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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.


Endoscopic view after 6 months of follow-up.
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Figure 3: Endoscopic view after 6 months of follow-up.

Mentions: The case was discussed at the multidisciplinary airway conference where it was recommended that the patient undergo TORS BOT reduction and supraglottoplasty (SGP). The patient underwent TORS BOT resection and SGP in October 2014; a total of 12 mls of lingual tissue was resected. The patient was successfully decannulated in January 2015. At 6 months follow-up, the patient did not complain any further symptoms and did not require replacement of the tracheostomy (Fig. 3).


Transoral robotic surgery (TORS): a new tool for high risk tracheostomy decannulation
Endoscopic view after 6 months of follow-up.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Endoscopic view after 6 months of follow-up.
Mentions: The case was discussed at the multidisciplinary airway conference where it was recommended that the patient undergo TORS BOT reduction and supraglottoplasty (SGP). The patient underwent TORS BOT resection and SGP in October 2014; a total of 12 mls of lingual tissue was resected. The patient was successfully decannulated in January 2015. At 6 months follow-up, the patient did not complain any further symptoms and did not require replacement of the tracheostomy (Fig. 3).

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.