PMID- 28530254
OWN - NLM
STAT- MEDLINE
DCOM- 20180905
LR  - 20181113
IS  - 1827-675X (Electronic)
IS  - 0392-100X (Print)
IS  - 0392-100X (Linking)
VI  - 37
IP  - 5
DP  - 2017 Oct
TI  - Palatal surgery in a transoral robotic setting (TORS): preliminary results of a 
      retrospective comparison between uvulopalatopharyngoplasty (UPPP), expansion 
      sphincter pharyngoplasty (ESP) and barbed repositioning pharyngoplasty (BRP).
PG  - 406-409
LID - 10.14639/0392-100X-1321 [doi]
AB  - It has become increasingly clear in the past decade that surgical management of 
      obstructive sleep apnoea hypopnoea syndrome (OSAHS) is most successfully managed 
      with multilevel surgery. We evaluated the outcomes of multilevel interventions 
      comparing three different palatal techniques added to TORS: 
      uvulopalatopharyngoplasty (UPPP), a modified expansion sphincter pharyngoplasty 
      (ESP), inspired by the Pang expansion sphincter pharyngoplasty technique and the 
      latest barbed repositioning pharyngoplasty (BRP). Thirty patients were 
      retrospectively evaluated. Ten patients underwent UPPP by Fairbanks, 10 BRP and 
      10 a modified ESP already described. All patients underwent TORS, tonsillectomy 
      and septo-turbinoplasty. For all cases, the following data were retrieved and 
      revaluated: preoperative and postoperative apnoea-hypopnoea index (AHI), 
      preoperative and postoperative Epworth Sleepiness Scale (ESS), pain visual 
      analogue scale (VAS; 0-10) for the first 5 days postoperatively, palatal 
      operative time for each surgical technique, discharge date and complication types 
      and rate. Both BRP and ESP resulted in better postoperative AHI values and higher 
      surgical success rates in comparison with UPPP. On the other hand, BRP was not 
      more effective than ESP. ESP surgery time was significantly higher than UPPP, 
      while BRP was the quickest procedure. In summary, ESP and BRP seem to be more 
      effective than UPPP in a multilevel surgical robotic setting. However, being 
      quicker, easy to learn and with a low rate of complications, BRP is a safe, 
      effective and promising option for treatment of OSAHS patients.
CI  - (c) Copyright by Societa Italiana di Otorinolaringologia e Chirurgia 
      Cervico-Facciale, Rome, Italy.
FAU - Cammaroto, G
AU  - Cammaroto G
AD  - Department of Otolaryngology, University of Messina, Italy.
FAU - Montevecchi, F
AU  - Montevecchi F
AD  - Department of Special Surgery, ENT and Oral Surgery Unit, Ospedale Morgagni 
      Pierantoni, Forli, Italy.
FAU - D'Agostino, G
AU  - D'Agostino G
AD  - Department of Special Surgery, ENT and Oral Surgery Unit, Ospedale Morgagni 
      Pierantoni, Forli, Italy.
FAU - Zeccardo, E
AU  - Zeccardo E
AD  - Department of Special Surgery, ENT and Oral Surgery Unit, Ospedale Morgagni 
      Pierantoni, Forli, Italy.
FAU - Bellini, C
AU  - Bellini C
AD  - Department of Special Surgery, ENT and Oral Surgery Unit, Ospedale Morgagni 
      Pierantoni, Forli, Italy.
FAU - Meccariello, G
AU  - Meccariello G
AD  - Department of Special Surgery, ENT and Oral Surgery Unit, Ospedale Morgagni 
      Pierantoni, Forli, Italy.
FAU - Vicini, C
AU  - Vicini C
AD  - Department of Special Surgery, ENT and Oral Surgery Unit, Ospedale Morgagni 
      Pierantoni, Forli, Italy.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
TT  - La chirurgia palatale all'interno di un setting robotico transorale (TORS): 
      risultati preliminari di uno studio retrospettivo comparativo tra UPPP, ESP e 
      BRP.
PL  - Italy
TA  - Acta Otorhinolaryngol Ital
JT  - Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di 
      otorinolaringologia e chirurgia cervico-facciale
JID - 8213019
SB  - IM
MH  - Humans
MH  - Mouth
MH  - Otorhinolaryngologic Surgical Procedures/*methods
MH  - Pharynx/*surgery
MH  - Retrospective Studies
MH  - Robotic Surgical Procedures/*methods
MH  - Sleep Apnea, Obstructive/*surgery
MH  - *Suture Techniques
MH  - Treatment Outcome
MH  - Uvula/*surgery
PMC - PMC5717986
OTO - NOTNLM
OT  - OSAHS
OT  - Palatal surgery
OT  - TORS
EDAT- 2017/05/23 06:00
MHDA- 2018/09/06 06:00
PMCR- 2017/10/01
CRDT- 2017/05/23 06:00
PHST- 2016/06/25 00:00 [received]
PHST- 2016/10/18 00:00 [accepted]
PHST- 2017/05/23 06:00 [pubmed]
PHST- 2018/09/06 06:00 [medline]
PHST- 2017/05/23 06:00 [entrez]
PHST- 2017/10/01 00:00 [pmc-release]
AID - Pacini [pii]
AID - 10.14639/0392-100X-1321 [doi]
PST - ppublish
SO  - Acta Otorhinolaryngol Ital. 2017 Oct;37(5):406-409. doi: 10.14639/0392-100X-1321.