Outcomes in single‐stage multilevel surgery for obstructive sleep apnea: Transoral robotic surgery, expansion sphincter pharyngoplasty and septoplasty

Background Many patients with obstructive sleep apnea syndrome (OSAS) have multiple obstructive sites simultaneously such as the oropharynx, hypopharynx, and larynx. Multilevel surgery is starting to be widely performed by ENT surgeons and accepted by patients. Methods Twenty consecutive patients wi...

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Bibliographic Details
Published in:The international journal of medical robotics + computer assisted surgery 2019-12, Vol.15 (6), p.e2034-n/a
Main Authors: Cambi, Jacopo, Chiri, Zaira M., De Santis, Sante, Franci, Elisabetta, Frusoni, Federica, Ciabatti, Pier G., Boccuzzi, Simone
Format: Article
Language:English
Subjects:
Aged
Anthropometry
Apnea
expansion sphincter pharyngoplasty
Female
Hospitalization
Humans
Hypopharynx - surgery
Larynx
Larynx - surgery
Male
Middle Aged
Multilevel
multilevel surgery
Oropharynx - surgery
OSAS
Polysomnography
Postoperative Complications
Retrospective Studies
Robotic surgery
Robotic Surgical Procedures - methods
Sleep
Sleep apnea
Sleep Apnea, Obstructive - surgery
Snoring - surgery
Surgery
Tongue - surgery
TORS
Treatment Outcome
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Summary:Background Many patients with obstructive sleep apnea syndrome (OSAS) have multiple obstructive sites simultaneously such as the oropharynx, hypopharynx, and larynx. Multilevel surgery is starting to be widely performed by ENT surgeons and accepted by patients. Methods Twenty consecutive patients with moderate or severe OSAS were treated with single‐stage multilevel surgery. They underwent transoral robotic surgery for tongue base reduction or epiglottoplasty, expansion sphincter pharyngoplasty, and septoplasty. Results The average length of hospitalization was 5.2 ± 0.9 days. No serious complications were observed. At the postoperative control with polysomnography, the apnea‐hypopnea index (AHI) had decreased by at least 50% in 90% of patients; improvements were observed in all sleep parameters. Conclusion Single‐stage multilevel surgery has proven to be effective in treating patients with moderate to severe OSAS, without experiencing persistent complaints. Despite multiple levels of obstruction being operated in a single stage, airway safety was maintained in all patients.
ISSN:1478-5951
1478-596X
DOI:10.1002/rcs.2034