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European Archives of Oto-Rhino-Laryngology

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01-02-2017 | Miscellaneous

Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration

Authors: Filippo Montevecchi, Chiara Bellini, Giuseppe Meccariello, Paul T. Hoff, Elisa Dinelli, Iacopo Dallan, Ruggero M. Corso, Claudio Vicini

Published in: European Archives of Oto-Rhino-Laryngology | Issue 2/2017

Abstract

Pediatric obstructive sleep apnea syndrome (OSAS) is primarily caused by adenotonsillar hypertrophy. However, tongue base hypertrophy is increasingly being recognized as a cause, even after adenotonsillectomy. We report three cases of pediatric OSAS successfully treated by transoral robotic reduction of the tongue base. In all children, we were able to achieve improved retrolingual patency while avoiding significant procedure-related morbidity. In conclusion, tongue base reduction by transoral robotic surgery appears to be a feasible solution for the base of tongue obstruction due to lingual tonsil hypertrophy in pediatric patients.

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Title: Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration
Authors: Filippo Montevecchi
Chiara Bellini
Giuseppe Meccariello
Paul T. Hoff
Elisa Dinelli
Iacopo Dallan
Ruggero M. Corso
Claudio Vicini
Publication date: 01-02-2017
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 2/2017
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-016-4269-x

At a glance: The STEP trials

Springer Medicine

Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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