First Prospective Study on Single-Port Robotic Tongue Base Resection for Sleep Apnea.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-11-22 DOI:10.1002/hed.28007

Yeonsu Jeong, Min-Seok Rha, Chang-Hoon Kim, Hyung-Ju Cho

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引用次数: 0

Abstract

Background: This first prospective study evaluates the efficacy and safety of single-port transoral robotic surgery (SP TORS) for tongue base resection (TBR) in obstructive sleep apnea (OSA) patients.

Methods: A single-center, single-surgeon clinical investigation enrolled 25 subjects from April 2021 to September 2022. Pre- and postsurgery polysomnography reports and standardized sleep quality assessments were collected. Surgical parameters and complications were documented.

Results: According to Sher's success criteria (50% reduction in AHI and AHI < 20), the success rate was 76% (19/25 patients). Preoperative AHI decreased from 58.56 ± 26.40 to 18.19 ± 22.02 postsurgery. Symptoms such as foreign body sensation and taste dysfunction improved within 3 months. Major complications, including hemorrhage, occurred in two patients (8%).

Conclusions: SP TORS TBR effectively manages OSA, significantly improving AHI outcomes and safety. Its precision and targeted tissue removal highlight its advantages over traditional methods, warranting further clinical investigation. Traial Registration: ClinicalTrials.gov identifier: NCT04795817.

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单孔机器人舌根切除术治疗睡眠呼吸暂停的首次前瞻性研究

背景：这项首次前瞻性研究评估了单孔经口机器人手术（SP TORS）用于阻塞性睡眠呼吸暂停（OSA）患者舌根切除术（TBR）的有效性和安全性：方法：2021年4月至2022年9月期间，单中心、单外科医生临床调查共招募了25名受试者。收集了手术前后的多导睡眠图报告和标准化睡眠质量评估。结果：结果：根据 Sher 的成功标准（AHI 和 AHI 下降 50%），SP TORS TBR 可有效治疗睡眠障碍：SP TORS TBR 能有效治疗 OSA，显著提高 AHI 的疗效和安全性。与传统方法相比，它的精确性和有针对性的组织切除突出了其优势，值得进一步临床研究。临床试验注册：NCT04795817：NCT04795817。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.