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Cited by 62Obstructive Sleep Apnea ResearchNasal Surgery and Airway StudiesOropharyngeal Anatomy and Pathologies

The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.

An adjunctive method of radiofrequency volumetric tissue reduction of the tongue for OSAS

Riley, R·2003·Otolaryngology - Head and Neck Surgery
DOI 10.1016/s0194-5998(03)00482-0
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Abstract

OBJECTIVES: Temperature-controlled radiofrequency volumetric reduction (TCRF), a minimally invasive procedure, has been used to treat tongue base obstruction in Obstructive Sleep Apnea Syndrome (OSAS). An adjunctive method was objectively evaluated. METHOD: A prospective, nonrandomized clinical study was undertaken on 20 consecutive OSAS patients with isolated tongue base obstruction. Under local anesthesia, multiple lesions of the ventral tongue (genioglossus insertion) and dorsal tongue were given at each treatment session. A visual analog scale was used to assess changes in speech and swallowing. Polysomnography and Epworth Sleepiness Scale (ESS) were used to assess outcome. Patients were maintained on nasal continuous positive airway pressure after each treatment. RESULTS: Patients received a mean 4.6 +/- 0.6 treatments for a mean total of 7915 +/- 1152 joules. There was no significant change in speech or swallowing at 3 months after completion of treatment. Patients reported a significant decrease in sleepiness with a mean change in ESS from 12.4 +/- 2.9 to 7.3 +/- 3.0 (P < 0.001). Mean apnea/hypopnea index decreased from 35.1 +/- 18.1 to 15.1 +/- 17.4 (P < 0.001). Transient mild to moderate pain and swelling occurred after each treatment. There were no significant complications (ulceration, paresthesia, infection). CONCLUSION: TCRF can successfully treat the OSAS patient with tongue base obstruction. Combined treatment of the ventral (genioglossus insertion) and dorsal tongue appears safe and may improve outcome with less total energy when compared with traditional dorsal-only applications.

Overview

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Registry

Crossref · 10.1016/s0194-5998(03)00482-0

Cites

14 of 14 references verified0 citation errors · 0 not checkable

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  • The postoperative complication rate of radiofrequency surgery of the tongue base varies between 0 and 41%, and is mostly below 5%.

    “The postoperative complication rate varies between 0 and 41%, and is mostly below 5% 229, 232, 233, 263, 267–270.”

    From Non-CPAP therapies in obstructive sleep apnoea (2011) · cites this paper as [268]

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Metadata

Authors
Riley, R.
Affiliations
Stanford Medicine (US)
Corresponding author
Riley, R
ORCID
Riley, R
Venue
Otolaryngology - Head and Neck Surgery
Publisher
Wiley
Published
2003-07
Volume
129
Issue
1
Pages
37-42
ISSN
  • 0161-6439 (ISSN-L)
  • 0194-5998
DOI
10.1016/s0194-5998(03)00482-0
OpenAlex
W2086608090
Cited by
62
References
14
Citations by year
2026: 1 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2016: 3 · 2015: 2 · 2013: 2 · 2012: 2
FWCI
3.64
Type
journal article
Language
en
Open access
closed
Locations
  • Otolaryngology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
  • Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
  • Health Sciences › Medicine › Otorhinolaryngology › Oropharyngeal Anatomy and Pathologies
Keywords
obstructive sleep apnea, tongue base obstruction, adjunctive therapy, apnea-hypopnea index, daytime sleepiness
MeSH terms
Adult, Female, Humans, Male, Middle Aged, Prospective Studies, Tongue, Treatment Outcome, Catheter Ablation, Minimally Invasive Surgical Procedures, Sleep Apnea, Obstructive

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