Vicini Claudio, Dallan Iacopo, Canzi Pietro, Frassineti Sabrina, La Pietra Maria Grazia, Montevecchi Filippo
Department of Special Surgery, ENT and Oral Surgery Unit, Ospedale Morgagni Pietrantoni, University of Pavia, Forlì, Italy.
ORL J Otorhinolaryngol Relat Spec. 2010;72(1):22-7. doi: 10.1159/000284352. Epub 2010 Feb 18.
To evaluate the feasibility, tolerability and efficacy of tongue base management by means of transoral robotic surgery (TORS) in patients suffering from the obstructive sleep apnoea-hypopnoea syndrome (OSAHS) primarily related to hypertrophy of the tongue base.
Seventeen patients with OSAHS principally related to tongue base hypertrophy were managed by means of TORS (Intuitive da Vinci(R)). Patients with a minimum follow-up of 3 months were evaluated.
Ten patients [mean preoperative apnoea-hypopnoea index (AHI): 38.3 +/- 23.5 SD] were included in the study. By means of robotic technology, the tongue base and the epiglottis could be managed. The postoperative polysomnographic results were fairly good (mean postoperative AHI: 20.6 +/- 17.3 SD), and the functional results (pain, swallowing and quality of life) are very encouraging; altogether, complications were rare and of minor importance.
Transoral robotic tongue base management in patients with OSAHS primarily related to tongue base hypertrophy is feasible and well tolerable. These preliminary results are encouraging and worthy of further evaluation.
评估经口机器人手术（TORS）治疗主要与舌根肥大相关的阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者时舌根处理的可行性、耐受性及疗效。
17例主要与舌根肥大相关的OSAHS患者接受了TORS（直观达芬奇机器人）治疗。对随访至少3个月的患者进行了评估。
10例患者（术前平均呼吸暂停低通气指数（AHI）：38.3±23.5标准差）纳入研究。借助机器人技术，可处理舌根与会厌。术后多导睡眠图结果相当不错（术后平均AHI：20.6±17.3标准差），功能结果（疼痛、吞咽及生活质量）也非常令人鼓舞；总体而言，并发症少见且程度较轻。
对主要与舌根肥大相关的OSAHS患者进行经口机器人舌根处理是可行的，耐受性良好。这些初步结果令人鼓舞，值得进一步评估。
