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The European Experience

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TransOral Robotic Surgery for Obstructive Sleep Apnea

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Abstract

Several units across Europe have established transoral robotic programs to treat patients diagnosed with obstructive sleep apnoea. The experiences of four countries, the UK, Belgium, Spain and Germany, are reported. Drug-induced sleep endoscopy (DISE) is universally used to guide patient selection. Although the indication, technique and peri-operative management may differ between countries, the outcomes are broadly similar with a 65 % rate of success reported. There are no consensus European guidelines for the application of TORS in OSA. However, it appears to be a promising treatment option in carefully selected patients particularly when DISE identifies collapse at the tongue base and epiglottis.

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Authors and Affiliations

  1. Department of Otorhinolaryngology and Head & Neck Surgery, St. Mary’s Hospital, Imperial College Healthcare NHS Trust, London, UK

    Asit Arora Ph.D., D.I.C., F.R.C.S.

  2. Royal National Throat Nose and Ear Hospital, London, UK

    Bhik Kotecha M.B.B.Ch., M.Phil., F.R.C.S.

  3. Department of Otorhinolaryngology, Head and Neck Surgery, AZ Sint-Jan Bruges-Ostend, Brugge, Belgium

    Tom Vauterin M.D.

  4. Hospital Universitario de Fuenlabrada and Hospital Sanitas La Zarzuela, Fuenlabrada, Spain

    Guillermo Plaza M.D., Ph.D.

  5. University Hospital of Essen, Essen, Germany

    Christian Güldner M.D., Ph.D. & Jochen A. Werner M.D.

Authors
  1. Asit Arora Ph.D., D.I.C., F.R.C.S.
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  2. Bhik Kotecha M.B.B.Ch., M.Phil., F.R.C.S.
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  3. Tom Vauterin M.D.
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  4. Guillermo Plaza M.D., Ph.D.
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  5. Christian Güldner M.D., Ph.D.
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  6. Jochen A. Werner M.D.
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Corresponding author

Correspondence to Asit Arora Ph.D., D.I.C., F.R.C.S. .

Editor information

Editors and Affiliations

  1. Head and Neck Department - ENT & Oral Surgery Unit - G.B. Morgagni - L. Pierantoni Hospital, Forlì – Infermi Hospital, Faenza - ASL of Romagna, Italy

    Claudio Vicini

  2. Department of Otolaryngology - Head and Neck Surgery Ann Arbor, University of Michigan Health System, Ann Arbor, Michigan, USA

    Paul T. Hoff

  3. Head and Neck Department - ENT & Oral Surgery Unit - G.B. Morgagni - L. Pierantoni Hospital, Forlì – Infermi Hospital, Faenza - ASL of Romagna, Italy

    Filippo Montevecchi

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© 2016 Springer International Publishing Switzerland

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Arora, A., Kotecha, B., Vauterin, T., Plaza, G., Güldner, C., Werner, J.A. (2016). The European Experience. In: Vicini, C., Hoff, P., Montevecchi, F. (eds) TransOral Robotic Surgery for Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-319-34040-1_22

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  • DOI: https://doi.org/10.1007/978-3-319-34040-1_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34038-8

  • Online ISBN: 978-3-319-34040-1

  • eBook Packages: MedicineMedicine (R0)

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