Robotic Surgery in Obstructive Sleep Apnea-Hypopnoea Syndrome
| Main Authors: | Standyło, Arkadiusz, Obuchowska, Aleksandra, Wójcik, Justyna, Ozga, Alicja, Obuchowska, Karolina, Trojanowski, Piotr |
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| Format: | Article eJournal |
| Terbitan: |
, 2020
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| Online Access: |
https://zenodo.org/record/4043431 |
Daftar Isi:
- Standyło Arkadiusz, Obuchowska Aleksandra, Wójcik Justyna, Ozga Alicja, Obuchowska Karolina, Trojanowski Piotr. Robotic Surgery in Obstructive Sleep Apnea-Hypopnoea Syndrome. Journal of Education, Health and Sport. 2020;10(9):525-534. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2020.10.09.064 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.09.064 https://zenodo.org/record/4043431 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2020; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 16.09.2020. Revised: 21.09.2020. Accepted: 22.09.2020. Robotic Surgery in Obstructive Sleep Apnea-Hypopnoea Syndrome Arkadiusz Standyło1a, Aleksandra Obuchowska1b, Justyna Wójcik1c, Alicja Ozga1d, Karolina Obuchowska1e, Piotr Trojanowski2f 1Student Scientific Group at the Department of Otolaryngology and Laryngological Oncology, Medical University of Lublin, Jaczewskiego Street 8, 20-954 Lublin 2Chair and Department of Otolaryngology and Laryngological Oncology, Medical University of Lublin, Jaczewskiego Street 8, 20-954 Lublin aa.standylo@gmail.com; https://orcid.org/0000-0002-5154-4759 baobuchowska12@gmail.com; https://orcid.org/0000-0003-0464-2695 cjustynawojcik455@gmail.com; https://orcid.org/0000-0001-7163-6784 daozga1@gmail.com; https://orcid.org/0000-0003-1291-905X ekarolinaobuchowska99@gmail.com; https://orcid.org/0000-0003-4519-8236 ftroja23@gmail.com; https://orcid.org/0000-0001-9160-291X Summary Obstructive sleep apnoea-hypopnoea (OSAH) syndrome is a sleep disorder characterised by pauses in breathing (apnoea) or periods of reduced breathing (hypopnoea) during sleep. It results in cerebral hypoxia and a disturbed sleep pattern. The gold standard treatment for OSA is continuous positive airway pressure (CPAP). However, significant number of patients are not able to tolerate this device and approximately 50% of patients report inability to achieve long term usage to CPAP. Robotic surgery is an emerging technique for sleep surgery. TORS is an alternative treatment for OSA for patients who have failed CPAP treatment or conventional non-robotic sleep surgery. This technology is assisted by remote-controlled miniaturized surgical instruments and magnified visualization with a high-definition three-dimensional camera. Tongue base reduction (TBR) refers to the primary focus of this targeted surgery for obstructive sleep apnea (OSA). TORS approach for OSA may include 2 different surgical steps frequently combined in the same procedures according to the patient’s features: tongue base reduction and supraglottoplasty (SGP). In the light of the present results and of the literature, TORS tongue-base reduction appears to be effective. With the improved visualization and precise tissue removal provided by robotic surgery, TORS may become more widespread in the treatment of OSA in the coming years. There was an improvement in objective and subjective sleep measures. The comparison among pre-operative and post-operative parameters showed a significant decreasing in post-operative AHI, ESS and an increasing of the lowest SpO2 value. Key words robotic surgery; obstructive sleep apnoea; da Vinci system; obesity