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Swallowing outcome after TORS for sleep apnea: short- and long-term evaluation

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Abstract

The aim of this study was to evaluate outcomes related to swallowing function in patients who underwent transoral robotic surgery (TORS) for sleep apnea on both short- and long-term scales. 78 patients who underwent TORS for sleep apnea between 2011 and 2014 were followed up for an average period of 20 ± 7.12 months (range 7–32 months), then swallowing outcomes determined by MD Anderson Dysphagia Inventory (MDADI) questionnaire, gastrografin fluoroscopy imaging results, nasogastric tube dependence and subjectively by recording the patients’ complaints were analyzed and reported. Minimal insignificant short-term impact on swallowing function (4.58 ± 7.03 preoperative MDADI score versus 5.18 ± 8.32 post-operative) (p = 0.56) was registered. Mean time for start of oral feeding was 1.05 ± 0.25 days (average, 1–3). In no case nasogastric tube feeding was required. Only five patients (6 %) showed significant aspiration on gastrografin fluoroscopy examination after 1 week; there was no significant correlation between the volume of tissue removed from both tongue base and epiglottis to the incidence of aspiration as shown by gastrografin fluoroscopy examination (p = 0.72). No long-term swallowing complaint was registered. Patients who underwent TORS tongue base reduction and supraglottoplasty for sleep apnea proved to have a reasonable short-term swallowing outcomes with no long-term sequelae.

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References

  1. Vicini C, Dallan I, Canzi P, Frassineti S, La Pietra MG, Montevecchi F (2010) Transoral robotic tongue base resection in obstructive sleep apnoea-hypopnoea syndrome: a preliminary report. ORL J Otorhinolaryngol Relat Spec 72:22–27

    Article  PubMed  Google Scholar 

  2. Chabolle F, Wagner I, Séquert C, Lachiver X, Coquille F, Fleury B, Blumen M (1998) Tongue base reduction with hyoid epiglottoplasty. A surgical alternative in severe sleep apnea syndromes (in French). Ann Otolaryngol Chir Cervicofac 115:322–331

    CAS  PubMed  Google Scholar 

  3. Vicini C, Montevecchi F, Campanini A, Dallan I, Hoff PT, Spector ME et al (2014) 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 76:63–69

    Article  PubMed  Google Scholar 

  4. Sinclair CF, McColloch NL, Carroll WR, Rosenthal EL, Desmond RA, Magnuson JS (2011) Patient-perceived and objective functional outcomes following transoral robotic surgery for early oropharyngeal carcinoma. Arch Otolaryngol Head Neck Surg 137:1112–1116

    Article  PubMed  Google Scholar 

  5. Moore EJ, Olsen KD, Kasperbauer JL (2009) Transoral robotic surgery for oropharyngeal squamous cell carcinoma: a prospective study of feasibility and functional outcomes. Laryngoscope 119(11):2156–2164

    Article  PubMed  Google Scholar 

  6. Hurtuk A, Agrawal A, Old M, Teknos TN, Ozer E (2011) Outcomes of transoral robotic surgery: a preliminary clinical experience. Otolaryngol Head Neck Surg 145:248–253

    Article  PubMed Central  PubMed  Google Scholar 

  7. Genden EM, Park R, Smith C, Kotz T (2011) The role of reconstruction for transoral robotic pharyngectomy and concomitant neck dissection. Arch Otolaryngol Head Neck Surg 137:151–156

    Article  PubMed  Google Scholar 

  8. Weinstein GS, O’Malley BW Jr, Cohen MA, Quon H (2010) Transoral robotic surgery for advanced oropharyngeal carcinoma. Arch Otolaryngol Head Neck Surg 136:1079–1085

    Article  PubMed  Google Scholar 

  9. Weinstein GS, O’Malley BW Jr, Snyder W, Sherman E, Quon H (2007) Transoral robotic surgery: radical tonsillectomy. Arch Otolaryngol Head Neck Surg 133:1220–1226

    Article  PubMed  Google Scholar 

  10. Moore EJ, Olsen SM, Laborde RR et al (2012) Long-term functional and oncologic results of transoral robotic surgery for oropharyngeal squamous cell carcinoma. Mayo Clin Proc 87:219–225

