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87th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

04.05. - 07.05.2016, Düsseldorf

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Isolated tongue tonsillectomy for OSAS

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  • corresponding author Frédéric Chabolle - Service ORL - chirurgie face et cou, Hopital Foch, Suresnes, France
  • C. Chaufton - Service ORL - chirurgie face et cou, Hopital Foch, Suresnes, France
  • M. Blumen - Service ORL - chirurgie face et cou, Hopital Foch, Suresnes, France
  • C. Mure - Service ORL - chirurgie face et cou, Hopital Foch, Suresnes, France

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 87. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Düsseldorf, 04.-07.05.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. Doc16hnod584

doi: 10.3205/16hnod584, urn:nbn:de:0183-16hnod5845

Published: March 30, 2016

© 2016 Chabolle et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Retrospective study: 12 patients with OSAS got isolated tongue tonsillectomy: 4 mild OSAS, 4 moderate OSAS and 4 severe OSAS.

The patients had previously sleep recording, MRI and preoperative sleep endoscopy (DISE), BMI was less than 30. Mean age was 44 years. 3 tonsillectomy techniques were used: coblation, diode laser and robot.

Postop apnea/hypopnea index decreases from 28.4 to 11.7. Postop Epworth from 12.5 to 7.2. Snoring decreases by 83%. BMI decreased from 28.6 to 27.4. For severe OSAS Group, apnea/hyponea index decreased from 50 to18. Patients group with complete isolated tongue base obstruction were all cured. When tongue obstruction is partial or associated with a second obstructive site, surgery was less effective.

Lingual tonsillectomy can cure severe OSAS if DISE shows a unique and comprete tonsil obstructive site.

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