title: Tongue reduction for OSAHS: TORSs vs coblations, technologies vs techniques, apples vs oranges.
abstract: Coblation tongue surgery and Trans-oral robotic surgery (TORS) proved to be the most published therapeutical options for the treatment of patients affected by obstructive sleep apneas (OSAHS). A systematic review of the literature and an analysis of the data are presented. The mean rates of failure were 34.4 and 38.5 %, respectively in TORS and Coblation groups. Complications occurred in 21.3 % of the patients treated with TORS and in 8.4 % of the patients treated with Coblation surgery. TORS seems to give slightly better results, allowing a wider surgical view and a measurable, more consistent removal of lingual tissue. However, the higher rate of minor complication and the significant costs of TORS must also be considered. Moreover, both technologies may be applied to a wide range of surgical techniques, each of them with different effectiveness.
authors.affiliation: Department of Otolaryngology, University of Messina, Via Consolare Valeria 1, 98100, Messina, Italy. giovanni.cammaroto@hotmail.com.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Cammaroto
authors.affiliation: ENT and Oral Surgery Unit, Department of Special Surgery, Ospedale Morgagni Pierantoni, Forlì, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Montevecchi
authors.affiliation: ENT and Oral Surgery Unit, Department of Special Surgery, Ospedale Morgagni Pierantoni, Forlì, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: D'Agostino
authors.affiliation: ENT and Oral Surgery Unit, Department of Special Surgery, Ospedale Morgagni Pierantoni, Forlì, Italy.
authors.forename: Ermelinda
authors.initials: E
authors.lastname: Zeccardo
authors.affiliation: ENT and Oral Surgery Unit, Department of Special Surgery, Ospedale Morgagni Pierantoni, Forlì, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Bellini
authors.affiliation: Department of Otolaryngology, University of Messina, Via Consolare Valeria 1, 98100, Messina, Italy.
authors.forename: Bruno
authors.initials: B
authors.lastname: Galletti
authors.affiliation: Department of Otolaryngolgy, Head and Neck Surgery, Hamad Medical Corporation, Rumailah Hospital, Doha, Qatar.
authors.forename: Medhat
authors.initials: M
authors.lastname: Shams
authors.affiliation: Department of Otorhinolaryngology, Faculty of Medicine, University of Cairo, Cairo, Egypt.
authors.forename: Hesham
authors.initials: H
authors.lastname: Negm
authors.affiliation: ENT and Oral Surgery Unit, Department of Special Surgery, Ospedale Morgagni Pierantoni, Forlì, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Vicini
mesh_terms: D005927:Glossectomy / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications / Q000453:epidemiology; D065287:Robotic Surgical Procedures / Q000379:methods*; D020181:Sleep Apnea, Obstructive / Q000601:surgery*; D016896:Treatment Outcome
keywords: Coblation; OSAHS; Technology; Tongue base; Trans oral robotic surgery