Transoral Robotic Surgery for Obstructive Sleep Apnoea
Author Information
Author(s): Mouratidou Stavroula, Chaidas Konstantinos
Primary Institution: Guys’ and St Thomas’ NHS Foundation Trust, London, UK
Hypothesis
This systematic review aims to provide an up-to-date overview of current practices and challenges associated with TORS for OSA.
Conclusion
TORS is established as a safe and feasible surgical option for selected OSA patients, addressing tongue base and/or epiglottic obstruction.
Supporting Evidence
- Transoral robotic surgery (TORS) is an effective treatment option for selected patients with moderate to severe obstructive sleep apnoea (OSA).
- A total of 32 articles, including 2546 patients, met the inclusion criteria.
- Common postoperative complications were dysphagia and bleeding, with no reported mortality.
- Further studies are required to determine patients’ selection criteria and preferred volume of excised tongue tissue.
Takeaway
Doctors can use a special robot to help patients with sleep problems caused by their throat blocking while they sleep, and it works well for many people.
Methodology
A systematic literature review was conducted by searching PubMed and Embase databases for relevant articles up to December 2022, following PRISMA guidelines.
Potential Biases
Patient selection bias due to variations in patients’ BMI and comorbidities.
Limitations
Most included studies were retrospective, with relatively small sample sizes and heterogenous and low-quality methodology.
Participant Demographics
A total of 2546 patients (77.5% males) aged 16 to 81 years, with a mean age of 48.7 years and a mean BMI of 29.5 kg/m2.
Digital Object Identifier (DOI)
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