Skip to main content
SpringerLink
Log in

Short- and Long-Term Dysphagia

  • Chapter
  • First Online:
TransOral Robotic Surgery for Obstructive Sleep Apnea

  • 547 Accesses

Abstract

The aim of this chapter is to describe and analyze our experience in swallowing function after TORS for sleep apnea. Deglutition is a complex event and oropharyngeal surgery might affect the normal physiology of this important function. Dysphagia, in fact, has an utmost impact on the quality of life. In our experience, TORS for sleep apnea may induce a temporary impairment of the deglutition that disappears usually in 1 month time postoperatively. Further we noticed also that irrespective of other associated procedures on the palate and even with performing tracheostomy, the final outcome is reasonable and the incidence of real and persistent dysphagia is very low. One more additional observation in the analysis of our experience is the absence of any significant correlation between the incidence of aspiration problems as shown on gastrografin fluoroscopy and the volume of tissue removed from both tongue base and epiglottis. Finally, TORS can be safely performed in OSA-suffering patients with an acceptable outcome. An early identification of swallowing impairments allows a quick and adequate restoring.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Walther EK. Dysphagia after pharyngolaryngeal cancer surgery: Part I. Pathophysiology of postsurgical deglutition. Dysphagia. 1995;10:275–8.

    Article  CAS  PubMed  Google Scholar 

  2. Kronenberger MB, Meyers AD. Dysphagia following head and neck cancer surgery. Dysphagia. 1994;9:236–44.

    Article  CAS  PubMed  Google Scholar 

  3. Sinclair CF, McColloch NL, Carroll WR, Rosenthal EL, Desmond RA, Magnuson JS. Patient-perceived and objective functional outcomes following transoral robotic surgery for early oropharyngeal carcinoma. Arch Otolaryngol Head Neck Surg. 2011;137:1112–6.

    Article  PubMed  Google Scholar 

  4. Moore EJ, Olsen KD, Kasperbauer JL. Transoral robotic surgery for oropharyngeal squamous cell carcinoma: a prospective study of feasibility and functional outcomes. Laryngoscope. 2009;119:2156–64.

    Article  PubMed  Google Scholar 

  5. Hurtuk A, Agrawal A, Old M, Teknos TN, Ozer E. Outcomes of transoral robotic surgery: a preliminary clinical experience. Otolaryngol Head Neck Surg. 2011;145:248–53.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Moore EJ, Olsen SM, Laborde RR, García JJ, Walsh FJ, Price DL, Janus JR, Kasperbauer JL, Olsen KD. Long-term functional and oncologic results of transoral robotic surgery for oropharyngeal squamous cell carcinoma. Mayo Clin Proc. 2012;87:219–25.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Kelly K, Johnson-Obaseki S, Lumingu J, Corsten M. Oncologic, functional and surgical outcomes of primary Transoral Robotic Surgery for early squamous cell cancer of the oropharynx: a systematic review. Oral Oncol. 2014;50:696–703.

    Article  PubMed  Google Scholar 

  8. Hutcheson KA, Holsinger FC, Kupferman ME, Lewin JS. Functional outcomes after TORS for oropharyngeal cancer: a systematic review. Eur Arch Otorhinolaryngol. 2015;272:463–71.

    Article  PubMed  Google Scholar 

  9. More YI, Tsue TT, Girod DA, Harbison J, Sykes KJ, Williams C, Shnayder Y. Functional outcomes following transoral robotic surgery vs primary chemoradiotherapy in patients with advanced-stage oropharynx and supraglottis cancers. JAMA Otolaryngol Head Neck Surg. 2013;139:43–8.

    Article  PubMed  Google Scholar 

  10. Van Abel KM, Moore EJ, Carlson ML, Davidson JA, Garcia JJ, Olsen SM, Olsen KD. Transoral robotic surgery using the thulium:YAG laser: a prospective study. Arch Otolaryngol Head Neck Surg. 2012;138:158–66.

    Article  PubMed  Google Scholar 

  11. Leonhardt FD, Quon H, Abrahao M, O’Malley Jr BW, Weinstein GS. Transoral robotic surgery for oropharyngeal carcinoma and its impact on patient-reported quality of life and function. Head Neck. 2012;34:146–54.

    Article  PubMed  Google Scholar 

  12. Iseli TA, Kulbersh BD, Iseli CE, Carroll WR, Rosenthal EL, Magnuson JS. Functional outcomes after transoral robotic surgery for head and neck cancer. Otolaryngol Head Neck Surg. 2009;141:166–71.

