Article

Robot-assisted, volumetric tongue base reduction and pharyngeal surgery for obstructive sleep apnea

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Abstract

A structured approach to Surgery for OSA has been clearly defined and accepted by the American Academy of Sleep Medicine. The aim of surgery is to address the collapsibility of structures of the upper airway. The da Vinci Robot (Intuitive Surgical, Sunnyvale, California, USA) has been validated and now approved by the Food and Drug Administration as an adjunct to transoral surgery. Trans Oral Robotic Surgery (TORS) has been proved to be useful in resection of oropharyngeal malignancy and some benign tumours of the parapharyngeal space. This is due to the excellent visual and instrument access, as well as the loss of tremor. The application of TORS for a variety of surgical procedures for sleep apnea is described.

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... 14 Transoral robotic surgery (TORS) is the optimal technique for reducing tongue size and excision of the lingual tonsil; it reduces the duration of surgery, peri-operative complications and the length of the hospital stay. 91,92 Expansion of the maxillofacial skeleton using mandibular or bi-maxillary osteotomies is an invasive and highly effective technique for treating intractable OSA. 70 Multidetector CT has an integral role in surgical planning using dedicated protocols and software programs. ...
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