TransOral Robotic Surgery for Obstructive Sleep Apnea

Claudio Vicini, MDHead & Neck Department, ASL RomagnaOtolaryngology – Head and Neck Surgery Unit, Stomatology and Oral Surgery Unit, GB Morgagni – L Pierantoni Hospital (Forlì), Infermi Hospital (Faenza),ItalyPaul Theodore Hoff, MS, MDUniversity of Michigan HospitalDepartment of Otolaryngology – Head and Neck SurgeryAnn Arbor, Michigan, USAFilippo Montevecchi, MDHead & Neck Department, ASL RomagnaOtolaryngology – Head and Neck Surgery Unit, Stomatology and Oral Surgery Unit, GB Morgagni – L Pierantoni Hospital (Forlì), Infermi Hospital (Faenza),Italy

• Introduction.- Part I: Patient Work-Up.- 2 Tongue Pathophysiology in OSAS Patients: A Surgically Oriented Perspective.- 3History-Taking and Clinical Examination.- 4 Sleep Studies.- 5 Imaging.- 6 Drug Induced Sedation Endoscopy (DISE).- 7 Patient Selection.- Part II: Surgery. -8 Transoral Robotic Surgery as Single Level Surgery for Treatment of Obstructive Sleep Apnea.- 9 TORS in a Multilevel Procedure.- 10 Alternative Procedures.- 11 Robotic Setting.- 12 Surgical Anatomy in Trans-oral Robotic Procedure: Basic Fundamentals.- 13 Trans Oral Robotic Surgery for Obstructive Sleep Apnea Syndrome: An Anesthetist’s Point of View.- 14 Technique: How We do It.- Part III: Post-Operative Concerns.- 15 Post-Operative Management of Trans-Oral Robotic Surgery for Obstructive Sleep Apnea.- 16 Expected Outcomes.- 17 Complication Management.- 18 Short- and Long-term Dysphagia.- 19 Failures Management.- Part IV: TORS for OSAS in Geographic Perspective: How to Run a Program in Different Countries.- 20 The North American Experience.- 21 The South American Experience.- 22 The European Experience.- 23 The Middle East Experience.- 24 The Far Eastern Experience.- 25 The Australian Experience.- Part V: Research and Future Perspectives.- 26 Research and Future Perspectives.