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Comparative Study
. 2017 Feb;274(2):637-645.
doi: 10.1007/s00405-016-4112-4. Epub 2016 May 24.

Tongue reduction for OSAHS: TORSs vs coblations, technologies vs techniques, apples vs oranges

Giovanni Cammaroto  1 , Filippo Montevecchi  2 , Giovanni D'Agostino  2 , Ermelinda Zeccardo  2 , Chiara Bellini  2 , Bruno Galletti  3 , Medhat Shams  4 , Hesham Negm  5 , Claudio Vicini  2
Affiliations
Comparative Study

Tongue reduction for OSAHS: TORSs vs coblations, technologies vs techniques, apples vs oranges

Giovanni Cammaroto et al. Eur Arch Otorhinolaryngol. 2017 Feb.

Abstract

Coblation tongue surgery and Trans-oral robotic surgery (TORS) proved to be the most published therapeutical options for the treatment of patients affected by obstructive sleep apneas (OSAHS). A systematic review of the literature and an analysis of the data are presented. The mean rates of failure were 34.4 and 38.5 %, respectively in TORS and Coblation groups. Complications occurred in 21.3 % of the patients treated with TORS and in 8.4 % of the patients treated with Coblation surgery. TORS seems to give slightly better results, allowing a wider surgical view and a measurable, more consistent removal of lingual tissue. However, the higher rate of minor complication and the significant costs of TORS must also be considered. Moreover, both technologies may be applied to a wide range of surgical techniques, each of them with different effectiveness.

Keywords: Coblation; OSAHS; Technology; Tongue base; Trans oral robotic surgery.

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