Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration

Pediatric obstructive sleep apnea syndrome (OSAS) is primarily caused by adenotonsillar hypertrophy. However, tongue base hypertrophy is increasingly being recognized as a cause, even after adenotonsillectomy. We report three cases of pediatric OSAS successfully treated by transoral robotic reduction of the tongue base. In all children, we were able to achieve improved retrolingual patency while avoiding significant procedure-related morbidity. In conclusion, tongue base reduction by transoral robotic surgery appears to be a feasible solution for the base of tongue obstruction due to lingual tonsil hypertrophy in pediatric patients.

Data di pubblicazione: 2017
Titolo: Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration
Autori: Montevecchi, Filippo; Bellini, Chiara; Meccariello, Giuseppe; Hoff, Paul T.; Dinelli, Elisa; Dallan, Iacopo; Corso, Ruggero M.; Vicini, Claudio
Rivista: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
Parole Chiave: Adenotonsillectomy failure; Tongue base reduction, OSAS; Trans oral robotic surgery; Adolescent; Child; Glossectomy; Humans; Male; Robotic Surgical Procedures; Sleep Apnea, Obstructive; Otorhinolaryngology2734 Pathology and Forensic Medicine
Abstract in inglese: Pediatric obstructive sleep apnea syndrome (OSAS) is primarily caused by adenotonsillar hypertrophy. However, tongue base hypertrophy is increasingly being recognized as a cause, even after adenotonsillectomy. We report three cases of pediatric OSAS successfully treated by transoral robotic reduction of the tongue base. In all children, we were able to achieve improved retrolingual patency while avoiding significant procedure-related morbidity. In conclusion, tongue base reduction by transoral robotic surgery appears to be a feasible solution for the base of tongue obstruction due to lingual tonsil hypertrophy in pediatric patients.
Digital Object Identifier (DOI): 10.1007/s00405-016-4269-x
Handle: http://hdl.handle.net/11392/2374028
Appare nelle tipologie:03.1 Articolo su rivista

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