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TORS in a Multilevel Procedure

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TransOral Robotic Surgery for Obstructive Sleep Apnea

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Abstract

Current surgical management of obstructive sleep apnea (OSA) is most successfully achieved by multilevel surgery. This was confirmed after thorough understanding of the complexity of airway obstruction by drug-induced sleep endoscopy (DISE) that showed that the hypopharynx and base of tongue, not only the palate, are important anatomic components of obstruction in OSA. Vicini et al. have performed 160 cases of TORS for OSA between May 2008 and April 2014. In the beginning, all the palate surgeries were treated performing a classic UPPP. Since June 2010, the UPPP palate technique has in most cases been replaced by a modified expansion sphincter pharyngoplasty (ESP) and barbed reposition pharyngoplasty (BRP) later on. The authors were able to show the functional and objective superiority of ESP and BRP when compared to the traditional UPPP as a multilevel procedure. So, the associated palate procedure should not be under-evaluated as it may impact the final outcomes of TORS.

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Author information

Authors and Affiliations

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

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

  2. Department of Otolaryngology, Head-Neck Surgery, University of Zagazig, Zagazig, Egypt

    Ehsan Hendawy M.B., B.Ch.

  3. Department of Otolaryngology, Asia Sleep Centre, Paragon Medical, Singapore, Singapore

    Kenny P. Pang M.B.B.S., M.R.C.S., F.R.C.S.

  4. 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.

Authors
  1. Ahmed Bahgat M.D., M.Sc., E.B.E.
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  2. Ehsan Hendawy M.B., B.Ch.
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  3. Kenny P. Pang M.B.B.S., M.R.C.S., F.R.C.S.
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  4. Claudio Vicini M.D.
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Corresponding author

Correspondence to Ahmed Bahgat M.D., M.Sc., E.B.E. .

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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Bahgat, A., Hendawy, E., Pang, K.P., Vicini, C. (2016). TORS in a Multilevel Procedure. 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_9

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  • DOI: https://doi.org/10.1007/978-3-319-34040-1_9

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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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