Comparison of robotic and coblation tongue base resection for obstructive sleep apnoea.
Clin Otolaryngol
; 43(1): 249-255, 2018 02.
Article
in En
| MEDLINE
| ID: mdl-28800204
ABSTRACT
OBJECTIVES:
To compare the efficacy and safety of transoral robotic surgery (TORS) with endoscope-guided coblation tongue base resection.DESIGN:
Retrospective case-control study.SETTING:
University-based tertiary care medical center.PARTICIPANTS:
Patients with obstructive sleep apnoea (OSA) who underwent endoscope-guided tongue base coblation resection or transoral robotic surgery (TORS) in combination with lateral pharyngoplasty at a single institution in South Korea between April 2013 and December 2016 were investigated. Forty-five patients who had moderate-to-severe OSA with tongue base collapse and a minimum follow-up period of 6 months with postoperative polysomnography (PSG) were enrolled in this study. MAIN OUTCOMEMEASURES:
All patients underwent pre- and postoperative (at least 4 months after surgery) overnight PSG. Available information on results of the PSG, Epworth sleepiness scale and complications of the TORS and coblation groups were compared.RESULTS:
Postoperative PSG studies showed improved sleep quality for most patients. The mean postoperative apnoea-hypopnea index (AHI) was reduced significantly from 45.0 to 17.0 events/h (P < .0001) in the TORS group and from 45.6 to 16.2 events/h (P < .0001) in the coblation group. The mean rates of improvement (AHI reduction > 50%) were 75.0% in TORS patients and 62.1% in coblation patients and the difference was not significant. Less frequent postoperative morbidity, including bleeding, taste dysfunction and foreign body sensation, was recorded in TORS patients.CONCLUSIONS:
Both the coblation and TORS groups showed similar surgical outcomes, TORS achieved PSG results non-inferior to and complication rates comparable to coblation.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Tongue
/
Catheter Ablation
/
Sleep Apnea, Obstructive
/
Robotic Surgical Procedures
/
Glossectomy
Type of study:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Asia
Language:
En
Journal:
Clin Otolaryngol
Journal subject:
OTORRINOLARINGOLOGIA
Year:
2018
Document type:
Article