Primary study · included by 1 review

Transoral robotic glossectomy for the treatment of obstructive sleep apnea-hypopnea syndrome.

Friedman 2012 · Friedman Michael, Hamilton Craig, Samuelson Christian G, et al. · Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2012

Included by

Robotic versus non-robotic posterior midline glossectomy for obstructive sleep apnea: a systematic review and meta-analysis.
Non-Cochrane · intervention · 2026 · cited as Friedman 2012 · Supplementary Table 1; reference list; forest plots
Outcome this study informsPooled effectEvidenceCertainty
Snoring score (VAS), change
Non-robotic posterior midline glossectomy (coblation, laser, radiofrequency or conventional) vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 13 months in non-robotic studies
MD -5.62 [-6.35, -4.9]6 studiesGRADE not reported
Postoperative pain (VAS)
Robotic (TORS) posterior midline glossectomy vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 7.5 months in robotic studies
MEAN 5.48 [0.19, 10.78]2 studiesGRADE not reported
Apnea-hypopnea index (AHI), change
Robotic (TORS) posterior midline glossectomy vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 7.5 months in robotic studies
MD -25.93 [-31.82, -20.03]9 studiesGRADE not reported
Oxygen nadir (minimum oxygen saturation), change
Non-robotic posterior midline glossectomy (coblation, laser, radiofrequency or conventional) vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 13 months in non-robotic studies
MD 8.11 [5.06, 11.16]17 studiesGRADE not reported
Surgical success rate (Sher criteria)
Non-robotic posterior midline glossectomy (coblation, laser, radiofrequency or conventional) vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 13 months in non-robotic studies
Proportion 0.57 [0.47, 0.69]13 studiesGRADE not reported
Oxygen nadir (minimum oxygen saturation), change
Robotic (TORS) posterior midline glossectomy vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 7.5 months in robotic studies
MD 5.48 [2.21, 8.75]6 studiesGRADE not reported
Epworth Sleepiness Scale (ESS), change
Non-robotic posterior midline glossectomy (coblation, laser, radiofrequency or conventional) vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 13 months in non-robotic studies
MD -5.58 [-7.83, -3.34]12 studiesGRADE not reported
Oxygen nadir (minimum oxygen saturation), change
Posterior midline glossectomy, robotic and non-robotic combined vs None (single-arm pre/post change or absolute value) · Postoperative; follow-up varied
MD 7.42 [5.16, 9.69]23 studiesGRADE not reported
Snoring score (VAS), change
Robotic (TORS) posterior midline glossectomy vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 7.5 months in robotic studies
MD -5.59 [-7.12, -4.06]4 studiesGRADE not reported
Surgical success rate (Sher criteria)
Robotic (TORS) posterior midline glossectomy vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 7.5 months in robotic studies
Proportion 0.64 [0.56, 0.73]9 studiesGRADE not reported
Surgical success rate (Sher criteria)
Posterior midline glossectomy, robotic and non-robotic combined vs None (single-arm pre/post change or absolute value) · Postoperative; follow-up varied
Proportion 0.61 [0.54, 0.69]22 studiesGRADE not reported
Apnea-hypopnea index (AHI), change
Posterior midline glossectomy, robotic and non-robotic combined vs None (single-arm pre/post change or absolute value) · Postoperative; follow-up varied
MD -25.33 [-29.86, -20.81]28 studiesGRADE not reported
Epworth Sleepiness Scale (ESS), change
Robotic (TORS) posterior midline glossectomy vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 7.5 months in robotic studies
MD -7.43 [-8.65, -6.21]9 studiesGRADE not reported
Apnea-hypopnea index (AHI), change
Non-robotic posterior midline glossectomy (coblation, laser, radiofrequency or conventional) vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 13 months in non-robotic studies
MD -24.99 [-30.97, -19.0]19 studiesGRADE not reported
Oxygen desaturation index (ODI), change
Posterior midline glossectomy, robotic and non-robotic combined vs None (single-arm pre/post change or absolute value) · Postoperative; follow-up varied
MD -16.41 [-23.45, -9.37]4 studiesGRADE not reported
Epworth Sleepiness Scale (ESS), change
Posterior midline glossectomy, robotic and non-robotic combined vs None (single-arm pre/post change or absolute value) · Postoperative; follow-up varied
MD -6.32 [-7.94, -4.7]21 studiesGRADE not reported
Postoperative pain (VAS)
Non-robotic posterior midline glossectomy (coblation, laser, radiofrequency or conventional) vs None (single-arm pre/post change or absolute value) · Postoperative; mean follow-up 13 months in non-robotic studies
MEAN 3.97 [2.45, 5.49]5 studiesGRADE not reported
Respiratory disturbance index (RDI), change
Posterior midline glossectomy, robotic and non-robotic combined vs None (single-arm pre/post change or absolute value) · Postoperative; follow-up varied
MD -33.12 [-38.89, -27.35]7 studiesGRADE not reported

1 including review in total.