caa a22 4500 606182969 CHVBK 20210128100818.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00405-014-3480-x doi (NATIONALLICENCE)springer-10.1007/s00405-014-3480-x Swallowing outcome after TORS for sleep apnea: short- and long-term evaluation [Elektronische Daten] [Mohamed Eesa, Filippo Montevecchi, Ehsan Hendawy, Giovanni D'Agostino, Giuseppe Meccariello, Claudio Vicini] The aim of this study was to evaluate outcomes related to swallowing function in patients who underwent transoral robotic surgery (TORS) for sleep apnea on both short- and long-term scales. 78 patients who underwent TORS for sleep apnea between 2011 and 2014 were followed up for an average period of 20±7.12months (range 7-32months), then swallowing outcomes determined by MD Anderson Dysphagia Inventory (MDADI) questionnaire, gastrografin fluoroscopy imaging results, nasogastric tube dependence and subjectively by recording the patients' complaints were analyzed and reported. Minimal insignificant short-term impact on swallowing function (4.58±7.03 preoperative MDADI score versus 5.18±8.32 post-operative) (p=0.56) was registered. Mean time for start of oral feeding was 1.05±0.25days (average, 1-3). In no case nasogastric tube feeding was required. Only five patients (6%) showed significant aspiration on gastrografin fluoroscopy examination after 1week; there was no significant correlation between the volume of tissue removed from both tongue base and epiglottis to the incidence of aspiration as shown by gastrografin fluoroscopy examination (p=0.72). No long-term swallowing complaint was registered. Patients who underwent TORS tongue base reduction and supraglottoplasty for sleep apnea proved to have a reasonable short-term swallowing outcomes with no long-term sequelae. Springer-Verlag Berlin Heidelberg, 2015 Obstructive sleep apnea nationallicence Transoral robotic surgery nationallicence Swallowing outcomes nationallicence Eesa Mohamed Department of Otolaryngology, Head-Neck Surgery, University of Zagazig, Zagazig, Egypt aut Montevecchi Filippo ENT and Oral Surgery Unit, Department of Special Surgery, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia in Forlì, Forlì, Italy aut Hendawy Ehsan Department of Otolaryngology, Head-Neck Surgery, University of Zagazig, Zagazig, Egypt aut D'Agostino Giovanni ENT and Oral Surgery Unit, Department of Special Surgery, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia in Forlì, Forlì, Italy aut Meccariello Giuseppe ENT and Oral Surgery Unit, Department of Special Surgery, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia in Forlì, Forlì, Italy aut Vicini Claudio ENT and Oral Surgery Unit, Department of Special Surgery, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia in Forlì, Forlì, Italy aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/6(2015-06-01), 1537-1541 0937-4477 272:6<1537 2015 272 405 https://doi.org/10.1007/s00405-014-3480-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3480-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Eesa Mohamed Department of Otolaryngology, Head-Neck Surgery, University of Zagazig, Zagazig, Egypt aut NATIONALLICENCE 700 1- Montevecchi Filippo ENT and Oral Surgery Unit, Department of Special Surgery, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia in Forlì, Forlì, Italy aut NATIONALLICENCE 700 1- Hendawy Ehsan Department of Otolaryngology, Head-Neck Surgery, University of Zagazig, Zagazig, Egypt aut NATIONALLICENCE 700 1- D'Agostino Giovanni ENT and Oral Surgery Unit, Department of Special Surgery, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia in Forlì, Forlì, Italy aut NATIONALLICENCE 700 1- Meccariello Giuseppe ENT and Oral Surgery Unit, Department of Special Surgery, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia in Forlì, Forlì, Italy aut NATIONALLICENCE 700 1- Vicini Claudio ENT and Oral Surgery Unit, Department of Special Surgery, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia in Forlì, Forlì, Italy aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/6(2015-06-01), 1537-1541 0937-4477 272:6<1537 2015 272 405