Outcomes in single-stage multilevel surgery for obstructive sleep apnea: Transoral robotic surgery, expansion sphincter pharyngoplasty and septoplasty.
Aged
Anthropometry
Apnea
Female
Hospitalization
Humans
Hypopharynx
/ surgery
Larynx
/ surgery
Male
Middle Aged
Oropharynx
/ surgery
Polysomnography
Postoperative Complications
Retrospective Studies
Robotic Surgical Procedures
/ methods
Sleep Apnea, Obstructive
/ surgery
Snoring
/ surgery
Tongue
/ surgery
Treatment Outcome
OSAS
TORS
expansion sphincter pharyngoplasty
multilevel surgery
Journal
The international journal of medical robotics + computer assisted surgery : MRCAS
ISSN: 1478-596X
Titre abrégé: Int J Med Robot
Pays: England
ID NLM: 101250764
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
11
03
2019
revised:
19
08
2019
accepted:
28
08
2019
pubmed:
4
9
2019
medline:
28
4
2020
entrez:
4
9
2019
Statut:
ppublish
Résumé
Many patients with obstructive sleep apnea syndrome (OSAS) have multiple obstructive sites simultaneously such as the oropharynx, hypopharynx, and larynx. Multilevel surgery is starting to be widely performed by ENT surgeons and accepted by patients. Twenty consecutive patients with moderate or severe OSAS were treated with single-stage multilevel surgery. They underwent transoral robotic surgery for tongue base reduction or epiglottoplasty, expansion sphincter pharyngoplasty, and septoplasty. The average length of hospitalization was 5.2 ± 0.9 days. No serious complications were observed. At the postoperative control with polysomnography, the apnea-hypopnea index (AHI) had decreased by at least 50% in 90% of patients; improvements were observed in all sleep parameters. Single-stage multilevel surgery has proven to be effective in treating patients with moderate to severe OSAS, without experiencing persistent complaints. Despite multiple levels of obstruction being operated in a single stage, airway safety was maintained in all patients.
Sections du résumé
BACKGROUND
BACKGROUND
Many patients with obstructive sleep apnea syndrome (OSAS) have multiple obstructive sites simultaneously such as the oropharynx, hypopharynx, and larynx. Multilevel surgery is starting to be widely performed by ENT surgeons and accepted by patients.
METHODS
METHODS
Twenty consecutive patients with moderate or severe OSAS were treated with single-stage multilevel surgery. They underwent transoral robotic surgery for tongue base reduction or epiglottoplasty, expansion sphincter pharyngoplasty, and septoplasty.
RESULTS
RESULTS
The average length of hospitalization was 5.2 ± 0.9 days. No serious complications were observed. At the postoperative control with polysomnography, the apnea-hypopnea index (AHI) had decreased by at least 50% in 90% of patients; improvements were observed in all sleep parameters.
CONCLUSION
CONCLUSIONS
Single-stage multilevel surgery has proven to be effective in treating patients with moderate to severe OSAS, without experiencing persistent complaints. Despite multiple levels of obstruction being operated in a single stage, airway safety was maintained in all patients.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e2034Informations de copyright
© 2019 John Wiley & Sons, Ltd.
Références
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