Transoral Robotic Surgery Versus Hypoglossal Nerve Stimulation for OSA: A Cost Analysis Study

Background Transoral robotic surgery (TORS) lingual tonsillectomy and hypoglossal nerve stimulation (HGNS) are effective surgical interventions for well‐selected patients with obstructive sleep apnea (OSA) intolerant to continuous positive airway pressure (CPAP) therapy. Previous publications have d...

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Bibliographic Details
Published in:The Laryngoscope 2025-01, Vol.135 (1), p.457-462
Main Authors: Mandloi, Shreya, Garg, Neha, Naimi, Bita, Shah, Riya, Kaki, Praneet, Alnemri, Angela, Duffy, Alexander, Zhan, Tingting, Kaffenberger, Thomas M., Boon, Maurits S., Huntley, Colin T.
Format: Article
Language:English
Subjects:
Adult
Continuous positive airway pressure
Continuous Positive Airway Pressure - economics
Continuous Positive Airway Pressure - methods
cost
Costs
Costs and Cost Analysis
Electric Stimulation Therapy - economics
Electric Stimulation Therapy - methods
Female
Humans
Hypoglossal Nerve - surgery
Male
Middle Aged
obstructive sleep apnea
Original Report
Retrospective Studies
Robotic surgery
Robotic Surgical Procedures - economics
Robotic Surgical Procedures - methods
Sleep apnea
Sleep Apnea, Obstructive - economics
Sleep Apnea, Obstructive - surgery
Sleep Apnea, Obstructive - therapy
Sleep Medicine
Tonsillectomy - economics
Tonsillectomy - methods
transoral robotic surgery
upper airway stimulation
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Summary:Background Transoral robotic surgery (TORS) lingual tonsillectomy and hypoglossal nerve stimulation (HGNS) are effective surgical interventions for well‐selected patients with obstructive sleep apnea (OSA) intolerant to continuous positive airway pressure (CPAP) therapy. Previous publications have demonstrated that HGNS patients have a lower postoperative apnea‐hypopnea index (AHI) and length of hospital stay than TORS patients. No prior study has investigated the differences in costs between HGNS and TORS. Objectives This study aims to compare surgery‐related costs in patients undergoing HGNS versus TORS lingual tonsillectomy for OSA intolerant to CPAP. Methods A retrospective study on OSA patients intolerant to CPAP that underwent HGNS or TORS from 2015 to 2022 at a tertiary care center. Cost was defined as the dollar amount associated with providing a specific service prior to the application of insurance. Results This study included 395 patients (375 UAS and 20 TORS). Average total cost was significantly higher in the UAS group than the TORS group (UAS: $25,582.60; TORS: $5832.60; p 
ISSN:0023-852X
1531-4995
1531-4995
DOI:10.1002/lary.31697