Base of Tongue Surgery
Coblation tongue surgery and trans-oral robotic surgery (TORS) proved to be the most used therapeutic options for the surgical treatment of patients affected by obstructive sleep apnea-hypopnea syndrome (OSAHS) secondary to hypopharyngeal collapse. A systematic review of the literature and an analysis of the techniques are presented in this chapter. The mean rates of failure were 34.4% and 38.5%, respectively, in TORS and Coblation groups. Complications occurred in 21.3% of the patients treated with TORS and in 8.4% of the patients treated with Coblation surgery. TORS seems to give slightly better results, allowing a wider surgical view and a measurable, more consistent removal of lingual tissue. However, the higher rate of minor complication and the significant costs of TORS must also be considered. Moreover, both technologies may be applied to a wide range of surgical techniques, each of them with different effectiveness.
KeywordsCoblation Trans-oral robotic surgery Tongue base Technology OSAHS
- 7.Vicini C, Montevecchi F, Campanini A, Dallan I, Hoff PT, Spector ME, Thaler E, Ahn J, Baptista P, Remacle M, Lawson G, Benazzo M, Canzi P. Clinical outcomes and complications associated with TORS for OSAHS: a benchmark for evaluating an emerging surgical technology in a targeted application for benign disease. ORL J Otorhinolaryngol Relat Spec. 2014;76(2):63–9.CrossRefGoogle Scholar
- 13.MacKay SG, Carney AS, Woods C, Antic N, McEvoy RD, Chia M, Sands T, Jones A, Hobson J, Robinson S. Modified uvulopalatopharyngoplasty and coblation channeling of the tongue for obstructive sleep apnea: a multi-centre Australian trial. J Clin Sleep Med. 2013;9(2):117–24.PubMedPubMedCentralGoogle Scholar