Combined transoral robotic tongue base surgery and palate surgery in obstructive sleep apnea-hypopnea syndrome: Expansion sphincter pharyngoplasty versus uvulopalatopharyngoplasty

Background Transoral robotic surgery (TORS) for obstructive sleep apnea-hypopnea syndrome is a relatively young technique principally devised for managing apneas in the tongue base (TB) area and supraglottic larynx. This procedure is included in the so-called "multilevel surgery" often including a palatal and nasal surgery. Methods We carried out a retrospective analysis in order to understand in detail the relative impact on apneas of the 2 different procedures carried out in the palate area (expansion sphincter pharyngoplasty and uvulopalatopharyngoplasty). We evaluated 2 groups, each of 12 cases, which were sorted according to the primary selection criteria of statistically comparable preoperative apnea-hypopnea index (AHI), sex, age, body mass index (BMI), and volume of removed TB tissue. Results Postoperative AHI registered was of 9.9 ± 8.6 SD for the expansion sphincter pharyngoplasty group and 19.8 ± 14.1 SD for the uvulopalatopharyngoplasty group. Conclusion As the palate component of our multilevel procedure, expansion sphincter pharyngoplasty, including conventional nose surgery and robotic surgery, seems to be superior to uvulopalatopharyngoplasty. © 2013 Wiley Periodicals, Inc.

Data di pubblicazione: 2014
Titolo: Combined transoral robotic tongue base surgery and palate surgery in obstructive sleep apnea-hypopnea syndrome: Expansion sphincter pharyngoplasty versus uvulopalatopharyngoplasty
Autori: Vicini, Claudio; Montevecchi, Filippo; Pang, Kenny; Bahgat, Ahmed; Dallan, Iacopo; Frassineti, Sabrina; Campanini, Aldo
Rivista: HEAD & NECK
Parole Chiave: obstructive sleep apnea hypopnea syndrome; palate surgery; robotic surgery; sleep apnea; tongue base; Adult; Aged; Cohort Studies; Combined Modality Therapy; Female; Follow-Up Studies; Humans; Male; Middle Aged; Minimally Invasive Surgical Procedures; Oral Surgical Procedures; Otorhinolaryngologic Surgical Procedures; Pharynx; Retrospective Studies; Risk Assessment; Robotics; Sleep Apnea Syndromes; Statistics, Nonparametric; Tongue; Treatment Outcome; Uvula; Otorhinolaryngology2734 Pathology and Forensic Medicine
Abstract in inglese: Background Transoral robotic surgery (TORS) for obstructive sleep apnea-hypopnea syndrome is a relatively young technique principally devised for managing apneas in the tongue base (TB) area and supraglottic larynx. This procedure is included in the so-called "multilevel surgery" often including a palatal and nasal surgery. Methods We carried out a retrospective analysis in order to understand in detail the relative impact on apneas of the 2 different procedures carried out in the palate area (expansion sphincter pharyngoplasty and uvulopalatopharyngoplasty). We evaluated 2 groups, each of 12 cases, which were sorted according to the primary selection criteria of statistically comparable preoperative apnea-hypopnea index (AHI), sex, age, body mass index (BMI), and volume of removed TB tissue. Results Postoperative AHI registered was of 9.9 ± 8.6 SD for the expansion sphincter pharyngoplasty group and 19.8 ± 14.1 SD for the uvulopalatopharyngoplasty group. Conclusion As the palate component of our multilevel procedure, expansion sphincter pharyngoplasty, including conventional nose surgery and robotic surgery, seems to be superior to uvulopalatopharyngoplasty. © 2013 Wiley Periodicals, Inc.
Digital Object Identifier (DOI): 10.1002/hed.23271
Handle: http://hdl.handle.net/11392/2374073
Appare nelle tipologie:03.1 Articolo su rivista

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