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Surgical, clinical, and functional outcomes of transoral robotic surgery used in sleep surgery for obstructive sleep apnea syndrome: A systematic review and meta‐analysis
Author(s) -
Lechien Jerome R.,
ChiesaEstomba CarlosMiguel,
Fakhry Nicolas,
Saussez Sven,
Badr Ibrahim,
Ayad Tareck,
ChekkouryIdrissi Younes,
Melkane Antoine E.,
Bahgat Ahmed,
CrevierBuchman Lise,
Blumen Marc,
Cammaroto Giovanni,
Vicini Claudio,
Hans Stéphane
Publication year - 2021
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26702
Subject(s) - obstructive sleep apnea , medicine , epworth sleepiness scale , transoral robotic surgery , cochrane library , meta analysis , apnea , sleep apnea , anesthesia , surgery , polysomnography
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 O 2 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 O 2 saturation.