In:
Head & Neck, Wiley, Vol. 36, No. 1 ( 2014-01), p. 77-83
Kurzfassung:
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. Head Neck 36 : 77–83, 2014
Materialart:
Online-Ressource
ISSN:
1043-3074
,
1097-0347
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2014
ZDB Id:
2001440-5
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