Evidence map›Paper›PMID 39652134›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Patient centered outcomes of transoral robotic surgery for obstructive sleep apnea: a retrospective analysis.

Alexandra G L Toppenberg, Wouter L Lodder, Robert E Plaat, Leonora Q Schwandt

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Alexandra G L ToppenbergDepartment of Otorhinolaryngology - Head and Neck Surgery, Medical Center Leeuwarden, Henri Dunantweg 2, 8934AD, Leeuwarden, The Netherlands. a.g.l.toppenberg@umcg.nl.ORCID http://orcid.org/0009-0006-5091-1058
Wouter L LodderDepartment of Otorhinolaryngology - Head and Neck Surgery, Medical Center Leeuwarden, Henri Dunantweg 2, 8934AD, Leeuwarden, The Netherlands.
Robert E PlaatDepartment of Otorhinolaryngology - Head and Neck Surgery, Medical Center Leeuwarden, Henri Dunantweg 2, 8934AD, Leeuwarden, The Netherlands.
Leonora Q SchwandtDepartment of Otorhinolaryngology - Head and Neck Surgery, Medical Center Leeuwarden, Henri Dunantweg 2, 8934AD, Leeuwarden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObstructive Sleep Apnea (OSA) is usually caused by collapse of the base of tongue (BOT) and impacts patients' overall health. Despite current conventional therapies, some patients do not achieve satisfactory results. Reduction of BOT using Trans Oral Robotic Surgery (TORS) emerges as a promising treatment. We evaluated the patient reported and clinical outcomes of TORS for OSA.

methodsWe performed a retrospective cohort study of patients treated from 2018 to 2021 in a non-academic general hospital. Patients were eligible for TORS when apnea hypopnea index (AHI) was >5 in combination with obstruction at BOT level. Patients were included when 1-year follow up respiratory polygraphy was available. Changes in Epworth Sleepiness Scale (ESS), Functional Outcomes of Sleep Questionnaire (FOSQ-35), MD Anderson Dysphagia Inventory (MDADI) scores and postoperative complications were evaluated. Surgical success rates were obtained.

resultsOut of 56 patients, 28 patients of which 22 (78.6%) males and 6 (21.4%) females, with OSA severity ranging from mild to severe and mean age of 49 (SD 11.8) with a median BMI of 28.1 (IQR 26.9-32.1) were included. ESS score declined from mean 5.9 (SD 3.8) to 2.2 (SD 2.0) (p<0.00). FOSQ-35 scores were all declined (p<0.05). MDADI scores were in normal range (80-100) and remained stable (p = 0.44). In 23 (82.1%) patients no postoperative complications were observed. Surgical success rates were 86%.

conclusionsTORS demonstrate to be effective and safe in OSA patients, and it can be used in both patients who are unresponsive to conventional therapies or as a primary therapy.

Indexed as

Natural Orifice Endoscopic SurgeryRobotic Surgical ProceduresSleep Apnea, ObstructiveAdultAgedFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresPostoperative ComplicationsRetrospective StudiesTreatment OutcomeBase of the TongueLingual TonsilsObstructive Sleep ApneaTrans Oral Robotic Surgery

Identifiers

PMID39652134

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.