Objective:The present study is a review of transoral robotic surgery (TORS) for the treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS).Methods:The review presents the experience of the robotic center that ...Objective:The present study is a review of transoral robotic surgery (TORS) for the treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS).Methods:The review presents the experience of the robotic center that developed the technique with regards to patient selection,surgical method,and post-operative care.In addition,the review provides results of a systematic review and meta-analysis of the complications and clinical outcomes of TORS when applied in the management of OSAHS.Results:The rate of success,defined as 50% reduction of pre-operative AHI and an overall AHI <20 events/h,is achieved in up to 76.6% of patients with a range between 53.8% and 83.3%.The safety of this approach is reasonable as the main complication (bleeding) affected 4.2% of patients (range 4.2%-5.3%).However,transient dysphagia (7.2%;range 5%-14%) does compromise the quality of life and must be discussed with patients preoperatively.Conclusions:TORS for the treatment of OSAHS appears to be a promising and safe procedure for patients seeking an alternative to traditional therapy.Appropriate patient selection remains an important consideration for successful implementation of this novel surgical approach requiring further research.展开更多
文摘Objective:The present study is a review of transoral robotic surgery (TORS) for the treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS).Methods:The review presents the experience of the robotic center that developed the technique with regards to patient selection,surgical method,and post-operative care.In addition,the review provides results of a systematic review and meta-analysis of the complications and clinical outcomes of TORS when applied in the management of OSAHS.Results:The rate of success,defined as 50% reduction of pre-operative AHI and an overall AHI <20 events/h,is achieved in up to 76.6% of patients with a range between 53.8% and 83.3%.The safety of this approach is reasonable as the main complication (bleeding) affected 4.2% of patients (range 4.2%-5.3%).However,transient dysphagia (7.2%;range 5%-14%) does compromise the quality of life and must be discussed with patients preoperatively.Conclusions:TORS for the treatment of OSAHS appears to be a promising and safe procedure for patients seeking an alternative to traditional therapy.Appropriate patient selection remains an important consideration for successful implementation of this novel surgical approach requiring further research.