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Updated: Jan 24, 2026

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
Published on: February 7, 2025
Post-operative care and complications following transoral robotic surgery for obstructive sleep apnoea
Martin Mølhave1, Sara Svanesøe1,2, Winnie Aggerholm1
1Department of Otorhinolaryngology, Head and Neck Surgery, Gødstrup Hospital.
Introduction:
Transoral robotic surgery for base-of-tongue reduction (TORS-BOT) is an effective treatment for obstructive sleep apnoea (OSA) in patients with tongue base collapse and lingual tonsil hypertrophy. However, post-operative complications may considerably affect recovery. This study evaluated post-operative outcomes, particularly dysphagia, pain management and nutritional challenges, in a Danish cohort.
Methods:
This retrospective cohort study included patients who underwent TORS-BOT at a single Danish centre between April 2022 and September 2024. Data were extracted from electronic medical records. Outcomes included dysphagia, pain management, nasogastric tube (NGT) use and infection rates.
Results:
Forty patients, primarily middle-aged, overweight males, underwent TORS-BOT. Most also received additional sleep surgery procedures. The median hospital stay was 3.5 days. Readmission occurred in 20%, mainly due to pain, infection or bleeding. More than 80% experienced complications, with dysphagia (70%) being the most common, often requiring NGT support. Pain control was frequently insufficient, resulting in impaired oral intake. Constipation was prevalent (68%), whereas laxative prophylaxis was inconsistent. Antibiotics were administered to 40%, mainly for aspiration pneumonia.
Conclusions:
Post-operative dysphagia, pain and nutritional issues were common after TORS-BOT for OSA. Standardised post-operative protocols focusing on pain management, dysphagia interventions and nutritional support are needed.
Funding:
None.
Trial Registration:
Not relevant.
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