Clinical Outcomes and Complications Associated with TORS for OSAHS: A Benchmark for Evaluating an Emerging Surgical Technology in a Targeted Application for Benign DiseaseVicini C.a · Montevecchi F.a · Campanini A.a · Dallan I.a · Hoff P.T.b · Spector M.E.c · Thaler E.d · Ahn J.e · Baptista P.f · Remacle M.g · Lawson G.g · Benazzo M.h · Canzi P.h
aMorgagni-Pierantoni Hospital, Forlì, Italy; bSection of Otolaryngology, Head and Neck Surgery, St. Joseph Mercy Health System, and cDepartment of Otolaryngology, Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Mich., dDepartment of Otolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pa., and eSleep Disorders and Robotic Surgery, Columbia University Medical Center, New York, N.Y., USA; fDepartment of ORL, Clinica Universidad de Navarra, Pamplona, Spain; gDepartment of ORL, Head and Neck Surgery, Louvain University Hospital of Mont Godinne, Yvoir, Belgium; hDepartment of Otolaryngology, IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy
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Article / Publication Details
Background: The aim of this study was to create benchmarks for evaluating clinical outcomes and complications of transoral robotic surgeries (TORS) in a multicenter setting. Methods: 243 TORS for obstructive sleep apnea/hypopnea syndrome (OSAHS) operations, carried out between 2008 and 2012, were analyzed at 7 different centers. The average hospitalization was 3.5 days. The mean patient age was 50 ± 12 years, the average BMI at the time of the procedure was 28.53 ± 3.87 and the majority of the patients were men (81%). Results: The mean preoperative and postoperative apnea/hypopnea index was 43.0 ± 22.6 and 17.9 ± 18.4, respectively (p < 0.001). The mean preoperative and postoperative Epworth Sleepiness Scale score was 12.34 ± 5.19 and 5.7 ± 3.49, respectively (p < 0.001). The mean pre- and postoperative lowest O2 saturation was 79.5 ± 8.77 and 83.9 ± 6.38%, respectively (p < 0.001). Conclusions: Patients undergoing TORS as part of a multilevel approach for the treatment of OSAHS have a reasonable expectation of success with minimal long-term morbidity.
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