TY - JOUR
T1 - Clinical outcomes and complications associated with TORS for OSAHS
T2 - A benchmark for evaluating an emerging surgical technology in a targeted application for benign disease
AU - Vicini, Claudio
AU - Montevecchi, Filippo
AU - Campanini, Aldo
AU - Dallan, Iacopo
AU - Hoff, Paul T.
AU - Spector, Matthew E.
AU - Thaler, Erica
AU - Ahn, Jeffrey
AU - Baptista, Peter
AU - Remacle, Marc
AU - Lawson, George
AU - Benazzo, Marco
AU - Canzi, Pietro
PY - 2014
Y1 - 2014
N2 - Background: The aim of this study was to create benchmarks for evaluating clinical outcomes and complications of transoral robotic surgeries (TORS) in a multicenter setting. Methods: 243 TORS for obstructive sleep apnea/hypopnea syndrome (OSAHS) operations, carried out between 2008 and 2012, were analyzed at 7 different centers. The average hospitalization was 3.5 days. The mean patient age was 50 ± 12 years, the average BMI at the time of the procedure was 28.53 ± 3.87 and the majority of the patients were men (81%). Results: The mean preoperative and postoperative apnea/hypopnea index was 43.0 ± 22.6 and 17.9 ± 18.4, respectively (p <0.001). The mean preoperative and postoperative Epworth Sleepiness Scale score was 12.34 ± 5.19 and 5.7 ± 3.49, respectively (p <0.001). The mean pre-and postoperative lowest O2 saturation was 79.5 ± 8.77 and 83.9 ± 6.38%, respectively (p <0.001). Conclusions: Patients undergoing TORS as part of a multilevel approach for the treatment of OSAHS have a reasonable expectation of success with minimal long-term morbidity.
AB - Background: The aim of this study was to create benchmarks for evaluating clinical outcomes and complications of transoral robotic surgeries (TORS) in a multicenter setting. Methods: 243 TORS for obstructive sleep apnea/hypopnea syndrome (OSAHS) operations, carried out between 2008 and 2012, were analyzed at 7 different centers. The average hospitalization was 3.5 days. The mean patient age was 50 ± 12 years, the average BMI at the time of the procedure was 28.53 ± 3.87 and the majority of the patients were men (81%). Results: The mean preoperative and postoperative apnea/hypopnea index was 43.0 ± 22.6 and 17.9 ± 18.4, respectively (p <0.001). The mean preoperative and postoperative Epworth Sleepiness Scale score was 12.34 ± 5.19 and 5.7 ± 3.49, respectively (p <0.001). The mean pre-and postoperative lowest O2 saturation was 79.5 ± 8.77 and 83.9 ± 6.38%, respectively (p <0.001). Conclusions: Patients undergoing TORS as part of a multilevel approach for the treatment of OSAHS have a reasonable expectation of success with minimal long-term morbidity.
KW - Complications
KW - Lingual tonsillectomy
KW - Obstructive sleep apnea
KW - Outcomes
KW - Transoral robotic surgery
UR - http://www.scopus.com/inward/record.url?scp=84899608202&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84899608202&partnerID=8YFLogxK
U2 - 10.1159/000360768
DO - 10.1159/000360768
M3 - Article
C2 - 24777053
AN - SCOPUS:84899608202
VL - 76
SP - 63
EP - 69
JO - ORL; journal for oto-rhino-laryngology and its related specialties
JF - ORL; journal for oto-rhino-laryngology and its related specialties
SN - 0301-1569
IS - 2
ER -