Comparison of fiber delivered CO2 laser and electrocautery in transoral robot assisted tongue base surgery

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dc.contributor.authorKaraman, Murat
dc.contributor.authorGün, Taylan
dc.contributor.authorTemelkuran, Burak
dc.contributor.authorAynacı, Engin
dc.contributor.authorKaya, Cem
dc.contributor.authorTekin, Ahmet Mahmut
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:52:16Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:52:16Z
dc.date.issued2017
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun Boğaz Hastalıkları Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göğüs Cerrahisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.descriptionWOS: 000399177100026
dc.descriptionPubMed ID: 28190091
dc.description.abstractTo compare intra-operative and post-operative effectiveness of fiber delivered CO2 laser to monopolar electrocautery in robot assisted tongue base surgery. Prospective non-randomized clinical study. Twenty moderate to severe obstructive sleep apnea (OSA) patients, non-compliant with Continuous Positive Airway Pressure (CPAP), underwent Transoral Robotic Surgery (TORS) using the Da Vinci surgical robot in our University Hospital. OSA was treated with monopolar electrocautery in 10 patients, and with flexible CO2 laser fiber in another 10 patients. The following parameters in the two sets are analyzed: Intraoperative bleeding that required cauterization, robot operating time, need for tracheotomy, postoperative self-limiting bleeding, length of hospitalization, duration until start of oral intake, pre-operative and post-operative minimum arterial oxygen saturation, pre-operative and post-operative Epworth Sleepiness Scale score, postoperative airway complication and postoperative pain. Mean follow-up was 12 months. None of the patients required tracheotomy and there were no intraoperative complications related to the use of the robot or the CO2 laser. The use of CO2 laser in TORS-assisted tongue base surgery resulted in less intraoperative bleeding that required cauterization, shorter robot operating time, shorter length of hospitalization, shorter duration until start of oral intake and less postoperative pain, when compared to electrocautery. Postoperative apnea-hypopnea index scores showed better efficacy of CO2 laser than electrocautery. Comparison of postoperative airway complication rates and Epworth sleepiness scale scores were found to be statistically insignificant between the two groups. The use of CO2 laser in robot assisted tongue base surgery has various intraoperative and post-operative advantages when compared to monopolar electrocautery.
dc.identifier.citationKaraman, M., Gün, T., Temelkuran, B., Aynacı, E., Kaya, C. ve Tekin, A. M. (2017). Comparison of fiber delivered CO2 laser and electrocautery in transoral robot assisted tongue base surgery. European Archives of Oto-Rhino-Laryngology, 274(5), 2273-2279. https://dx.doi.org/10.1007/s00405-017-4449-3
dc.identifier.doi10.1007/s00405-017-4449-3
dc.identifier.endpage2279
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue5
dc.identifier.scopusqualityQ2
dc.identifier.startpage2273
dc.identifier.urihttps://dx.doi.org/10.1007/s00405-017-4449-3
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2372
dc.identifier.volume274
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectObstructive Sleep Apnea
dc.subjectFiber Delivered CO2 Laser
dc.subjectMonopolar Electrocautery
dc.subjectRobot Assisted Surgery
dc.subjectTongue Base Surgery
dc.titleComparison of fiber delivered CO2 laser and electrocautery in transoral robot assisted tongue base surgery
dc.typeArticle

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