    Article  PubMed  Google Scholar 

  13. Weinstein GS, Quon H, Newman HJ, et al. Transoral robotic surgery alone for oropharynx cancer. Arch Otolaryngol Head Neck Surg. 2012;138:628–34.

    Article  PubMed  Google Scholar 

  14. Glazer TA, Hoff PT, Spector ME. Transoral robotic surgery for obstructive sleep apnea: perioperative management and postoperative complications. JAMA Otolaryngol Head Neck Surg. 2014;140:1207–12.

    Article  PubMed  Google Scholar 

  15. Vicini C, Montevechi F, Magnuson JS. Robotic surgery for obstructive sleep apnea. Curr Otorhinolaryngol Rep. 2013;1:130–6.

    Article  Google Scholar 

  16. Richmon JD, Feng AL, Yang W, Starmer H, Quon H, Gourin CG. Feasibility of rapid discharge after transoral robotic surgery of the oropharynx. Laryngoscope. 2014;24:2518–25.

    Article  Google Scholar 

  17. Eesa M, Montevecchi F, Hendawy E, D'Agostino G, Meccariello G, Vicini C. Swallowing outcome after TORS for sleep apnea: short- and long-term evaluation. Eur Arch Otorhinolaryngol. 2015;272:1537–41.

    Article  PubMed  Google Scholar 

  18. Chen AY, Frankowski R, Bishop-Leone J, Hebert T, Leyk S, Lewin J, Goepfert H. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg. 2001;127(7):870–6.

    CAS  PubMed  Google Scholar 

  19. Chabolle F, Wagner I, Séquert C, Lachiver X, Coquille F, Fleury B, Blumen M. Tongue base reduction with hyoid epiglottoplasty. A surgical alternative in severe sleep apnea syndromes (in French). Ann Otolaryngol Chir Cervicofac. 1998;115:322–31.

    CAS  PubMed  Google Scholar 

  20. Fujita S, Woodson BT, Clark JL, Wittig R. Laser midline glossectomy as a treatment for obstructive sleep apnea. Laryngoscope. 1991;101:805–9.

    Article  CAS  PubMed  Google Scholar 

  21. Mickelson SA, Rosenthal L. Midline glossectomy and epiglottidectomy for obstructive sleep apnea syndrome. Laryngoscope. 1997;107:614–9.

    Article  CAS  PubMed  Google Scholar 

  22. Powell NB, Riley RW, Guilleminault C. Radiofrequency tongue base reduction in sleep-disordered breathing: a pilot study. Otolaryngol Head Neck Surg. 1999;120:656–64.

    Article  CAS  PubMed  Google Scholar 

  23. De Vito A, Frassineti S, Panatta ML, Montevecchi F, Canzi P, Vicini C. Multilevel radiofrequency ablation for snoring and OSAHS patients therapy: long-term outcomes. Eur Arch Otorhinolaryngol. 2012;269:321–30.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otolaryngology and Head – Neck Surgery, University of Zagazig, Zagazig, 44519, Sharkia, Egypt

    Mohamed Eesa M.B., B.Ch.

  2. Head and Neck Department—ENT & Oral Surgery Unit, G.B. Morgagni—L. Pierantoni Hospital, ASL of Romagna, Forlì, Italy

    Giuseppe Meccariello M.D.

  3. Infermi Hospital, ASL of Romagna, Faenza, Italy

    Giuseppe Meccariello M.D.

Authors
  1. Mohamed Eesa M.B., B.Ch.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Giuseppe Meccariello M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Giuseppe Meccariello M.D. .

Editor information

Editors and Affiliations

  1. Head and Neck Department - ENT & Oral Surgery Unit - G.B. Morgagni - L. Pierantoni Hospital, Forlì – Infermi Hospital, Faenza - ASL of Romagna, Italy

    Claudio Vicini

  2. Department of Otolaryngology - Head and Neck Surgery Ann Arbor, University of Michigan Health System, Ann Arbor, Michigan, USA

    Paul T. Hoff

  3. Head and Neck Department - ENT & Oral Surgery Unit - G.B. Morgagni - L. Pierantoni Hospital, Forlì – Infermi Hospital, Faenza - ASL of Romagna, Italy

    Filippo Montevecchi

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Eesa, M., Meccariello, G. (2016). Short- and Long-Term Dysphagia. In: Vicini, C., Hoff, P., Montevecchi, F. (eds) TransOral Robotic Surgery for Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-319-34040-1_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-34040-1_18

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34038-8

  • Online ISBN: 978-3-319-34040-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation