{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T22:40:39Z","timestamp":1784932839691,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,4,2]],"date-time":"2013-04-02T00:00:00Z","timestamp":1364860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To evaluate the efficacy of base of tongue (BOT) resection via transoral robotic surgery (TORS) in the treatment of obstructive sleep apnea\/hypopnea syndrome (OSAHS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between June 2010 and May 2012, BOT resection via TORS was performed on 27 patients with OSAHS. Patients were excluded from this analysis if other concomitant upper airway procedures such as uvulopalatopharyngoplasty were performed, or if postoperative polysomnograms were not available.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve patients who underwent BOT resection alone were included in this study. The median age for these 12 patients was 48.5 (range, 19\u201364) and included nine females and three males. The mean apnea\u2010hypopnea index (AHI) was 43.9 \u00b1 41.1 preoperatively and 17.6 \u00b1 16.2 postoperatively. This difference in AHI was statistically significant (<jats:italic>P<\/jats:italic> = 0.007) and reflected an average AHI reduction of 56.2 \u00b1 28.3%. Statistical significant reductions in daytime somnolence level, as measured by Epworth Sleepiness Scale (13.7 \u00b1 5.2 preoperatively vs. 6.4 \u00b1 4.5 postoperatively, <jats:italic>P<\/jats:italic> &lt;0.001), and snoring intensity, as reported by a bed partner using a Visual Analogue Scale (8.6 \u00b1 1.2 preoperatively vs. 4.2 \u00b1 1.9 postoperatively, <jats:italic>P<\/jats:italic> &lt;0.001), were achieved. There was no statistical significant difference between the preoperative and postoperative body mass index (34.5 \u00b1 7.3 vs. 33.5 \u00b1 6.7, <jats:italic>P<\/jats:italic> = 0.296) or minimum oxygen saturation (83.3 \u00b1 5.5% vs. 84.0 \u00b1 6.4%, <jats:italic>P<\/jats:italic> = 0.680).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This is the first study looking at the use of TORS to address obstruction at the level of BOT only, not confounded by surgical alterations at other levels of upper airway. This preliminary result on the use of BOT resection via TORS for the treatment of patients with OSAHS is encouraging and warrants further investigations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 2012<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.23913","type":"journal-article","created":{"date-parts":[[2013,4,2]],"date-time":"2013-04-02T18:22:39Z","timestamp":1364926959000},"page":"1811-1816","source":"Crossref","is-referenced-by-count":77,"title":["Transoral robotic surgery for treatment of obstructive sleep apnea\u2010hypopnea syndrome"],"prefix":"10.1002","volume":"123","author":[{"given":"Ho\u2010Sheng","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Wayne State University and Karmanos Cancer Institute Dearborn Michigan U.S.A."},{"name":"Department of Surgery Detroit Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Rowley","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine Wayne State University Detroit Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Safwan","family":"Badr","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine Wayne State University Detroit Michigan"},{"name":"Department of Medicine John D. Dingell VA Medical Center Detroit Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam J.","family":"Folbe","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Wayne State University and Karmanos Cancer Institute Dearborn Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George H.","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Wayne State University and Karmanos Cancer Institute Dearborn Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyle","family":"Victor","sequence":"additional","affiliation":[{"name":"Department of Medical Education Oakwood Hospital Dearborn Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert H.","family":"Mathog","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck 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