Trans-oral robotic surgery versus coblation tongue base reduction for obstructive sleep apnea syndrome

PeerJ

article

Wei-Che Lan¹  Wen-Dien Chang²  Ming-Hsui Tsai¹  Yung-An Tsou¹ 

[1] Department of Otolaryngology Head and Neck Surgery, China Medical University Hospital;Department of Sport Performance, National Taiwan University of Sport;School of Medicine, China Medical University;Department of Audiology and Speech-Language Pathology, Asia University

关键词: Trans-oral robotic surgery;    TORS;    Coblation;    Tongue base;    Obstructive sleep apnea syndrome;   

DOI  :  10.7717/peerj.7812

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

ObjectivesTo compare the efficacy of trans-oral robotic surgery (TORS) with that of coblation assisted tongue base reduction surgery in patients with obstructive sleep apnea syndrome (OSAS).Subjects and MethodsThe medical charts were retrospectively reviewed for all OSAS patients admitted to one institution for surgical intervention between 2012 and 2017. We analyzed 33 cases; 16 patients received TORS and 17 received coblation surgery for tongue base reduction. Both groups received concomitant uvulopalatoplasty. Surgical outcomes were evaluated by comparing the initial polysomnography (PSG) parameters with the follow-up PSG data (at least 3 months after the surgery). Epworth sleepiness scale (ESS) and complications were also compared between the 2 groups.ResultsThe success rate (≥50% reduction of pre-operative AHI and post-operative AHI <20) in the TORS group and coblation group were 50% and 58%, respectively, and there was no significant difference (p = .611). The AHI (mean ± SD) reduction in the TORS and coblation groups were 24.9 ± 26.5 events/h and 19.4 ± 24.8 events/h, respectively; the between-group difference was not significant (p = .631). ESS improvement did not differ significantly between the TORS and coblation groups (3.8 ± 6.6 and 3.1 ± 9.2, respectively, p = .873). The rates of minor complication were higher in the TORS group (50%) than that of the coblation group (35.3%) without statistical significance (p = .393).ConclusionTORS achieved comparable surgical outcomes compared to coblation assisted tongue base reduction surgery in OSAS patients. Multilevel surgery using either TORS or coblation tongue base reduction combined with uvulopalatoplasty is an effective approach for the management of OSAS.

【 授权许可】

CC BY