{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T17:16:10Z","timestamp":1772298970378,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,11,29]],"date-time":"2019-11-29T00:00:00Z","timestamp":1574985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Our primary objective was to evaluate the feasibility, morbidity, and efficacy of transoral robotic surgery (TORS) tongue\u2010base resection (TBR) combined with tongue\u2010base suspension (TBS) for obstructive sleep apnea (OSA) with tongue\u2010base collapse. Our secondary objective included evaluation of factors influencing treatment success.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Single\u2010arm, prospective, observational cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients were eligible if they had moderate\u2010to\u2010severe OSA (apnea hypopnea index [AHI]\u2009&gt;\u200915) or positional OSA, had a tongue\u2010base collapse and glossoptosis identified by drug\u2010induced sleep endoscopy (DISE), and failed continuous positive airway pressure. All patients underwent TORS\u2010TBR combined with TBS. Additionally, concomitant epiglottoplasty, uvulopalatopharyngoplasty, or expansion pharyngoplasty were performed based on DISE findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 64 patients were enrolled in the trial. The mean age was 45.9\u2009years, mean body mass index was 30.5 kg\/m<jats:sup>2<\/jats:sup>, and mean AHI was 41.7 events\/hour. The mean robotic surgical time, total volume of tongue\u2010base tissue removed, and the length of hospital stay were 21.4 minutes, 15.16 mL, and 6.5\u2009days, respectively. Postoperatively, almost all polysomnographic metrics improved significantly (AHI = 41.72 vs. 18.82 events\/hour, lowest oxygen saturation = 80.43% vs. 85.14%, Epworth Sleepiness Scale = 10.49 vs. 4.09). The procedure provided an overall success rate of 75%, with minor morbidity. All patients experienced varying degrees of temporary lingual edema postoperatively. Tracheotomy was not required for any patient. Although no independent predictor of treatment success was determined, patients with more severe disease tend to exhibit lower response to the treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>TORS\u2010TBR combined with TBS is a feasible, safe, and efficient procedure for OSA with tongue\u2010base collapse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 130:2285\u20132291, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28443","type":"journal-article","created":{"date-parts":[[2019,11,29]],"date-time":"2019-11-29T14:11:12Z","timestamp":1575036672000},"page":"2285-2291","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Robotic Tongue\u2010Base Resection Combined With Tongue\u2010Base Suspension for Obstructive Sleep Apnea"],"prefix":"10.1002","volume":"130","author":[{"given":"Murat","family":"Turhan","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Akdeniz University School of Medicine  Antalya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1535-2661","authenticated-orcid":false,"given":"Asli","family":"Bostanci","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Akdeniz University School of Medicine  Antalya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1515\/BC.2004.015"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/smrv.2001.0197"},{"key":"e_1_2_6_4_1","first-page":"148","article-title":"Future perspectives in sleep surgery","volume":"80","author":"Friedman 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