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History-Taking and Clinical Examination

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TransOral Robotic Surgery for Obstructive Sleep Apnea

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Abstract

A complete history, head and neck physical examination, and upper airway flexible endoscopy are mandatory in the clinical approach to any patient with OSA being considered for robotic surgery. The initial office encounter will provide crucial information including patient expectations, polysomnography results, subjective measures of daytime fatigue and swallowing function, as well as anatomic characteristics such as lymphoid tissue hypertrophy, muscular tongue hypertrophy, elongated or narrow palate, and nasal obstruction. This data is integrated and provides both the patient and surgeon confidence in deciding to offer TORS multilevel surgery or, alternatively, to suggest alternative treatments both operative and nonoperative.

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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, Forlì, Italy

    Claudio Vicini M.D. & Filippo Montevecchi M.D.

  2. Department of Otolaryngology—Head and Neck Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA

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

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

    Claudia Zanotti M.D.

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

    Claudia Zanotti M.D.

  5. CENTA: Center for Ear Nose Throat & Allergy, 12188—A North Meridian Street, Suite 375, Carmel, IN, 46032, USA

    Tod Huntley M.D., F.A.C.S.

  6. Department of Otorhinolaryngology—Head & Neck Surgery, Alexandria University, Alexandria, Egypt

    Yassin Bahgat M.D., M.Sc., E.B.E.

Authors
  1. Claudio Vicini M.D.
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  2. Filippo Montevecchi M.D.
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  3. Paul T. Hoff M.S., M.D.
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  4. Claudia Zanotti M.D.
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  5. Tod Huntley M.D., F.A.C.S.
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  6. Yassin Bahgat M.D., M.Sc., E.B.E.
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Corresponding author

Correspondence to Filippo Montevecchi 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

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© 2016 Springer International Publishing Switzerland

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Vicini, C., Montevecchi, F., Hoff, P.T., Zanotti, C., Huntley, T., Bahgat, Y. (2016). History-Taking and Clinical Examination. 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_3

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  • DOI: https://doi.org/10.1007/978-3-319-34040-1_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34038-8

  • Online ISBN: 978-3-319-34040-1

  • eBook Packages: MedicineMedicine (R0)

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