Transoral Robotic Surgery in Chronic Lingual Tonsillitis: An Observational Cohort Study.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-22 DOI:10.1002/hed.28074

Alexandra G L Toppenberg, Robert E Plaat, Leonora Q Schwandt

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Abstract

Background: Chronic lingual tonsillitis (CLT) entails persistent inflammation of the lingual tonsils (LT), presenting in recurrent infections, throat discomfort, dyspnea, dysphagia, and LT hypertrophy.

Methods: A retrospective observational study at a nonacademic general hospital described outcomes of CLT patients undergoing base of tongue (BOT) reduction via transoral robotic surgery (TORS). Primary outcomes were changes in patient-reported quality of swallowing and life and were assessed at baseline, 3, 6, and 12 months post-TORS. Secondary outcomes were tonsillitis complaints, LT Friedman grade, and postoperative complications.

Results: Thirty-three patients were included, 5 patients were lost to follow-up at 6 and 12 months. Improved swallowing experience and enhanced quality of life were observed. Tonsillitis scores decreased significantly (mean 7.8 to 1.65 p < 0.001). LT Friedman grade reduced, with 69.7% achieving grade 0 at 12-months follow-up. Two patients experienced postoperative bleeding.

Conclusions: TORS appears effective and safe for treating CLT improving swallowing, and overall quality of life for patients and reducing tonsillitis complaints.

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慢性舌扁桃体炎的经口机器人手术：一项观察队列研究。

背景：慢性舌扁桃体炎（CLT）是指舌扁桃体（LT）的持续性炎症，表现为反复感染、咽喉不适、呼吸困难、吞咽困难和LT肥大。方法：在一家非学术性综合医院进行回顾性观察研究，描述了CLT患者通过经口机器人手术（TORS）进行舌根（BOT）复位的结果。主要结局是患者报告的吞咽质量和生活质量的变化，并在tors后的基线、3、6和12个月进行评估。次要结局是扁桃体炎主诉、LT Friedman分级和术后并发症。结果：纳入33例患者，5例患者在6个月和12个月失访。观察到吞咽体验改善和生活质量提高。扁桃体炎评分显著降低（平均7.8 - 1.65 p）。结论：TORS治疗CLT有效且安全，可改善患者吞咽，改善患者整体生活质量，减少扁桃体炎的投诉。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.

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