Transoral robotic surgery for sleep apnea syndrome

Year 2014, Volume: 24 Issue: 2, 110 - 113, 20.04.2014

Çağatay Oysu Aslı Ayşe Şahin Yılmaz Serap Önder

Abstract

Obstructive sleep apnea syndrome OSAS is a multisystem disorder which adversely affects all body systems including cardiovascular system particularly and the quality of life. Although continuous positive airway pressure is an effective way of treatment in the treatment of OSAS, a substantial proportion of patients are not able to tolerate this treatment and seek for alternative treatment modalities. Transoral robotic lingual tonsillectomy is a novel technique for the surgical management of patients with OSAS. In this article, we report a 57-year-old female case with OSAS due to bilateral lingual tonsillar hypertrophy who underwent transoral robotic lingual tonsillectomy. To the best of our knowledge, this is the first case report of OSAS who underwent robotic lingual tonsillectomy in Turkish medical literature.

Keywords

Lingual tonsil, obstructive sleep apnea syndrome, transoral robotik surgery

Uyku apne sendromunda transoral robotik cerrahi

Abstract

Obstrüktif uyku apnesi sendromu OUAS başta kardiyovasküler sistem olmak üzere tüm vücut sistemlerini ve yaşam kalitesini olumsuz yönde etkileyen multisistemik bir hastalıktır. Obstrüktif uyku apnesi sendromu tedavisinde sürekli pozi- tif hava yolu basıncı etkin bir tedavi seçeneği olmakla birlikte, hastaların önemli bir kısmı bu tedaviyi tolere edememekte ve alternatif tedavi yöntemleri aranmaktadır. Transoral robotik lingual tonsillektomi, OUAS’li hastaların cerrahi tedavi- sinde yeni bir tekniktir. Bu yazıda transoral robotik lingual tonsillektomi uygulanan iki taraflı lingual tonsiller hipertrofi nedeniyle OUAS tanısı konulan 57 yaşında bir kadın olgu sunuldu. Bildiğimiz kadarıyla, bu olgu Türk tıp literatüründe bildirilmiş robotik lingual tonsillektomi uygulanan ilk OUAS olgusudur

Keywords

Lingual tonsil, obstrüktif uyku apne sendromu, transoral robotik cerrahi

References

• Vicini C, Dallan I, Canzi P, Frassineti S, Nacci A, Seccia V, et al. Transoral robotic surgery of the tongue base in obstructive sleep Apnea-Hypopnea syndrome: anatomic considerations and clinical experience. Head Neck 2012;34:15-22.
• Vicini C, Montevecchi F, Dallan I, Canzi P, Tenti G. Transoral robotic geniohyoidpexy as an additional step of transoral robotic tongue base reduction and supraglottoplasty: feasibility in a cadaver model. ORL J Otorhinolaryngol Relat Spec 2011;73:147-50.
• Vicini C, Dallan I, Canzi P, Frassineti S, La Pietra MG, Montevecchi F. Transoral robotic tongue base resection in obstructive sleep apnoea-hypopnoea syndrome: a preliminary report. ORL J Otorhinolaryngol Relat Spec 2010;72:22-7.
• Lee JM, Weinstein GS, O’Malley BW Jr, Thaler ER. Transoral robot-assisted lingual tonsillectomy and uvulopalatopharyngoplasty for obstructive sleep apnea. Ann Otol Rhinol Laryngol 2012;121:635-9.
• Friedman M, Hamilton C, Samuelson CG, Kelley K, Taylor D, Pearson-Chauhan K, et al. Transoral robotic glossectomy for the treatment of obstructive sleep apnea-hypopnea syndrome. Otolaryngol Head Neck Surg 2012;146:854-62.