Tongue reduction for OSAHS: TORSs vs coblations, technologies vs techniques, apples vs oranges

被引：39

作者：

Cammaroto, Giovanni ^{[1
]}

Montevecchi, Filippo ^{[2
]}

D'Agostino, Giovanni ^{[2
]}

Zeccardo, Ermelinda ^{[2
]}

Bellini, Chiara ^{[2
]}

Galletti, Bruno ^{[1
]}

Shams, Medhat ^{[3
]}

Negm, Hesham ^{[4
]}

Vicini, Claudio ^{[2
]}

机构：

[1] Univ Messina, Dept Otolaryngol, Via Consolare Valeria 1, I-98100 Messina, Italy

[2] Osped Morgagni Pierantoni, Dept Special Surg, ENT & Oral Surg Unit, Forli, Italy

[3] Hamad Med Corp, Rumailah Hosp, Dept Otolaryngolgy Head & Neck Surg, Doha, Qatar

[4] Cairo Univ, Dept Otorhinolaryngol, Fac Med, Cairo, Egypt

来源：

EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY | 2017年 / 274卷 / 02期

关键词：

OSAHS; Trans oral robotic surgery; Coblation; Tongue base; Technology; OBSTRUCTIVE SLEEP-APNEA; TRANSORAL ROBOTIC SURGERY; INVASIVE LINGUAL EXCISION; HYPOPNEA SYNDROME; BASE; TONSILLECTOMY; CHILDREN;

D O I：

10.1007/s00405-016-4112-4

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Coblation tongue surgery and Trans-oral robotic surgery (TORS) proved to be the most published therapeutical options for the treatment of patients affected by obstructive sleep apneas (OSAHS). A systematic review of the literature and an analysis of the data are presented. The mean rates of failure were 34.4 and 38.5 %, respectively in TORS and Coblation groups. Complications occurred in 21.3 % of the patients treated with TORS and in 8.4 % of the patients treated with Coblation surgery. TORS seems to give slightly better results, allowing a wider surgical view and a measurable, more consistent removal of lingual tissue. However, the higher rate of minor complication and the significant costs of TORS must also be considered. Moreover, both technologies may be applied to a wide range of surgical techniques, each of them with different effectiveness.

引用

页码：637 / 645

页数：9

共 25 条

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