Prospective randomized comparison of tongue base resection techniques: Robotic vs coblation
Objective The objective of this study was to determine the effectiveness and morbidities of two different tongue base surgical approaches in patients with obstructive sleep apnoea (OSA). Design and Setting We carried out a prospective analysis in order to understand in detail the relative impact on...
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| Veröffentlicht in: | Clinical otolaryngology 2019-11, Vol.44 (6), p.989-996 |
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| creator | Babademez, Mehmet Ali Gul, Fatih Sancak, Mecit Kale, Hayati |
| description | Objective
The objective of this study was to determine the effectiveness and morbidities of two different tongue base surgical approaches in patients with obstructive sleep apnoea (OSA).
Design and Setting
We carried out a prospective analysis in order to understand in detail the relative impact on apnoeas of the two different tongue base procedures. Seventy cases in 85 patients with OSA were divided into two operating groups and randomized. Altogether, 37 transoral robotic surgeries (TORS) and 33 coblations were performed. The patency of retrolingual passage was investigated by Muller's manoeuvere, polysomnography. Apnoea‐hypopnea index (AHI) was the primary outcome measure with the Epworth Sleepiness Score (ESS). The final follow‐up visit was at 6 months.
Results
The AHI index improved from 29.7 ± 9 to 10.7 ± 3.9 (P |
| doi_str_mv | 10.1111/coa.13424 |
| format | Article |
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The objective of this study was to determine the effectiveness and morbidities of two different tongue base surgical approaches in patients with obstructive sleep apnoea (OSA).
Design and Setting
We carried out a prospective analysis in order to understand in detail the relative impact on apnoeas of the two different tongue base procedures. Seventy cases in 85 patients with OSA were divided into two operating groups and randomized. Altogether, 37 transoral robotic surgeries (TORS) and 33 coblations were performed. The patency of retrolingual passage was investigated by Muller's manoeuvere, polysomnography. Apnoea‐hypopnea index (AHI) was the primary outcome measure with the Epworth Sleepiness Score (ESS). The final follow‐up visit was at 6 months.
Results
The AHI index improved from 29.7 ± 9 to 10.7 ± 3.9 (P < .005) following TORS and from 27.2 ± 6.4 to 10.3 ± 4 in the coblation group. Selecting a threshold of a 50% reduction in AHI and AHI less than 20 events/h, the overall success rate was 75.6% in TORS compared with 78.7% in coblation (P = .785). Similar results were seen in AHI reduction rates (36%, 37.8%, respectively). ESS showed a significant improvement 6 months following surgery in both groups.
Conclusion
Transoral robotic surgery technique showed higher complication rates than coblation. TORS and coblation of the tongue base represent a promising treatment option with a similar AHI improvement. However, coblation promises lower complication rates unlike TORS.</description><identifier>ISSN: 1749-4478</identifier><identifier>EISSN: 1749-4486</identifier><identifier>DOI: 10.1111/coa.13424</identifier><identifier>PMID: 31464082</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Apnea ; obstructive/surgery ; Patients ; Randomization ; Reduction ; Robotic surgery ; robotic surgical procedures ; Sleep ; Sleep and wakefulness ; Sleep apnea ; sleep apnoea ; Sleep disorders ; Sleepiness ; Tongue ; tongue/surgery</subject><ispartof>Clinical otolaryngology, 2019-11, Vol.44 (6), p.989-996</ispartof><rights>2019 John Wiley & Sons Ltd</rights><rights>2019 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-d70e6011eaac361b2d2850bb18b969408d7b9db1b39462ed9ce70c6fe83cca343</citedby><cites>FETCH-LOGICAL-c3534-d70e6011eaac361b2d2850bb18b969408d7b9db1b39462ed9ce70c6fe83cca343</cites><orcidid>0000-0001-9517-7236 ; 0000-0001-7992-0974</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcoa.13424$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcoa.13424$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31464082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Babademez, Mehmet Ali</creatorcontrib><creatorcontrib>Gul, Fatih</creatorcontrib><creatorcontrib>Sancak, Mecit</creatorcontrib><creatorcontrib>Kale, Hayati</creatorcontrib><title>Prospective randomized comparison of tongue base resection techniques: Robotic vs coblation</title><title>Clinical otolaryngology</title><addtitle>Clin Otolaryngol</addtitle><description>Objective
The objective of this study was to determine the effectiveness and morbidities of two different tongue base surgical approaches in patients with obstructive sleep apnoea (OSA).
Design and Setting
We carried out a prospective analysis in order to understand in detail the relative impact on apnoeas of the two different tongue base procedures. Seventy cases in 85 patients with OSA were divided into two operating groups and randomized. Altogether, 37 transoral robotic surgeries (TORS) and 33 coblations were performed. The patency of retrolingual passage was investigated by Muller's manoeuvere, polysomnography. Apnoea‐hypopnea index (AHI) was the primary outcome measure with the Epworth Sleepiness Score (ESS). The final follow‐up visit was at 6 months.
Results
The AHI index improved from 29.7 ± 9 to 10.7 ± 3.9 (P < .005) following TORS and from 27.2 ± 6.4 to 10.3 ± 4 in the coblation group. Selecting a threshold of a 50% reduction in AHI and AHI less than 20 events/h, the overall success rate was 75.6% in TORS compared with 78.7% in coblation (P = .785). Similar results were seen in AHI reduction rates (36%, 37.8%, respectively). ESS showed a significant improvement 6 months following surgery in both groups.
