Quantification of the Impact of Intraoperative Ultrasound in Transoral Robotic Tongue Base Reduction

Heng Jui Hsu; Jiunn Liang Wu; Jenn Ren Hsiao; Cheng Yu Lin

doi:10.1002/lary.29931

Quantification of the Impact of Intraoperative Ultrasound in Transoral Robotic Tongue Base Reduction

Heng Jui Hsu, Jiunn Liang Wu, Jenn Ren Hsiao, Cheng Yu Lin

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Objectives/Hypothesis: Transoral robotic surgery (TORS) in the base of the tongue (BOT) reduction has been shown to decrease the apnea-hypopnea index (AHI) and improve daytime sleepiness in obstructive sleep apnea (OSA) patients. Intraoperative ultrasound (IOU) can be employed to guide the surgery and prevent massive bleeding. Study Design: Cohort study with historical control. Methods: A cohort study to compare the outcomes between OSA patients who received TORS with and without IOU assistance. Results: From 2016 to 2019, this study enrolled 80 OSA patients who underwent TORS in BOT: 57 in the IOU(+) and 23 in IOU(−) groups. The TORS with IOU presented with shorter operative time, less blood loss, and greater excised BOT volume. The IOU(+) group had greater improvement in the AHI and subjective questionnaire evaluation. The excised volume of BOT was significantly associated with the change in AHI. Conclusion: The IOU could improve outcomes in BOT reduction surgery without raising the risk of surgical complications. Level of Evidence: 4 Laryngoscope, 132:1125–1131, 2022.

Original language	English
Pages (from-to)	1125-1131
Number of pages	7
Journal	Laryngoscope
Volume	132
Issue number	5
DOIs	https://doi.org/10.1002/lary.29931
Publication status	Published - 2022 May

All Science Journal Classification (ASJC) codes

Otorhinolaryngology

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10.1002/lary.29931

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@article{36506afc07c244f8ab6babaa4c45247d,

title = "Quantification of the Impact of Intraoperative Ultrasound in Transoral Robotic Tongue Base Reduction",

abstract = "Objectives/Hypothesis: Transoral robotic surgery (TORS) in the base of the tongue (BOT) reduction has been shown to decrease the apnea-hypopnea index (AHI) and improve daytime sleepiness in obstructive sleep apnea (OSA) patients. Intraoperative ultrasound (IOU) can be employed to guide the surgery and prevent massive bleeding. Study Design: Cohort study with historical control. Methods: A cohort study to compare the outcomes between OSA patients who received TORS with and without IOU assistance. Results: From 2016 to 2019, this study enrolled 80 OSA patients who underwent TORS in BOT: 57 in the IOU(+) and 23 in IOU(−) groups. The TORS with IOU presented with shorter operative time, less blood loss, and greater excised BOT volume. The IOU(+) group had greater improvement in the AHI and subjective questionnaire evaluation. The excised volume of BOT was significantly associated with the change in AHI. Conclusion: The IOU could improve outcomes in BOT reduction surgery without raising the risk of surgical complications. Level of Evidence: 4 Laryngoscope, 132:1125–1131, 2022.",

author = "Hsu, {Heng Jui} and Wu, {Jiunn Liang} and Hsiao, {Jenn Ren} and Lin, {Cheng Yu}",

note = "Funding Information: This study was supported by a grant from National Cheng Kung University Hospital (grant number NCKUH‐10802018). Funding Information: The authors thank Ms Wen-Kuei Lin, Ms Li-Zhen Lin, Ms Yen-Su Lin, Ms Fu-Hsin, Liao, Ms Shin-Ru Hou, Ms Yi-Chun Lin, Ms E-Ping Lo (the staff of the sleep medicine center at National Cheng Kung University Hospital), and the colleagues of the ENT department at National Cheng Kung University Hospital who participated in the study. This manuscript was edited by Wallace Academic Editing. Publisher Copyright: {\textcopyright} 2021 The American Laryngological, Rhinological and Otological Society, Inc.",

year = "2022",

month = may,

doi = "10.1002/lary.29931",

language = "English",

volume = "132",

pages = "1125--1131",

journal = "Laryngoscope",

issn = "0023-852X",

publisher = "John Wiley and Sons Inc.",

number = "5",

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T1 - Quantification of the Impact of Intraoperative Ultrasound in Transoral Robotic Tongue Base Reduction

AU - Hsu, Heng Jui

AU - Wu, Jiunn Liang

AU - Hsiao, Jenn Ren

AU - Lin, Cheng Yu

N1 - Funding Information: This study was supported by a grant from National Cheng Kung University Hospital (grant number NCKUH‐10802018). Funding Information: The authors thank Ms Wen-Kuei Lin, Ms Li-Zhen Lin, Ms Yen-Su Lin, Ms Fu-Hsin, Liao, Ms Shin-Ru Hou, Ms Yi-Chun Lin, Ms E-Ping Lo (the staff of the sleep medicine center at National Cheng Kung University Hospital), and the colleagues of the ENT department at National Cheng Kung University Hospital who participated in the study. This manuscript was edited by Wallace Academic Editing. Publisher Copyright: © 2021 The American Laryngological, Rhinological and Otological Society, Inc.

PY - 2022/5

Y1 - 2022/5

N2 - Objectives/Hypothesis: Transoral robotic surgery (TORS) in the base of the tongue (BOT) reduction has been shown to decrease the apnea-hypopnea index (AHI) and improve daytime sleepiness in obstructive sleep apnea (OSA) patients. Intraoperative ultrasound (IOU) can be employed to guide the surgery and prevent massive bleeding. Study Design: Cohort study with historical control. Methods: A cohort study to compare the outcomes between OSA patients who received TORS with and without IOU assistance. Results: From 2016 to 2019, this study enrolled 80 OSA patients who underwent TORS in BOT: 57 in the IOU(+) and 23 in IOU(−) groups. The TORS with IOU presented with shorter operative time, less blood loss, and greater excised BOT volume. The IOU(+) group had greater improvement in the AHI and subjective questionnaire evaluation. The excised volume of BOT was significantly associated with the change in AHI. Conclusion: The IOU could improve outcomes in BOT reduction surgery without raising the risk of surgical complications. Level of Evidence: 4 Laryngoscope, 132:1125–1131, 2022.

AB - Objectives/Hypothesis: Transoral robotic surgery (TORS) in the base of the tongue (BOT) reduction has been shown to decrease the apnea-hypopnea index (AHI) and improve daytime sleepiness in obstructive sleep apnea (OSA) patients. Intraoperative ultrasound (IOU) can be employed to guide the surgery and prevent massive bleeding. Study Design: Cohort study with historical control. Methods: A cohort study to compare the outcomes between OSA patients who received TORS with and without IOU assistance. Results: From 2016 to 2019, this study enrolled 80 OSA patients who underwent TORS in BOT: 57 in the IOU(+) and 23 in IOU(−) groups. The TORS with IOU presented with shorter operative time, less blood loss, and greater excised BOT volume. The IOU(+) group had greater improvement in the AHI and subjective questionnaire evaluation. The excised volume of BOT was significantly associated with the change in AHI. Conclusion: The IOU could improve outcomes in BOT reduction surgery without raising the risk of surgical complications. Level of Evidence: 4 Laryngoscope, 132:1125–1131, 2022.

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Quantification of the Impact of Intraoperative Ultrasound in Transoral Robotic Tongue Base Reduction

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