Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration

Filippo Montevecchi^{1

2}, Chiara Bellini^{1

2}, Giuseppe Meccariello^{3

4}, Paul T Hoff⁵, Elisa Dinelli⁶, Iacopo Dallan⁷, Ruggero M Corso⁸, Claudio Vicini^{1

2}

Affiliations

¹ Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, ASL of Romagna, Forlì, Italy.
² Head and Neck Department, ENT and Oral Surgery Unit, Infermi Hospital, ASL of Romagna, Faenza, Italy.
³ Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, ASL of Romagna, Forlì, Italy. drmeccariello@gmail.com.
⁴ Head and Neck Department, ENT and Oral Surgery Unit, Infermi Hospital, ASL of Romagna, Faenza, Italy. drmeccariello@gmail.com.
⁵ Department of Otolaryngology, Head and Neck Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
⁶ Otorhinolaryngology Unit, "S. Camillo" Clinic, Forte dei Marmi, Italy.
⁷ Department of Otorhinolaryngology, University of Pisa, Pisa, Italy.
⁸ Emergency Department, Anesthesia and Intensive Care Section, "GB Morgagni-L. Pierantoni" Hospital, Forlì, Italy.

PMID: 27568349
DOI: 10.1007/s00405-016-4269-x

Case Reports

Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration

Filippo Montevecchi et al. Eur Arch Otorhinolaryngol. 2017 Feb.

. 2017 Feb;274(2):1161-1166.

doi: 10.1007/s00405-016-4269-x. Epub 2016 Aug 27.

Authors

Filippo Montevecchi^{1

2}, Chiara Bellini^{1

2}, Giuseppe Meccariello^{3

4}, Paul T Hoff⁵, Elisa Dinelli⁶, Iacopo Dallan⁷, Ruggero M Corso⁸, Claudio Vicini^{1

2}

Affiliations

¹ Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, ASL of Romagna, Forlì, Italy.
² Head and Neck Department, ENT and Oral Surgery Unit, Infermi Hospital, ASL of Romagna, Faenza, Italy.
³ Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, ASL of Romagna, Forlì, Italy. drmeccariello@gmail.com.
⁴ Head and Neck Department, ENT and Oral Surgery Unit, Infermi Hospital, ASL of Romagna, Faenza, Italy. drmeccariello@gmail.com.
⁵ Department of Otolaryngology, Head and Neck Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
⁶ Otorhinolaryngology Unit, "S. Camillo" Clinic, Forte dei Marmi, Italy.
⁷ Department of Otorhinolaryngology, University of Pisa, Pisa, Italy.
⁸ Emergency Department, Anesthesia and Intensive Care Section, "GB Morgagni-L. Pierantoni" Hospital, Forlì, Italy.

PMID: 27568349
DOI: 10.1007/s00405-016-4269-x

Abstract

Pediatric obstructive sleep apnea syndrome (OSAS) is primarily caused by adenotonsillar hypertrophy. However, tongue base hypertrophy is increasingly being recognized as a cause, even after adenotonsillectomy. We report three cases of pediatric OSAS successfully treated by transoral robotic reduction of the tongue base. In all children, we were able to achieve improved retrolingual patency while avoiding significant procedure-related morbidity. In conclusion, tongue base reduction by transoral robotic surgery appears to be a feasible solution for the base of tongue obstruction due to lingual tonsil hypertrophy in pediatric patients.

Keywords: Adenotonsillectomy failure; Tongue base reduction, OSAS; Trans oral robotic surgery.

PubMed Disclaimer

References

1. Otolaryngol Head Neck Surg. 2009 Jul;141(1):81-5 - PubMed
1. Laryngoscope. 2014 Apr;124(4):1019-22 - PubMed
1. Pediatrics. 1998 Sep;102(3 Pt 1):616-20 - PubMed
1. Int J Pediatr Otorhinolaryngol. 2015 Dec;79(12):2234-7 - PubMed
1. Eur Arch Otorhinolaryngol. 2016 Jan;273(1):231-6 - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
- Springer
Other Literature Sources
- scite Smart Citations

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration

Affiliations

Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration

Authors

Affiliations

Abstract

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources