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International Bulletin of Otorhinolaryngology

Trans-oral robotic surgery for obstructive sleep apnea - selection of patients

Mario Milkov


The incidence of obstructive sleep apnea-hypopnea syndrome (OSAHS) is about 7% in middle-aged adults. OSAHS remains underdiagnosed worldwide, delaying treatment with subsequent onset of complications, mainly cardiac and neurological. The surgical management of OSAHS is appealing to both patients and providers as a single intervention that could limit health care costs and avoid the use of continuous positive airway pressure. Technological advance-ment has allowed tongue base reduction causing airway obstruction to be addressed using TORS safely and with ease. The purpose of this study is to discuss appropriate patient selection when considering trans-oral robotic surgery (TORS) as surgical treatment of OSAHS.


obstructive sleep apnea-hypopnea syndrome, trans-oral robotic surgery, selection of patients, criteria

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