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Base of Tongue Surgery

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Modern Management of Obstructive Sleep Apnea

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Abstract

Coblation tongue surgery and trans-oral robotic surgery (TORS) proved to be the most used therapeutic options for the surgical treatment of patients affected by obstructive sleep apnea-hypopnea syndrome (OSAHS) secondary to hypopharyngeal collapse. A systematic review of the literature and an analysis of the techniques are presented in this chapter. The mean rates of failure were 34.4% and 38.5%, respectively, in TORS and Coblation groups. Complications occurred in 21.3% of the patients treated with TORS and in 8.4% of the patients treated with Coblation surgery. TORS seems to give slightly better results, allowing a wider surgical view and a measurable, more consistent removal of lingual tissue. However, the higher rate of minor complication and the significant costs of TORS must also be considered. Moreover, both technologies may be applied to a wide range of surgical techniques, each of them with different effectiveness.

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Authors and Affiliations

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

    Claudio Vicini, Filippo Montevecchi, Giuseppe Meccariello & Giovanni Cammaroto

Authors
  1. Claudio Vicini
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  2. Filippo Montevecchi
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  3. Giuseppe Meccariello
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  4. Giovanni Cammaroto
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Editor information

Editors and Affiliations

  1. Oral and Maxillofacial Surgery, University of Florida – Jacksonville, Jacksonville, FL, USA

    Salam O. Salman

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© 2019 Springer Nature Switzerland AG

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Vicini, C., Montevecchi, F., Meccariello, G., Cammaroto, G. (2019). Base of Tongue Surgery. In: Salman, S.O. (eds) Modern Management of Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-030-11443-5_6

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  • DOI: https://doi.org/10.1007/978-3-030-11443-5_6

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-11442-8

  • Online ISBN: 978-3-030-11443-5

  • eBook Packages: MedicineMedicine (R0)

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