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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/112794


    Title: Trans-oral robotic surgery versus coblation tongue base reduction for obstructive sleep apnea syndrome
    Authors: Lan, Wei-Che
    Lan, Wei-Che
    Cha, Wen-Dien
    Chang, Wen-Dien
    Ts, Ming-Hsui
    Tsai, Ming-Hsui
    鄒永恩
    Tsou, Yung An
    Contributors: 聽力暨語言治療學系
    Date: 2019-10
    Issue Date: 2020-08-28 15:28:40 (UTC+8)
    Publisher: 亞洲大學
    Abstract: Objectives
    To compare the efficacy of trans-oral robotic surgery (TORS) with that of coblation assisted tongue base reduction surgery in patients with obstructive sleep apnea syndrome (OSAS).

    Subjects and Methods
    The medical charts were retrospectively reviewed for all OSAS patients admitted to one institution for surgical intervention between 2012 and 2017. We analyzed 33 cases; 16 patients received TORS and 17 received coblation surgery for tongue base reduction. Both groups received concomitant uvulopalatoplasty. Surgical outcomes were evaluated by comparing the initial polysomnography (PSG) parameters with the follow-up PSG data (at least 3 months after the surgery). Epworth sleepiness scale (ESS) and complications were also compared between the 2 groups.

    Results
    The success rate (≥50% reduction of pre-operative AHI and post-operative AHI <20) in the TORS group and coblation group were 50% and 58%, respectively, and there was no significant difference (p = .611). The AHI (mean ± SD) reduction in the TORS and coblation groups were 24.9 ± 26.5 events/h and 19.4 ± 24.8 events/h, respectively; the between-group difference was not significant (p = .631). ESS improvement did not differ significantly between the TORS and coblation groups (3.8 ± 6.6 and 3.1 ± 9.2, respectively, p = .873). The rates of minor complication were higher in the TORS group (50%) than that of the coblation group (35.3%) without statistical significance (p = .393).

    Conclusion
    TORS achieved comparable surgical outcomes compared to coblation assisted tongue base reduction surgery in OSAS patients. Multilevel surgery using either TORS or coblation tongue base reduction combined with uvulopalatoplasty is an effective approach for the management of OSAS.
    Relation: PeerJ
    Appears in Collections:[聽力暨語言治療學系] 期刊論文

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