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A 52-year-old female presented for an evaluation for sleep apnea surgery. She complained of choking sensation at night. She had an AHI of 6.7 events per hour, a oxygen saturation nadir of 71%, and BMI of 30.6. She and a prior history of adenotonsillectomy as a child. Flexible examination in the office revealed grade 4 lingual tonsil hypertrophy. She was deemed a candidate for lingual tonsillectomy and was taken to the operating for robotic lingual tonsillectomy. The technique for adult lingual tonsillectomy is shown in step-by-step fashion with tips for good results both operatively and functionally learned from robotic surgery for cancer of the unknown primary origin.
Contributors: Jessica Moskovitz, MD, Leila J. Mady, MD, PhD, MPH, Umamaheswar Duvvuri, MD, PhD
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Erratum: The da Vinci Xi robotic system was used for this procedure. This system has larger robotic instrument arms (8mm) and the availability of a Maryland Bipolar, which was used to control bleeding from the intrinsic tongue musculature. The Maryland Bipolar is not available in the da Vinci Si 5mm instrumentation.
please,comment on post op. management and precations.