Limits...
Transoral robotic surgery (TORS): a new tool for high risk tracheostomy decannulation

View Article: PubMed Central - PubMed

ABSTRACT

Tracheostomy decannulation has always been considered a procedure with an attendant risk, especially in patients with a reduced upper airway diameter as is commonly observed in the obstructive sleep apnoea (OSA) population. We report on 4 cases where transoral robotic surgery (TORS) helped in the management of long-term cannulated patients. The aims of our paper are: 1. To demonstrate how the otolaryngology team can help identify patients at high risk for decannulation failure; and 2. To demonstrate how TORS may aid in the decannulation process of patients at high risk for failure due to severe tongue base hypertrophy. From our experience, TORS appears to offer an effective option to aid in the decannulation of patients with a severe hypertrophy of the base of tongue and floppy epiglottis.

No MeSH data available.


Related in: MedlinePlus

Endoscopic examination before TORS highlighted hypertrophy of the BOT associated to an oedema of the epiglottis occluding almost completely the upper airway.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC5384309&req=5

Figure 1: Endoscopic examination before TORS highlighted hypertrophy of the BOT associated to an oedema of the epiglottis occluding almost completely the upper airway.

Mentions: The endoscopic examination highlighted hypertrophy of the BOT and oedema of the epiglottis causing near complete occlusion of the upper airway (Fig. 1). As part of his evaluation for failed decannulation, the patient also underwent both a CT scan and an MRI scan of the neck with contrast (Fig. 2).


Transoral robotic surgery (TORS): a new tool for high risk tracheostomy decannulation
Endoscopic examination before TORS highlighted hypertrophy of the BOT associated to an oedema of the epiglottis occluding almost completely the upper airway.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5384309&req=5

Figure 1: Endoscopic examination before TORS highlighted hypertrophy of the BOT associated to an oedema of the epiglottis occluding almost completely the upper airway.
Mentions: The endoscopic examination highlighted hypertrophy of the BOT and oedema of the epiglottis causing near complete occlusion of the upper airway (Fig. 1). As part of his evaluation for failed decannulation, the patient also underwent both a CT scan and an MRI scan of the neck with contrast (Fig. 2).

View Article: PubMed Central - PubMed

ABSTRACT

Tracheostomy decannulation has always been considered a procedure with an attendant risk, especially in patients with a reduced upper airway diameter as is commonly observed in the obstructive sleep apnoea (OSA) population. We report on 4 cases where transoral robotic surgery (TORS) helped in the management of long-term cannulated patients. The aims of our paper are: 1. To demonstrate how the otolaryngology team can help identify patients at high risk for decannulation failure; and 2. To demonstrate how TORS may aid in the decannulation process of patients at high risk for failure due to severe tongue base hypertrophy. From our experience, TORS appears to offer an effective option to aid in the decannulation of patients with a severe hypertrophy of the base of tongue and floppy epiglottis.

No MeSH data available.


Related in: MedlinePlus