Transoral Robotic Surgery Endoscopic Partial Midline Glossectomy for Obstructive Sleep Apnea

Overview

Journal World J Otorhinolaryngol Head Neck Surg

Date 2017 Dec 6

PMID 29204587

Citations 2

Authors

David Folk

Mark DAgostino

Affiliations

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Abstract

Objective: To compare sleep-related outcomes in obstructive sleep apnea hypopnea syndrome (OSAHS) patients following base of tongue resection via robotic surgery and endoscopic midline glossectomy.

Methods: This was a retrospective study. A total of 114 robotic and 37 endoscopic midline glossectomy surgeries were performed between July 2010 and April 2015 as part of single or multilevel surgery. Patients were excluded for indications other than sleep apnea or if complete sleep studies were not obtained. Thus, 45 robotic and 16 endoscopic surgeries were included in the analysis.

Results: In the robotic surgery group there were statistically significant improvements in AHI [(44.4 ± 22.6) events/h-(14.0 ± 3.0) events/h, < 0.001] Epworth Sleepiness Scale (12.3 ± 4.6 to 4.5 ± 2.9, < 0.001), and O nadir (82.0% ± 6.1% to 85.0% ± 5.4%, < 0.001). In the endoscopic group there were also improvements in AHI (48.7 ± 30.2 to 27.4 ± 31.9, = 0.06), Epworth Sleepiness Scale (12.6 ± 5.5 to 8.3 ± 4.5, = 0.08), and O nadir (80.2% ± 8.6% to 82.7% ± 6.5%, = 0.4). Surgical success rate was 75.6% and 56.3% in the robotic and endoscopic groups, respectively. Greater volume of tissue removed was predictive of surgical success in the robotic cases (10.3 8.6 ml, = 0.02).

Conclusions: Both robotic surgery and endoscopic techniques for tongue base reduction improve objective measures of sleep apnea. Greater success rates may be achieved with robotic surgery compared to traditional methods.

Citing Articles

Transoral Robotic Surgery for Patients with Obstructive Sleep Apnoea: A Systematic Literature Review of Current Practices.

Mouratidou S, Chaidas K Life (Basel). 2025; 14(12.

PMID: 39768406 PMC: 11676293. DOI: 10.3390/life14121700.

Comparison of transoral robotic surgery with other surgeries for obstructive sleep apnea.

Tsou Y, Chang W Sci Rep. 2020; 10(1):18163.

PMID: 33097783 PMC: 7585414. DOI: 10.1038/s41598-020-75215-1.

[A comparative study on treatment of severe OSA with UPPP combined with endoscopic low-temperature plasma tongue root resection].

Ji Y, Li Q, Zhang Y, Xin F, Liu R, Dong R Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020; 34(4):324-328.

PMID: 32842225 PMC: 10127751. DOI: 10.13201/j.issn.2096-7993.2020.04.009.

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