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Use of the transoral robotic surgery to treat patients with recurrent lingual tonsillitis
Author(s) -
Di Luca Milena,
Iannella Giannicola,
Montevecchi Filippo,
Magliulo Giuseppe,
De Vito Andrea,
Cocuzza Salvatore,
Maniaci Antonino,
Meccariello Giuseppe,
Cammaroto Giovanni,
Sgarzani Rossella,
Ferlito Salvatore,
Vicini Claudio
Publication year - 2020
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2106
Subject(s) - medicine , dysphagia , transoral robotic surgery , tonsil , surgery , chronic tonsillitis , tonsillitis , statistical significance , quality of life (healthcare) , tongue , resection , tonsillectomy , nursing , pathology
Background This study evaluates the efficacy of lingual tonsil resection by transoral robotic surgery (TORS) in a large group of patients with recurrent lingual tonsillitis (RLT). Methods Eighty‐four patients with RLT treated with a lingual tonsil surgical resection using TORS were analyzed in terms of their postoperative results, disease recurrence, postoperative dysphagia, and quality of life. Results A reduction of the mean number/year of acute lingual tonsillitis (LT) episodes emerged after surgery (5.17 vs 0.54 events), comparing the mean number of preoperative and postoperative LT episodes, a statistical significance emerged ( P = .0001). The postoperative endoscopic evaluation showed 94.1% of patients with absent or poor lymphatic tissue on the tongue base. Evaluation of postoperative dysphagia showed good results with an average score of 85.9 ± 7.5. Conclusion This article explains how in patients with chronic LT with medical therapy failure and impaired quality of life, TORS could represent a valid therapeutic option.