{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T05:29:31Z","timestamp":1790314171855,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,6,27]],"date-time":"2016-06-27T00:00:00Z","timestamp":1466985600000},"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":[[2017,1]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To determine the effect of transoral robotic surgery (TORS) base of tongue (BOT) reduction on sleep\u2010related outcomes in patients with obstructive sleep apnea (OSA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>PubMed, Scopus, EMBASE, CINAHL, Cochrane, and Ovid.<\/jats:p><\/jats:sec><jats:sec><jats:title>Review Methods<\/jats:title><jats:p>Literature search by two independent authors was conducted using the abovementioned databases. Studies on TORS BOT reduction as part of OSA treatment in adult patients with pre\u2010 and postoperative apnea\u2013hypopnea index (AHI) scores were included. Studies on TORS as treatment for diseases other than OSA were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of six articles with 353 patients treated with TORS BOT reduction met inclusion criteria. Pooled analyses (baseline vs. postsurgery) showed significant improvement in the following: AHI (44.3 \u00b1 22.4 to 17.8 \u00b1 16.5, <jats:italic>P<\/jats:italic> &lt; .01), Epworth Sleepiness Scale (12.9 \u00b1 5.4 to 5.8 \u00b1 3.7, <jats:italic>P<\/jats:italic> &lt; .01), lowest oxygen saturation (79.0 \u00b1 9.5 to 84.1 \u00b1 6.5, <jats:italic>P<\/jats:italic> &lt; .01), and snoring visual analog scale (9.3 \u00b1 0.8 to 2.4 \u00b1 2.43, <jats:italic>P<\/jats:italic> &lt; .01). Surgical success rate, defined as a &gt;50% reduction of AHI with a postoperative AHI &lt; 20, was 68.4% (95% confidence interval [CI] = 63.0%\u201073.5%). Cure rate (postoperative AHI &lt; 5) was 23.8% (95% CI = 19.1%\u201029.2%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>TORS BOT reduction decreases AHI and symptoms of sleepiness in adult patients with OSA. It is considered successful in a majority of cases; however, further studies must be performed to optimize patient selection criteria to achieve higher rates of success. <jats:italic>Laryngoscope<\/jats:italic>, 127:258\u2013265, 2017<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.26060","type":"journal-article","created":{"date-parts":[[2016,6,27]],"date-time":"2016-06-27T09:15:46Z","timestamp":1467018946000},"page":"258-265","source":"Crossref","is-referenced-by-count":94,"title":["Transoral robotic base of tongue reduction for obstructive sleep apnea: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"127","author":[{"given":"Stephen C.","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaun A.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian A.","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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