Skip to main content
SpringerLink
Log in

Research and Future Perspectives

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

  • 551 Accesses

Abstract

Future treatment options for OSA are in a state of rapid evolution. The role of CPAP remains the foundation; however many innovations, both nonsurgical and surgical, are expanding options for patients. TORS offers a new surgical modality to affect changes in tongue base obstruction. TORS for OSA is the final step in a comprehensive assessment of patient anatomy, comorbidities, and expectations. The intent of this chapter is to outline specific areas where future work will lead to the final evolution of multilevel treatment for OSA.

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. O'Malley Jr BW, Weinstein GS, Snyder W, Hockstein NG. Transoral robotic surgery (TORS) for base of tongue neoplasms. Laryngoscope. 2006;116(8):1465–72.

    Article  PubMed  Google Scholar 

  2. Vicini C, Dallan I, Canzi P, Frassineti S, La Pietra MG, Montevecchi F. Transoral robotic tongue base resection in obstructive sleep apnoea-hypopnoea syndrome: a preliminary report. ORL J Otorhinolaryngol Relat Spec. 2010;72(1):22–7.

    Article  PubMed  Google Scholar 

  3. Hoff PT, D'Agostino MA, Thaler ER. Transoral robotic surgery in benign diseases including obstructive sleep apnea: safety and feasibility. Laryngoscope. 2015;125(5):1249–53.

    Article  PubMed  Google Scholar 

  4. Hoff PT, Glazer TA, Spector ME. Body mass index predicts success in patients undergoing transoral robotic surgery for obstructive sleep apnea. ORL J Otorhinolaryngol Relat Spec. 2014;76(5):266–72.

    Article  PubMed  Google Scholar 

  5. Edwards BA, Wellman A, Sands SA, Owens RL, Eckert DJ, White DP, Malhotra A. Obstructive sleep apnea in older adults is a distinctly different physiological phenotype. Sleep. 2014;37(7):1227–36. doi:10.5665/sleep.3844.

    PubMed  PubMed Central  Google Scholar 

  6. Pang KP, Rotenberg BW. Redefining successful therapy in obstructive sleep apnea: a call to arms. Laryngoscope. 2014;124(5):1051–2.

    Article  PubMed  Google Scholar 

  7. Fujita S. UPPP for sleep apnea and snoring. Ear Nose Throat J. 1984;63(5):227–35.

    CAS  PubMed  Google Scholar 

  8. De Vito A, Carrasco Llatas M, Agnoletti V, et al. European position paper on drug-induced sedation endoscopy (DISE). Sleep Breath. 2014;18(3):453–65.

    Article  PubMed  Google Scholar 

  9. Kezirian EJ. Nonresponders to pharyngeal surgery for obstructive sleep apnea: insights from drug-induced sleep endoscopy. Laryngoscope. 2011;121(6):1320–6.

    Article  PubMed Central  Google Scholar 

  10. Chiffer RC, Schwab RJ, Keenan BT, Borek RC, Thaler ER. Volumetric MRI analysis pre- and post-transoral robotic surgery for obstructive sleep apnea. Laryngoscope. 2015;125(8):1988–95.

    Article  PubMed  Google Scholar 

  11. Remacle M, M N Prasad V, Lawson G, Plisson L, Bachy V, Van der Vorst S. Transoral robotic surgery (TORS) with the Medrobotics Flex™ System: first surgical application on humans. Eur Arch Otorhinolaryngol. 2015;272(6):1451–5.

    Article  CAS  PubMed  Google Scholar 

  12. Rotenberg BW, Theriault J, Gottesman S. Redefining the timing of surgery for obstructive sleep apnea in anatomically favorable patients. Laryngoscope. 2014;124 Suppl 4:S1–9.

    PubMed  Google Scholar 

  13. Thaler ER, Rassekh CH, Lee JM, Weinstein GS, O'Malley Jr BW. Outcomes for multilevel surgery for sleep apnea: obstructive sleep apnea, transoral robotic surgery, and uvulopalatopharyngoplasty. Laryngoscope. 2015 Jul 7. doi:10.1002/lary.25353 [Epub ahead of print].

  14. Weaver TE, Laizner AM, Evans LK, Maislin G, Chugh DK, Lyon K, Smith PL, Schwartz AR, Redline S, Pack AI, Dinges DF. An instrument to measure functional status outcomes for disorders of excessive sleepiness. Sleep. 1997;20(10):835–43.

    CAS  PubMed  Google Scholar 

  15. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540–5.

    CAS  PubMed  Google Scholar 

  16. Gillespie MB, Brodsky MB, Day TA, Lee FS, Martin-Harris B. Swallowing-related quality of life after head and neck cancer treatment. Laryngoscope. 2004;114(8):1362–7.

    Article  PubMed  Google Scholar 

  17. Guttman D, Shvero J. Lingual tonsil hypertrophy in patients with a history of palatine tonsillectomy. Med Con. 2014;4(36):43–5.

    Google Scholar 

  18. Sung MW, Lee WH, Wee JH, Lee CH, Kim E, Kim JW. Factors associated with hypertrophy of the lingual tonsils in adults with sleep-disordered breathing. JAMA Otolaryngol Head Neck Surg. 2013;139(6):598–603.

    Article  PubMed  Google Scholar 

  19. Hwang MS, Salapatas AM, Yalamanchali S, Joseph NJ, Friedman M. Factors associated with hypertrophy of the lingual tonsils. Otolaryngol Head Neck Surg. 2015;152(5):851–5.

    Article  PubMed  Google Scholar 

  20. DelGaudio JM, Naseri I, Wise JC. Proximal pharyngeal reflux correlates with increasing severity of lingual tonsil hypertrophy. Otolaryngol Head Neck Surg. 2008;138(4):473–8.

    Article  PubMed  Google Scholar 

  21. Liu X, Liu J, Yang X, Zhang L, Wang G. Plasma estrogen level and estrogen receptors expression in palatine tonsils in male patients with obstructive sleep apnea hypopnea syndrome. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014;49(11):920–4 [Article in Chinese].

    PubMed  Google Scholar 

Download references

Author information

Authors 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 M.D. & Filippo Montevecchi M.D.

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

    Paul T Hoff M.S., M.D.

  3. Department of Otorhinolaryngology and Head & Neck Surgery, St. Mary’s Hospital, Imperial College Healthcare NHS Trust, London, UK

    Asit Arora Ph.D., D.I.C., F.R.C.S.

  4. Medical Direction, G.B. Morgagni—L. Pierantoni Hospital, Via Carlo Forlanini, 34, 47121, Forlì, Italy

    E. Vetri M.D.

Authors
  1. Claudio Vicini M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Filippo Montevecchi M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Paul T Hoff M.S., M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Asit Arora Ph.D., D.I.C., F.R.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. E. Vetri M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Claudio Vicini 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

Vicini, C., Montevecchi, F., Hoff, P.T., Arora, A., Vetri, E. (2016). Research and Future Perspectives. 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_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-34040-1_26

  • 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