title: Transoral robotic-assisted tongue base resection in pediatric obstructive sleep apnea syndrome: case presentation, clinical and technical consideration.
abstract: Pediatric obstructive sleep apnea syndrome (OSAS) is primarily caused by adenotonsillar hypertrophy. However, tongue base hypertrophy is increasingly being recognized as a cause, even after adenotonsillectomy. We report three cases of pediatric OSAS successfully treated by transoral robotic reduction of the tongue base. In all children, we were able to achieve improved retrolingual patency while avoiding significant procedure-related morbidity. In conclusion, tongue base reduction by transoral robotic surgery appears to be a feasible solution for the base of tongue obstruction due to lingual tonsil hypertrophy in pediatric patients.
authors: Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, ASL of Romagna, Forlì, Italy.|Head and Neck Department, ENT and Oral Surgery Unit, Infermi Hospital, ASL of Romagna, Faenza, Italy.
authors: Filippo
authors: F
authors: Montevecchi
authors: Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, ASL of Romagna, Forlì, Italy.|Head and Neck Department, ENT and Oral Surgery Unit, Infermi Hospital, ASL of Romagna, Faenza, Italy.
authors: Chiara
authors: C
authors: Bellini
authors: Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, ASL of Romagna, Forlì, Italy. drmeccariello@gmail.com.|Head and Neck Department, ENT and Oral Surgery Unit, Infermi Hospital, ASL of Romagna, Faenza, Italy. drmeccariello@gmail.com.
authors: Giuseppe
authors: http://orcid.org/0000-0001-7753-4615
authors: G
authors: Meccariello
authors: Department of Otolaryngology, Head and Neck Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
authors: Paul T
authors: PT
authors: Hoff
authors: Otorhinolaryngology Unit, "S. Camillo" Clinic, Forte dei Marmi, Italy.
authors: Elisa
authors: E
authors: Dinelli
authors: Department of Otorhinolaryngology, University of Pisa, Pisa, Italy.
authors: Iacopo
authors: I
authors: Dallan
authors: Emergency Department, Anesthesia and Intensive Care Section, "GB Morgagni-L. Pierantoni" Hospital, Forlì, Italy.
authors: Ruggero M
authors: RM
authors: Corso
authors: Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, ASL of Romagna, Forlì, Italy.|Head and Neck Department, ENT and Oral Surgery Unit, Infermi Hospital, ASL of Romagna, Faenza, Italy.
authors: Claudio
authors: C
authors: Vicini
mesh_terms: D000293:Adolescent; D002648:Child; D005927:Glossectomy / Q000379:methods*; D006801:Humans; D008297:Male; D065287:Robotic Surgical Procedures / Q000379:methods*; D020181:Sleep Apnea, Obstructive / Q000601:surgery*
keywords: Adenotonsillectomy failure; Tongue base reduction, OSAS; Trans oral robotic surgery