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

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.

Data di pubblicazione: 2017
Titolo: Tongue reduction for OSAHS: TORSs vs coblations, technologies vs techniques, apples vs oranges
Autori: Cammaroto, Giovanni; Montevecchi, Filippo; D’agostino, Giovanni; Zeccardo, Ermelinda; Bellini, Chiara; Galletti, Bruno; Shams, Medhat; Negm, Hesham; Vicini, Claudio
Rivista: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
Parole Chiave: Coblation; OSAHS; Technology; Tongue base; Trans oral robotic surgery; Glossectomy; Humans; Postoperative Complications; Robotic Surgical Procedures; Sleep Apnea, Obstructive; Treatment Outcome; Otorhinolaryngology2734 Pathology and Forensic Medicine
Abstract in inglese: 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.
Digital Object Identifier (DOI): 10.1007/s00405-016-4112-4
Handle: http://hdl.handle.net/11392/2374032
Appare nelle tipologie:03.1 Articolo su rivista

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