n the last few years, surgery has proved to be a valuable alternative for the obstructive sleep apnoea–hypopnoea syndrome (OSAHS) in cases of continuous positive airway pressure (CPAP) failure. However, OSAHS surgical procedures are not complication free. Nasopharyngeal stenosis (NPS) and velopharyngeal insufficiency (VPI) are the most difficult complications to manage. A superb 3D endoscopic-magnified view associated with a precise tissue manipulation is considered the main advantages of transoral robotic surgery (TORS). We revisited and adapted for robotic surgery two classic surgical techniques. In case of NPS, we developed a one-step stent-less procedure largely inspired by the so-called bivalved palatal transposition flaps and a technique for glottic web. Herein, we will describe this technique as robotically assisted bivalved palatal transposition flaps (RA-BPTF). In case of VPI, we applied a modification of the so-called Pharyngeal Flap describing this technique as robotically assisted pharyngeal flap (RA-PF).
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|Titolo:||Robotic-assisted surgery for the management of velopharyngeal insufficiency and nasopharyngeal stenosis|
|Data di pubblicazione:||2016|
|Appare nelle tipologie:||03.1 Articolo su rivista|