sleep Apnea (OSA) is a relatively young technique principally devised for managing apneas in the tongue base area. This study summarizes and presents our personal experience with TORS for OSA treatment, with the aim to provide information regarding it...

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Autores principales: Baptista, Peter M., Diaz Zufiaurre, Natalia, Garaycochea, Octavio, Alcalde Navarrete, Juan Manuel, Moffa, Antonio, Giorgi, Lucrezia, Casale, Manuele, O’Connor-Reina, Carlos, Plaza, Guillermo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8878188/
https://www.ncbi.nlm.nih.gov/pubmed/35207264
http://dx.doi.org/10.3390/jcm11040990
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author Baptista, Peter M.
Diaz Zufiaurre, Natalia
Garaycochea, Octavio
Alcalde Navarrete, Juan Manuel
Moffa, Antonio
Giorgi, Lucrezia
Casale, Manuele
O’Connor-Reina, Carlos
Plaza, Guillermo
author_facet Baptista, Peter M.
Diaz Zufiaurre, Natalia
Garaycochea, Octavio
Alcalde Navarrete, Juan Manuel
Moffa, Antonio
Giorgi, Lucrezia
Casale, Manuele
O’Connor-Reina, Carlos
Plaza, Guillermo
author_sort Baptista, Peter M.
collection PubMed
description Transoral robotic surgery (TORS) for Obstructive Sleep Apnea (OSA) is a relatively young technique principally devised for managing apneas in the tongue base area. This study summarizes and presents our personal experience with TORS for OSA treatment, with the aim to provide information regarding its safety, efficacy, and postoperative complications. A retrospective study was conducted on patients undergoing TORS with lingual tonsillectomy through the Da Vinci robot. The effectiveness of the surgical procedure was assessed employing the Epworth Sleepiness Scale (ESS) and overnight polysomnography with the Apnea-Hypopnea Index (AHI). A total of 57 patients were included. Eighteen patients (31.6%) had undergone previous surgery. The mean time of TORS procedure was 30 min. Base of tongue (BOT) management was associated with other procedures in all patients: pharyngoplasty (94%), tonsillectomy (66%), and septoplasty (58%). At 6 months follow-up visit, there was a significant improvement in AHI values (from 38.62 ± 20.36 to 24.33 ± 19.68) and ESS values (from 14.25 ± 3.97 to 8.25 ± 3.3). The surgical success rate was achieved in 35.5% of patients. The most frequent major complication was bleeding, with the need for operative intervention in three cases (5.3%). The most common minor complications were mild dehydration and pain. TORS for OSA treatment appears to be an effective and safe procedure for adequately selected patients looking for an alternative therapy to CPAP.
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spelling pubmed-88781882022-02-26 TORS as Part of Multilevel Surgery in OSA: The Importance of Careful Patient Selection and Outcomes Baptista, Peter M. Diaz Zufiaurre, Natalia Garaycochea, Octavio Alcalde Navarrete, Juan Manuel Moffa, Antonio Giorgi, Lucrezia Casale, Manuele O’Connor-Reina, Carlos Plaza, Guillermo J Clin Med Article Transoral robotic surgery (TORS) for Obstructive Sleep Apnea (OSA) is a relatively young technique principally devised for managing apneas in the tongue base area. This study summarizes and presents our personal experience with TORS for OSA treatment, with the aim to provide information regarding its safety, efficacy, and postoperative complications. A retrospective study was conducted on patients undergoing TORS with lingual tonsillectomy through the Da Vinci robot. The effectiveness of the surgical procedure was assessed employing the Epworth Sleepiness Scale (ESS) and overnight polysomnography with the Apnea-Hypopnea Index (AHI). A total of 57 patients were included. Eighteen patients (31.6%) had undergone previous surgery. The mean time of TORS procedure was 30 min. Base of tongue (BOT) management was associated with other procedures in all patients: pharyngoplasty (94%), tonsillectomy (66%), and septoplasty (58%). At 6 months follow-up visit, there was a significant improvement in AHI values (from 38.62 ± 20.36 to 24.33 ± 19.68) and ESS values (from 14.25 ± 3.97 to 8.25 ± 3.3). The surgical success rate was achieved in 35.5% of patients. The most frequent major complication was bleeding, with the need for operative intervention in three cases (5.3%). The most common minor complications were mild dehydration and pain. TORS for OSA treatment appears to be an effective and safe procedure for adequately selected patients looking for an alternative therapy to CPAP. MDPI 2022-02-14 /pmc/articles/PMC8878188/ /pubmed/35207264 http://dx.doi.org/10.3390/jcm11040990 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Baptista, Peter M.
Diaz Zufiaurre, Natalia
Garaycochea, Octavio
Alcalde Navarrete, Juan Manuel
Moffa, Antonio
Giorgi, Lucrezia
Casale, Manuele
O’Connor-Reina, Carlos
Plaza, Guillermo
TORS as Part of Multilevel Surgery in OSA: The Importance of Careful Patient Selection and Outcomes
title TORS as Part of Multilevel Surgery in OSA: The Importance of Careful Patient Selection and Outcomes
title_full TORS as Part of Multilevel Surgery in OSA: The Importance of Careful Patient Selection and Outcomes
title_fullStr TORS as Part of Multilevel Surgery in OSA: The Importance of Careful Patient Selection and Outcomes
title_full_unstemmed TORS as Part of Multilevel Surgery in OSA: The Importance of Careful Patient Selection and Outcomes
title_short TORS as Part of Multilevel Surgery in OSA: The Importance of Careful Patient Selection and Outcomes
title_sort tors as part of multilevel surgery in osa: the importance of careful patient selection and outcomes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8878188/
https://www.ncbi.nlm.nih.gov/pubmed/35207264
http://dx.doi.org/10.3390/jcm11040990
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