Importance: @entity1 who undergo surgery for @entity27 ( @entity27 ) have acceptable perioperative morbidity that is similar to that seen in other sleep-related surgical procedures. Objective: To perform the first large-scale evaluation of perioperative management and @entity260 in @entity1 who undergo transoral robotic surgery (TORS) for @entity27 . Design, Setting, and @entity1 : Retrospective cohort study from 2010 to 2013 of 166 adult @entity1 with moderate to severe @entity27 (defined as @entity27 index, >20) who had experienced failure of conventional therapy with positive airway pressure and underwent TORS at an academic practice with follow-up greater than 3 months. Interventions: Transoral robotic surgery with or without additional multilevel airway procedures. Main Outcomes and Measures: Major and minor complication rates. Results: There were 122 @entity1 and 44 @entity1 with a mean (SD) age of 54.6 (12.3) years. The mean (SD) American Society of Anesthesiologists (ASA) score was 2.3 (0.5). There were 11 major complications, including secondary @entity548 requiring intervention (7 @entity1 ), @entity1151 requiring anticoagulation therapy (2 @entity1 ), aspiration requiring prolonged hospitalization (1 @entity1 ), and @entity1282 resulting in @entity734 (1 @entity1 ). There were 32 minor complications, including dehydration and/or uncontrolled @entity158 (16 @entity1 ), globus sensation (8 @entity1 ), @entity548 (5 @entity1 ), lip burn (2 @entity1 ), and pharyngeal laceration during intubation (1 @entity1 ); the majority resolved without sequelae. Preoperative ASA score (P   =   .003) and number of procedures performed (P   =   .004) predicted a @entity260 . Age (P   =   .29), body mass index (P   =   .55), @entity27 index (P   =   .67), lowest arterial @entity26 saturation (P   =   .63), number of comorbidities (P   =   .46), and individual comorbidities did not predict a complication. Conclusions and Relevance: Transoral robotic surgery can be safely performed in @entity1 with @entity27 with an acceptable complication rate. Complications are similar to those seen with other surgical treatments of @entity27 and were only predicted by ASA score and number of procedures performed.

Transoral Robotic Surgery for Obstructive Sleep Apnea: Perioperative Management and XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'patient', 'Participants', 'men'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity27 :: ('MESH:D020181', 'Disease') :: ['apnea-hypopnea', 'obstructive sleep apnea', 'OSA'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications', 'postoperative complication'] @entity1151 :: ('MESH:D011655', 'Disease') :: ['pulmonary embolism'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity734 :: ('MESH:D019966', 'Disease') :: ['gastrostomy tube dependence']
@entity260 :: (MESH:D011183,Disease) :: ['Postoperative Complications']
