Tendon‐like tether formation for tongue‐base advancement in an ovine model using a novel implant device intended for the surgical management of obstructive sleep apnoea

2020 ◽  
Author(s):  
Rushdi Hendricks ◽  
Elena Hofmann ◽  
Jade Peres ◽  
Sharon Prince ◽  
Jos Hille ◽  
...  
Keyword(s):  
Surgical Management ◽  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Tongue Base ◽  
Ovine Model ◽  
Obstructive Sleep

Transoral Robotic Tongue Base Resection in Obstructive Sleep Apnoea-Hypopnoea Syndrome: A Preliminary Report

ORL ◽  
2010 ◽  
Vol 72 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Claudio Vicini ◽  
Iacopo Dallan ◽  
Pietro Canzi ◽  
Sabrina Frassineti ◽  
Maria Grazia La Pietra ◽  
...  
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Preliminary Report ◽  
Sleep Apnoea ◽  
Tongue Base ◽  
Obstructive Sleep

scholarly journals Surgical management of obstructive sleep apnoea: A position statement of the Australasian Sleep Association *

Respirology ◽  
2020 ◽  
Vol 25 (12) ◽  
pp. 1292-1308
Author(s):  
Stuart G. MacKay ◽  
Richard Lewis ◽  
Doug McEvoy ◽  
Simon Joosten ◽  
Nicolette R. Holt
Keyword(s):  
Surgical Management ◽  
Obstructive Sleep Apnoea ◽  
Position Statement ◽  
Sleep Apnoea ◽  
Obstructive Sleep

Minimally invasive tongue base surgery for obstructive sleep apnoea

2002 ◽  
Vol 116 (9) ◽  
pp. 716-721 ◽  
Author(s):  
David J. Terris ◽  
Larisa D. Kunda ◽  
Marie C. Gonella
Keyword(s):  
Minimally Invasive ◽  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
The Body ◽  
Tongue Base ◽  
Velopharyngeal Insufficiency ◽  
Invasive Technique ◽  
Obstructive Sleep ◽  
The Individual ◽  
Individual Scores

Moderate to severe obstructive sleep apnoea is usually associated with multiple levels of pharyngeal airway collapse, including tongue base obstruction. A new technique has recently been introduced that improves the nocturnal retro-lingual airway. This study was a prospective, non-randomized single-institution evaluation of a recently introduced surgical technique. Nineteen consecutive patients with previously untreated moderate to severe obstructive sleep apnoea underwent tongue suspension using the Respose™ system and concomitant palatopharyngoplasty (multilevel pharyngeal surgery). The patient demographics and treatment outcomes were prospectively collected and retrospectively analysed.There were 16 men and three women, with a mean (±SD) age of 44.9 years (±14.2) and a mean pre-operative apnoea-hypopnoea index (AHI) of 42.8 ± 24.8. Twelve of the 19 patients (63.2 per cent) have had post-operative polysomnography; eight of these 12 (67 per cent) met the standard criteria for surgical response. Among these eight patients, the AHI improved from 32.4 to 14.4 (p < 0.01); the individual scores fell by a mean of 51.7 per cent. The apnoea index improved from 7.4 to 0.9 (p < 0.01), with the individual scores falling by a mean of 81.4 per cent. There was anatomic and radiographic evidence of multilevel upper airway enlargement. Notably, the body mass index remained essentially unchanged (31.5 ± 7.2 to 31.2 ± 7.6, p > 0.5). Subjectively, the mean Epworth sleepiness scale score fell from 11.0 ± 5.4 to 5.4 ± 3.8 (p < 0.005). Four patients suffered transient velopharyngeal insufficiency, and two patients complained of limited anterior excursion of the tongue. There were no serious, long-term complications.The tongue suspension procedure represents a minimally invasive technique for improving the nocturnal retro-lingual airway in patients with obstructive sleep apnoea. It is easily performed by otolaryngologists, distinguishing it from other established techniques designed to address tongue base obstruction.

Comparison of robotic and coblation tongue base resection for obstructive sleep apnoea

2017 ◽  
Vol 43 (1) ◽  
pp. 249-255 ◽  
Author(s):  
C.S. Hwang ◽  
J.W. Kim ◽  
J.W. Kim ◽  
E.J. Lee ◽  
C.-H. Kim ◽  
...  
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Tongue Base ◽  
Obstructive Sleep
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