Conclusion
Transoral robotic surgery technique showed higher complication rates than coblation. TORS and coblation of the tongue base represent a promising treatment option with a similar AHI improvement. However, coblation promises lower complication rates unlike TORS.</description><subject>Apnea</subject><subject>obstructive/surgery</subject><subject>Patients</subject><subject>Randomization</subject><subject>Reduction</subject><subject>Robotic surgery</subject><subject>robotic surgical procedures</subject><subject>Sleep</subject><subject>Sleep and wakefulness</subject><subject>Sleep apnea</subject><subject>sleep apnoea</subject><subject>Sleep disorders</subject><subject>Sleepiness</subject><subject>Tongue</subject><subject>tongue/surgery</subject><issn>1749-4478</issn><issn>1749-4486</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp10E1LwzAYB_AgipsvB7-AFLzooVve-uZtDN9gMBE9eQhJ-lQ72qY27WR-elM7dxDMJYH88ufJH6EzgifErak2ckIYp3wPjUnEE5_zONzfnaN4hI6sXWHMGY7IIRoxwkOOYzpGr4-NsTXoNl-D18gqNWX-BamnTVnLJrem8kzmtaZ668BT0joEtufuogX9XuUfHdhr78ko0-baW1v3VBWyByfoIJOFhdPtfoxebm-e5_f-Ynn3MJ8tfM0Cxv00whBiQkBKzUKiaErjACtFYpWEiRszjVSSKqJYwkMKaaIhwjrMIGZaS8bZMboccuvG9NO0osythqKQFZjOCkpjGriPJ9jRiz90ZbqmctMJyigNAxYFkVNXg9KuHNtAJuomL2WzEQSLvnHhGhc_jTt7vk3sVAnpTv5W7MB0AJ95AZv_k8R8ORsivwHy5Iqm</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Babademez, Mehmet Ali</creator><creator>Gul, Fatih</creator><creator>Sancak, Mecit</creator><creator>Kale, Hayati</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9517-7236</orcidid><orcidid>https://orcid.org/0000-0001-7992-0974</orcidid></search><sort><creationdate>201911</creationdate><title>Prospective randomized comparison of tongue base resection techniques: Robotic vs coblation</title><author>Babademez, Mehmet Ali ; Gul, Fatih ; Sancak, Mecit ; Kale, Hayati</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-d70e6011eaac361b2d2850bb18b969408d7b9db1b39462ed9ce70c6fe83cca343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Apnea</topic><topic>obstructive/surgery</topic><topic>Patients</topic><topic>Randomization</topic><topic>Reduction</topic><topic>Robotic surgery</topic><topic>robotic surgical procedures</topic><topic>Sleep</topic><topic>Sleep and wakefulness</topic><topic>Sleep apnea</topic><topic>sleep apnoea</topic><topic>Sleep disorders</topic><topic>Sleepiness</topic><topic>Tongue</topic><topic>tongue/surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Babademez, Mehmet Ali</creatorcontrib><creatorcontrib>Gul, Fatih</creatorcontrib><creatorcontrib>Sancak, Mecit</creatorcontrib><creatorcontrib>Kale, Hayati</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical otolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Babademez, Mehmet Ali</au><au>Gul, Fatih</au><au>Sancak, Mecit</au><au>Kale, Hayati</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective randomized comparison of tongue base resection techniques: Robotic vs coblation</atitle><jtitle>Clinical otolaryngology</jtitle><addtitle>Clin Otolaryngol</addtitle><date>2019-11</date><risdate>2019</risdate><volume>44</volume><issue>6</issue><spage>989</spage><epage>996</epage><pages>989-996</pages><issn>1749-4478</issn><eissn>1749-4486</eissn><abstract>Objective
The objective of this study was to determine the effectiveness and morbidities of two different tongue base surgical approaches in patients with obstructive sleep apnoea (OSA).
Design and Setting
We carried out a prospective analysis in order to understand in detail the relative impact on apnoeas of the two different tongue base procedures. Seventy cases in 85 patients with OSA were divided into two operating groups and randomized. Altogether, 37 transoral robotic surgeries (TORS) and 33 coblations were performed. The patency of retrolingual passage was investigated by Muller's manoeuvere, polysomnography. Apnoea‐hypopnea index (AHI) was the primary outcome measure with the Epworth Sleepiness Score (ESS). The final follow‐up visit was at 6 months.
Results
The AHI index improved from 29.7 ± 9 to 10.7 ± 3.9 (P < .005) following TORS and from 27.2 ± 6.4 to 10.3 ± 4 in the coblation group. Selecting a threshold of a 50% reduction in AHI and AHI less than 20 events/h, the overall success rate was 75.6% in TORS compared with 78.7% in coblation (P = .785). Similar results were seen in AHI reduction rates (36%, 37.8%, respectively). ESS showed a significant improvement 6 months following surgery in both groups.
Conclusion
Transoral robotic surgery technique showed higher complication rates than coblation. TORS and coblation of the tongue base represent a promising treatment option with a similar AHI improvement. However, coblation promises lower complication rates unlike TORS.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31464082</pmid><doi>10.1111/coa.13424</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9517-7236</orcidid><orcidid>https://orcid.org/0000-0001-7992-0974</orcidid></addata></record> |
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| source | Access via Wiley Online Library |
| subjects | Apnea obstructive/surgery Patients Randomization Reduction Robotic surgery robotic surgical procedures Sleep Sleep and wakefulness Sleep apnea sleep apnoea Sleep disorders Sleepiness Tongue tongue/surgery |
| title | Prospective randomized comparison of tongue base resection techniques: Robotic vs coblation |
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