{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T18:54:02Z","timestamp":1771268042549,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T00:00:00Z","timestamp":1607904000000},"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":[[2021,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare transoral robotic surgery (TORS) versus non\u2010TORS tongue resection procedures performed for obstructive sleep apnea from January 2010 to September 2015 using a national database, focusing on patient characteristics, performance of concurrent procedures, operative time, length of hospital stay, and postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cohort of adults undergoing TORS and non\u2010TORS tongue resection procedures was identified in the Nationwide Inpatient Sample, a publicly\u2010available national administrative database incorporating a stratified sample of hospital discharge records. Outcomes were annual case volumes, prolonged (\u22653\u2009days) hospital stay, and complications. Statistical analyses examined potential associations between TORS and prolonged hospital stay and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 2010 to 2015, 5709 hospital discharges included tongue resection surgery to treat obstructive sleep apnea. There was a gradual decline and stabilization in overall volumes, with the proportion of TORS use showing an initial increase, followed by a decrease and rebound increase. TORS patients were less likely to undergo concurrent nasal surgery (15% vs. 44%, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01), but there was no association between the use of TORS and concurrent palatal surgery. TORS use was not associated with concurrent hypopharyngeal surgery overall, but it was associated with specific types of hypopharyngeal surgery. TORS use was associated with patient age, payor, and certain hospital characteristics. TORS use was associated with an increased risk of prolonged hospital stay (33% vs. 25%, <jats:italic>P<\/jats:italic> = .045) but was not associated with complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study provides insight into TORS use in tongue resection surgery for obstructive sleep apnea during this period of early TORS adoption.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level 3 (cohort study). <jats:italic>Laryngoscope<\/jats:italic>, 131:E1735\u2013E1740, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29316","type":"journal-article","created":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T16:45:22Z","timestamp":1607964322000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Transoral Robotic Surgery (<scp>TORS<\/scp>) Versus <scp>Non\u2010TORS<\/scp> Tongue Resection for Obstructive Sleep Apnea"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7841-7293","authenticated-orcid":false,"given":"Jeehong","family":"Kim","sequence":"first","affiliation":[{"name":"USC Caruso Department of Otolaryngology \u2013 Head &amp; Neck Surgery Keck School of Medicine of USC  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barish","family":"Poole","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine NYU Winthrop Hospital  Mineola New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven Yong","family":"Cen","sequence":"additional","affiliation":[{"name":"Department of Neurology and Radiology, Keck School of Medicine of USC and Division of Dental Public Health &amp; Pediatric Dentistry Herman Ostrow School of Dentistry of USC  Los Angeles California USA"},{"name":"Department of Neurology Keck School of Medicine of USC  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nerses","family":"Sanossian","sequence":"additional","affiliation":[{"name":"Department of Neurology Keck School of Medicine of USC  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3808-4521","authenticated-orcid":false,"given":"Eric James","family":"Kezirian","sequence":"additional","affiliation":[{"name":"USC Caruso Department of Otolaryngology \u2013 Head &amp; Neck Surgery Keck School of Medicine of USC  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199108000-00001"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/hn.1999.v120.a96956"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(89)80109-0"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(00)70152-5"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940611500809"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812464331"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3475-7"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812461750"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000284352"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26060"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815594347"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000735"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24353"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25026"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200403000-00012"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000165373.78207.BF"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2017.1417635"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13424"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wjorl.2017.05.004"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12951"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.7812"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811434262"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-4112-4"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820913533"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-75215-1"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.29316","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.29316","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.29316","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T01:27:45Z","timestamp":1693618065000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.29316"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,14]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1002\/lary.29316"],"URL":"https:\/\/doi.org\/10.1002\/lary.29316","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,14]]},"assertion":[{"value":"2020-09-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}