Imperial College London
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DrBurakTemelkuran

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Lecturer in Biomedical Photonics
 
 
 
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Contact

 

b.temelkuran Website

 
 
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Location

 

E312Burlington DanesHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Karaman:2017:10.1007/s00405-017-4449-3,
author = {Karaman, M and Gun, T and Temelkuran, B and Aynaci, E and Kaya, C and Tekin, AM},
doi = {10.1007/s00405-017-4449-3},
journal = {European Archives of Oto-Rhino-Laryngology},
pages = {2273--2279},
title = {Comparison of fiber delivered CO2 laser and electrocautery in transoral robot assisted tongue base surgery},
url = {http://dx.doi.org/10.1007/s00405-017-4449-3},
volume = {274},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - To compare intra-operative and post-operative effectiveness of fiber delivered CO2 laser to monopolar electrocautery in robot assisted tongue base surgery. Prospective non-randomized clinical study. Twenty moderate to severe obstructive sleep apnea (OSA) patients, non-compliant with Continuous Positive Airway Pressure (CPAP), underwent Transoral Robotic Surgery (TORS) using the Da Vinci surgical robot in our University Hospital. OSA was treated with monopolar electrocautery in 10 patients, and with flexible CO2 laser fiber in another 10 patients. The following parameters in the two sets are analyzed: Intraoperative bleeding that required cauterization, robot operating time, need for tracheotomy, postoperative self-limiting bleeding, length of hospitalization, duration until start of oral intake, pre-operative and post-operative minimum arterial oxygen saturation, pre-operative and post-operative Epworth Sleepiness Scale score, postoperative airway complication and postoperative pain. Mean follow-up was 12 months. None of the patients required tracheotomy and there were no intraoperative complications related to the use of the robot or the CO2 laser. The use of CO2 laser in TORS-assisted tongue base surgery resulted in less intraoperative bleeding that required cauterization, shorter robot operating time, shorter length of hospitalization, shorter duration until start of oral intake and less postoperative pain, when compared to electrocautery. Postoperative apnea–hypopnea index scores showed better efficacy of CO2 laser than electrocautery. Comparison of postoperative airway complication rates and Epworth sleepiness scale scores were found to be statistically insignificant between the two groups. The use of CO2 laser in robot assisted tongue base surgery has various intraoperative and post-operative advantages when compared to monopolar electrocautery.
AU  - Karaman,M
AU  - Gun,T
AU  - Temelkuran,B
AU  - Aynaci,E
AU  - Kaya,C
AU  - Tekin,AM
DO  - 10.1007/s00405-017-4449-3
EP  - 2279
PY  - 2017///
SN  - 0937-4477
SP  - 2273
TI  - Comparison of fiber delivered CO2 laser and electrocautery in transoral robot assisted tongue base surgery
T2  - European Archives of Oto-Rhino-Laryngology
UR  - http://dx.doi.org/10.1007/s00405-017-4449-3
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000399177100026&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://link.springer.com/article/10.1007%2Fs00405-017-4449-3
VL  - 274
ER  -
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