Description
This comprehensive book pulls together the essential elements needed to assess sleep apnea patients for the transoral robotic surgical approach and how to optimize the surgery. Detailed information on patient selection, pre-operative work up, anesthesiological pre and post-operative management, surgery, complication prevention and management is provided along with background on sleep medicine and sleep surgery. Authored for ENT surgeons, head and neck specialists and neurologists, pneumonologists, sleep doctors as well for anesthesiologists, chapters offer solutions pulled from experts in the field of sleep surgery and information relevant to geographic areas worldwide. Claudio Vicini, MD Head & Neck Department, ASL Romagna Otolaryngology – Head and Neck Surgery Unit, Stomatology and Oral Surgery Unit, GB Morgagni – L Pierantoni Hospital (Forl), Infermi Hospital (Faenza), Italy Paul Theodore Hoff, MS, MD University of Michigan Hospital Department of Otolaryngology – Head and Neck Surgery Ann Arbor, Michigan, USA Filippo Montevecchi, MD Head & Neck Department, ASL Romagna Otolaryngology – Head and Neck Surgery Unit, Stomatology and Oral Surgery Unit, GB Morgagni – L Pierantoni Hospital (Forl), Infermi Hospital (Faenza), Italy IntroductionPart I: Patient Work-Up2 Tongue Pathophysiology in OSAS Patients: A Surgically Oriented Perspective 3 History-Taking and Clinical Examination 4 Sleep Studies 5 Imaging 6 Drug Induced Sedation Endoscopy (DISE) 7 Patient Selection Part II: Surgery8 Transoral Robotic Surgery as Single Level Surgery for Treatment of Obstructive Sleep Apnea9 TORS in a Multilevel Procedure 10 Alternative Procedures11 Robotic Setting12 Surgical Anatomy in Trans-oral Robotic Procedure: Basic Fundamentals 13 Trans Oral Robotic Surgery for Obstructive Sleep Apnea Syndrome: An Anesthetist’s Point of View14 Technique: How We do It Part III: Post-Operative Concerns15 Post-Operative Management of Trans-Oral Robotic Surgery for Obstructive Sleep Apnea 16 Expected Outcomes 17 Complication Management 18 Short- and Long-term Dysphagia19 Failures ManagementPart IV: TORS for OSAS in Geographic Perspective: How to Run a Program in Different Countries20 The North American Experience 21 The South American Experience 22 The European Experience
