Abstract
TORS (transoral robotic surgery) for OSA (obstructive sleep apnea) is just one more of the many published applications of robotic surgery in the otolaryngology literature. The first case of TORS in humans for cancer was described by Weinstein et al. (2006). The first TORS for OSA was carried out in May 2008 in Forlì by Vicini and Montevecchi, with the cooperation of the first Forlì’s ENT Robotic Team. The surgery was planned after more than 1 year of training in Italy, France (IRCAD, Strasbourg), and the United States (Weinstein & O’Malley, Philadelphia, PA).
In 2009, a preliminary safety and feasibility study for TORS and OSA was carried out in a multicenter setting in Europe (Remacle—Belgium, Slama—Czech Republic, Kim—Korea, Krishnan—Australia, and Vicini and Montevecchi—Italy). This study proved that TORS for OSA was a feasible procedure for managing tongue base obstruction with a negligible conversion rate from the planned surgery; more importantly, the rate of significant complications was acceptably low. In less than 10 years, this application has spread all over the world, and the diffusion may be traced by the increasing number of published papers in the literature.
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References
Weinstein GS, O’Malley BW Jr. TransOral robotic surgery (TORS), Plural Publishing, 2011 ISBN 159756074X, 9781597560740.
Chabolle F, Wagner I, Blumen MB, Séquert C, Fleury B, De Dieuleveult T. Tongue base reduction with hyoepiglottoplasty: a treatment for severe obstructive sleep apnea. Laryngoscope. 1999;109(8):1273–80.
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(1):22–7. Epub 2010 Feb 18.
Vicini C, Dallan I, Canzi P, Frassineti S, Nacci A, Seccia V, Panicucci E, Grazia La Pietra M, Montevecchi F, Tschabitscher M. Transoral robotic surgery of the tongue base in obstructive sleep Apnea-Hypopnea syndrome: anatomic considerations and clinical experience. Head Neck. 2012;34(1):15–22. https://doi.org/10.1002/hed.21691.
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(3):147–50. Epub 2011 Apr 21.
Campanini A, De Vito A, Frassineti S, Vicini C. Temporary tracheotomy in the surgical treatment of obstructive sleep apnea syndrome: personal experience. Acta Otorhinolaryngol Ital. 2003;23(6):474–8.
Vicini C, Montevecchi F, Tenti G, Canzi P, Dallan I, Huntley TC. Transoral robotic surgery: tongue base reduction and supraglottoplasty for obstructive sleep apnea. Oper Tech Otolaryngol Head Neck Surg. 2012;23:45–7.
Dallan I, Seccia V, Muscatello L, Lenzi R, Castelnuovo P, Bignami M, Montevecchi F, Tschabitscher M, Vicini C. Transoral endoscopic anatomy of the parapharyngeal space: a step-by-step logical approach with surgical considerations. Head Neck. 2011;33(4):557–61. https://doi.org/10.1002/hed.21488.
Dallan I, Seccia V, Faggioni L, Castelnuovo P, Montevecchi F, Casani AP, Tschabitscher M, Vicini C. Anatomical landmarks for transoral robotic tongue base surgery: comparison between endoscopic, external and radiological perspective. Surg Radiol Anat. 2012;35:3–10.
Friedman M, Hamilton C, Samuelson CG, Kelley K, Taylor D, Pearson-Chauhan K, Maley A, Taylor R, Venkatesan TK. Transoral robotic glossectomy for the treatment of obstructive sleep apnea-hypopnea syndrome. Otolaryngol Head Neck Surg. 2012;146(5):854–62.
De Vito A, Carrasco Llatas M, Vanni A, Bosi M, Braghiroli A, Campanini A, de Vries N, Hamans E, Hohenhorst W, Kotecha BT, Maurer J, Montevecchi F, Piccin O, Sorrenti G, Vanderveken OM, Vicini C. European position paper on drug-induced sedation endoscopy (DISE). Sleep Breath. 2014;18(3):453–65. https://doi.org/10.1007/s11325-014-0989-6. Epub 2014 May 26.
De Vito A, Agnoletti V, Berrettini S, Piraccini E, Criscuolo A, Corso R, Campanini A, Gambale G, Vicini C. Drug-induced sleep endoscopy: conventional versus target controlled infusion techniques—a randomized controlled study. Eur Arch Otorhinolaryngol. 2011;268(3):457–62. Epub 2010 Sep 2.
Campanini A, Canzi P, De Vito A, Dallan I, Montevecchi F, Vicini C. Awake versus sleep endoscopy: personal experience in 250 OSAHS patients. Acta Otorhinolaryngol Ital. 2010;30(2):73–7.
Fehrenbach MJ. ASA physical status classification system. Archived from the original on 2 July 2007. Retrieved 2007–07–09.
Vergez S, Lallemant B, Ceruse P, Moriniere S, Aubry K, De Mones E, Benlyazid A, Mallet Y. Initial multi-institutional experience with transoral robotic surgery. Otolaryngol Head Neck Surg. 2012;147:475–81.
O’Malley BW Jr, Weinstein GS, Snyder W, Hockstein NG. Transoral robotic surgery (TORS) for base of tongue neoplasms. Laryngoscope. 2006;116(8):1465–72.
Weinstein GS, O’Malley BW Jr, Snyder W, Hockstein NG. Transoral robotic surgery: supraglottic partial laryngectomy. Ann Otol Rhinol Laryngol. 2007;116(1):19–23.
Vicini C, Montevecchi F, Campanini A, Dallan I, Hoff PT, Spector ME, Thaler E, Ahn J, Baptista P, Remacle M, Lawson G, Benazzo M, Canzi P. Clinical outcomes and complications associated with TORS for OSAHS: a benchmark for evaluating an emerging surgical technology in a targeted application for benign disease. ORL J Otorhinolaryngol Relat Spec. 2014;76(2):63–9. https://doi.org/10.1159/000360768.
Meccariello G, Cammaroto G, Montevecchi F, Hoff PT, Spector ME, Negm H, Shams M, Bellini C, Zeccardo E, Vicini C. Transoral robotic surgery for the management of obstructive sleep apnea: a systematic review and meta-analysis. Eur Arch Otorhinolaryngol. 2017;274(2):647–53. https://doi.org/10.1007/s00405-016-4113-3.
Vicini C, Hoff P, Montevecchi F, eds. TransOral robotic surgery for obstructive sleep apnea. Springer; 2016. ISBN: 978-3-319-34038-8 (Print) 978-3-319-34040-1 (Online).
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Vicini, C., Montevecchi, F., Dallan, I., Meccariello, G., Iannella, G., Cammaroto, G. (2021). Management of Sleep Apnea. In: Gharagozloo, F., Patel, V.R., Giulianotti, P.C., Poston, R., Gruessner, R., Meyer, M. (eds) Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-53594-0_147
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