scholarly journals Alternative Applications of Trans-Oral Robotic Surgery (TORS): A Systematic Review

2020 ◽  
Vol 9 (1) ◽  
pp. 201 ◽  
Author(s):  
Giovanni Cammaroto ◽  
Luigi Marco Stringa ◽  
Henry Zhang ◽  
Pasquale Capaccio ◽  
Francesco Galletti ◽  
...  
Keyword(s):  
Systematic Review ◽  
Robotic Surgery ◽  
English Literature ◽  
Sleep Apnoea ◽  
Obstructive Sleep Apnoea Syndrome ◽  
Electronic Database ◽  
Inclusion Criteria ◽  
Benign Pathology ◽  
Obstructive Sleep

Background: The role of robotic surgery in the field of oncology has been widely described, in particular for the tumours of the oropharynx and larynx, but its efficacy for benign pathology is inconsistent. Methods: An exhaustive review of the English literature on trans-oral robotic surgery (TORS) for benign conditions was performed using PubMed electronic database. Results: The research was performed in March 2019 and yielded more than eight hundred articles, with 103 meeting the inclusion criteria and considered in the present study. Conclusions: The application of TORS for the treatment of obstructive sleep apnoea syndrome seems to be particularly well documented. Additionally, there exists a special interest in its use where high precision in limited anatomic space is required. There are still different structural and economic limitations for the application of TORS, however, the progressive technologic innovations and the increasing adoption of robotic surgery seem to encourage the uptake of this technique.

scholarly journals Clinical Evidence in the Treatment of Obstructive Sleep Apnoea with Oral Appliances: A Systematic Review

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Andrea Rossi ◽  
Antonino Lo Giudice ◽  
Camilla Di Pardo ◽  
Alberto Teodoro Valentini ◽  
Francesca Marradi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnoea ◽  
Assessment Tool ◽  
Sleep Apnoea ◽  
Common Finding ◽  
Control Group ◽  
Oral Appliances ◽  
Inclusion Criteria ◽  
Obstructive Sleep ◽  
Definition Of

Background. Recent clinical guidelines have extended indications for oral appliances to subjects affected by moderate-to-severe obstructive sleep apnoea (OSA). The aim of this systematic review covering this important issue for public health is twofold: updating and summarizing the best available scientific evidence by selecting RCTs of quality only, and identifying the therapeutic pathways that can be transferred to the current clinical practice. Methods. All the abstracts which were published before February 18, 2019, have been identified in three electronic databases (PubMed, Web of Science, and Cochrane). The Cochrane Collaboration’s tool for assessing risk of bias was used as an assessment tool in order to evaluate the quality of the selected studies. Results. The search strategy yielded 2,260 studies. After removing duplicates and studies that did not comply with the inclusion criteria, 32 full-text articles were assessed for eligibility, and 17 RCTs were finally included in the qualitative synthesis. The 17 selected studies were very heterogeneous in the type of included RCTs in terms of patient inclusion criteria, sample size, distribution of the two genders in the various groups, duration of treatment, and definition of primary and secondary outcomes, without any restriction on the definition of the control group. A common finding was the positive responsiveness of oral appliance treatment in subjects affected by mild-to-moderate OSA with some evidence for cases of severe OSA. Conclusion. Higher-quality studies are needed in order to provide additional useful guidelines for dental clinicians for OSA management.

The role of nasal CPAP in obstructive sleep apnoea syndrome due to mandibular hypoplasia

Respirology ◽  
2010 ◽  
Vol 15 (2) ◽  
pp. 377-379 ◽  
Author(s):  
Stanley D.W. MILLER ◽  
Senan F. GLYNN ◽  
John L. KIELY ◽  
Walter T. McNICHOLAS
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Obstructive Sleep Apnoea Syndrome ◽  
Nasal Cpap ◽  
Sleep Apnoea Syndrome ◽  
Mandibular Hypoplasia ◽  
Obstructive Sleep

scholarly journals Maximal exercise capacity in patients with obstructive sleep apnoea syndrome: a systematic review and meta-analysis

2018 ◽  
Vol 51 (6) ◽  
pp. 1702697 ◽  
Author(s):  
Monique Mendelson ◽  
Mathieu Marillier ◽  
Sébastien Bailly ◽  
Patrice Flore ◽  
Jean-Christian Borel ◽  
...  
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnoea ◽  
Aerobic Capacity ◽  
Maximal Exercise ◽  
Functional Limitation ◽  
Sleep Apnoea ◽  
Peak Oxygen Consumption ◽  
Obstructive Sleep Apnoea Syndrome ◽  
Maximal Aerobic Capacity ◽  
Obstructive Sleep

Maximal aerobic capacity is a strong health predictor and peak oxygen consumption (V′O2peak) is considered a reflection of total body health. No systematic reviews or meta-analyses to date have synthesised the existing data regardingV′O2peakin patients with obstructive sleep apnoea (OSA).A systematic review of English and French articles using PubMed/MEDLINE and Embase included studies assessingV′O2peakin OSA patients either in mL·kg−1·min−1compared with controls or in % predicted. Two independent reviewers analysed the studies, extracted the data and assessed the quality of evidence.MeanV′O2peakexpressed in mL·kg−1·min−1was significantly lower in patients with OSA than in controls (mean difference −2.7 mL·kg−1·min−1; p<0.001; n=850). This reduction inV′O2peakwas found to be larger in non-obese patients (body mass index <30 kg·m−2). MeanV′O2peak% pred was 89.9% in OSA patients (n=643).OSA patients have reduced maximal aerobic capacity, which can be associated with increased cardiovascular risks and reduced survival in certain patient subgroups. Maximal exercise testing can be useful to characterise functional limitation and to evaluate health status in OSA patients.

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