Transoral robotic surgery of the tongue base for obstructive sleep apnea: Preliminary results

被引：6

作者：

de Bonnecaze, G. ^{[1
]}

Vairel, B. ^{[1
,2
]}

Dupret-Bories, A. ^{[2
]}

Serrano, E. ^{[1
]}

Vergez, S. ^{[1
,2
]}

机构：

[1] Hop Ragueil Larrey, Serv Otorhinolaryngol Chirurg Cervicofaciale, 24 Chemin Pouvourville, F-31059 Toulouse, France

[2] Inst Univ Canc, Dept Chirurg, F-31100 Toulouse, France

来源：

EUROPEAN ANNALS OF OTORHINOLARYNGOLOGY-HEAD AND NECK DISEASES | 2018年 / 135卷 / 06期

关键词：

Obstructive sleep apnea syndrome; Transoral robotic surgery; Tongue base; Tongue-base reduction; HYPOPNEA SYNDROME; METAANALYSIS; REDUCTION; EXPERIENCE; GLOSSECTOMY; OUTCOMES; OSAHS; TORS;

D O I：

10.1016/j.anorl.2018.09.001

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Introduction: Obstructive sleep apnea syndrome (OSAS) is a major public health issue. Robotic tongue-base reduction surgery is being developed, but needs assessment. The present study reports clinical and polygraphic results at 6 months' follow-up. Method: Single-center prospective study of 8 patients undergoing transoral robotic surgery (TORS) for severe OSAS. Results: Mean age was 47 years. M/F sex ratio was 5:3. Initial body-mass index ranged from 18 to 35 kg/m(2). Mean Epworth score was 12. Mean preoperative apnea-hypopnea index (AHI) was 47 (range, 36-60). At 6 months, only 1 patient did not meet usual success criteria (AHI < 20 with > 50% decrease); 2 patients had residual AHI between 10 and 20; the other 5 had non-significant event rates. Conclusion: TORS tongue-base reduction showed promising results, which need confirmation on long-term multicenter studies. (C) 2018 Published by Elsevier Masson SAS.

引用

页码：411 / 415

页数：5

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