There are a variety of surgical procedures for patients experiencing throat problems that cannot be helped with medications or other treatment. Dr. Rosner is skilled in performing tonsillectomies, adenoidectomies, thyroidectomies, laryngectomies, and tracheostomies, among others. It should be noted that most throat surgery is performed only in cases involving a chronic sore throat, tonsillitis, adenoiditis or cancer.
One state-of-the-art procedure Dr. Rosner specializes in is trans-oral robotic surgery for patients experiencing sleep apnea. This surgical procedure utilizes the da Vinci robotic system, a treatment that has been used successfully to perform lingual tonsillectomy for cancers of the tongue base. Combining robotic surgery of the lingual tonsils and tongue base has markedly better cure rates for sleep apnea compared to prior techniques.
Throat Surgery Advantages
Advantages of robotic lingual tonsillectomy and partial glossectomy for sleep apnea include:
- Higher cure rate of sleep apnea
- Better identification of site of airway blockage by drug induced sleep endoscopy
- Superior lighting magnification and 3-D viewer
- Robotic arms with more range of motion, better precision, and improved scaling than the human hand
- Precise measurement of the volume of tissue removed allows for consistency
Throat Surgery Candidates
The best candidates for this state-of-the-art procedure will share the following characteristics:
- Diagnosis of sleep apnea on a sleep study
- Failed positive airway pressure (PAP) therapy
- May have failed prior sleep apnea surgery
- Need to open the mouth a minimum of one centimeter
- Evidence of lingual tonsil enlargement and tongue base collapse seen on sleep endoscopy
- Body mass index (BMI) of 34 or less
If you have sleep apnea and are not using PAP on a regular basis you should obtain a consultation regarding trans-oral robotic surgery for sleep apnea (TORS).