    Article  PubMed Central  PubMed  Google Scholar 

  11. More YI, Tsue TT, Girod DA et al (2013) Functional outcomes following transoral robotic surgery vs primary chemoradiotherapy in patients with advanced-stage oropharynx and supraglottis cancers. JAMA Otolaryngol Head Neck Surg. 139:43–48

    Article  PubMed  Google Scholar 

  12. Van Abel KM, Moore EJ, Carlson ML et al (2012) Transoral robotic surgery using the thulium:yAG laser: a prospective study. Arch Otolaryngol Head Neck Surg 138:158–166

    Article  PubMed  Google Scholar 

  13. Leonhardt FD, Quon H, Abrahao M, O’Malley BW Jr, Weinstein GS (2012) Transoral robotic surgery for oropharyngeal carcinoma and its impact on patient-reported quality of life and function. Head Neck 34:146–154

    Article  PubMed  Google Scholar 

  14. Iseli TA, Kulbersh BD, Iseli CE, Carroll WR, Rosenthal EL, Magnuson JS (2009) Functional outcomes after transoral robotic surgery for head and neck cancer. Otolaryngol Head Neck Surg 141:166–171

    Article  PubMed  Google Scholar 

  15. Weinstein GS, Quon H, Newman HJ et al (2012) Transoral robotic surgery alone for oropharynx cancer. Arch Otolaryngol Head Neck Surg 138:628–634

    Article  PubMed  Google Scholar 

  16. Glazer TA, Hoff PT, Spector ME (2014) Transoral robotic surgery for obstructive sleep apnea: perioperative management and postoperative complications. JAMA Otolaryngol Head Neck Surg 140(12):1207–1212

  17. Vicini C, Montevechi F, Magnuson JS (2013) Robotic surgery for obstructive sleep apnea. Curr Otorhinolaryngol Rep 1:130–136

    Article  Google Scholar 

  18. Richmon JD, Feng AL, Yang W, Starmer H, Quon H, Gourin CG (2014) Feasibility of rapid discharge after transoral robotic surgery of the oropharynx. Laryngoscope 124(11):2518–2525

  19. Fujita S, Woodson BT, Clark JL, Wittig R (1991) Laser midline glossectomy as a treatment for obstructive sleep apnea. Laryngoscope 101:805–809

    Article  CAS  PubMed  Google Scholar 

  20. Mickelson SA, Rosenthal L (1997) Midline glossectomy and epiglottidectomy for obstructive sleep apnea syndrome. Laryngoscope 107(5):614–619

    Article  CAS  PubMed  Google Scholar 

  21. Powell NB, Riley RW, Guilleminault C (1999) Radiofrequency tongue base reduction in sleep-disordered breathing: a pilot study. Otolaryngol Head Neck Surg 120(5):656–664

    Article  CAS  PubMed  Google Scholar 

  22. De Vito A, Frassineti S, Panatta ML, Montevecchi F, Canzi P, Vicini C (2012) Multilevel radiofrequency ablation for snoring and OSAHS patients therapy: long-term outcomes. Eur Arch Otorhinolaryngol 269(1):321–330

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Otolaryngology, Head-Neck Surgery, University of Zagazig, Zagazig, Egypt

    Mohamed Eesa & Ehsan Hendawy

  2. ENT and Oral Surgery Unit, Department of Special Surgery, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia in Forlì, Forlì, Italy

    Filippo Montevecchi, Giovanni D’Agostino, Giuseppe Meccariello & Claudio Vicini

Authors
  1. Mohamed Eesa
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  2. Filippo Montevecchi
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  3. Ehsan Hendawy
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  4. Giovanni D’Agostino
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  5. Giuseppe Meccariello
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  6. Claudio Vicini
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Correspondence to Mohamed Eesa.

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Eesa, M., Montevecchi, F., Hendawy, E. et al. Swallowing outcome after TORS for sleep apnea: short- and long-term evaluation. Eur Arch Otorhinolaryngol 272, 1537–1541 (2015). https://doi.org/10.1007/s00405-014-3480-x

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  • DOI: https://doi.org/10.1007/s00405-014-3480-x

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