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Meta-Analysis
. 2021 Jul;43(7):2216-2239.
doi: 10.1002/hed.26702. Epub 2021 Apr 16.

Surgical, clinical, and functional outcomes of transoral robotic surgery used in sleep surgery for obstructive sleep apnea syndrome: A systematic review and meta-analysis

Jerome R Lechien  1   2   3   4 , Carlos-Miguel Chiesa-Estomba  1   5 , Nicolas Fakhry  1   6 , Sven Saussez  2   4 , Ibrahim Badr  1   7 , Tareck Ayad  1   8 , Younes Chekkoury-Idrissi  1   3 , Antoine E Melkane  1   9 , Ahmed Bahgat  1   10 , Lise Crevier-Buchman  3 , Marc Blumen  3 , Giovanni Cammaroto  1   11 , Claudio Vicini  11 , Stéphane Hans  1   3
Affiliations
Meta-Analysis

Surgical, clinical, and functional outcomes of transoral robotic surgery used in sleep surgery for obstructive sleep apnea syndrome: A systematic review and meta-analysis

Jerome R Lechien et al. Head Neck. 2021 Jul.

Abstract

We investigated safety and efficacy of transoral robotic surgery (TORS) for base of tongue (BOT) reduction in obstructive sleep apnea syndrome (OSAS) patients. PubMed, Cochrane Library, and Scopus were searched. A meta-analysis was performed. Random effects models were used. Thirty-one cohorts met our criteria (1693 patients). The analysis was based mostly on retrospective studies. The summary estimate of the reduction of Apnea-Hypoxia Index (AHI) was 24.25 abnormal events per hour (95% CI: 21.69-26.81) and reduction of Epworth Sleepiness Scale (ESS) was 7.92 (95% CI: 6.50-9.34). The summary estimate of increase in lowest O2 saturation was 6.04% (95% CI: 3.05-9.03). The success rate of TORS BOT reduction, either alone or combined with other procedures, was 69% (95% CI: 64-79). The majority of studies reported low level of evidence but suggested that TORS BOT reduction may be a safe procedure associated with improvement of AHI, ESS, and lowest O2 saturation.

Keywords: TORS; apnea; outcome; review; robot; robotic; sleep; surgery; tongue; tonsil.

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References

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