Long-term outcomes of extracapsular tonsillectomy in the treatment of obstructive sleep apnoea in adults.
Autor: | Knubb J; Department of Otorhinolaryngology, Faculty of Medicine, University of Turku, Turku, Finland.; Division of Surgery and Cancer Diseases, Department of Otorhinolaryngology-Head and Neck Surgery, Turku University Hospital, Turku, Finland., Sjöblom HM; Department of Otorhinolaryngology, Faculty of Medicine, University of Turku, Turku, Finland.; Division of Surgery and Cancer Diseases, Department of Otorhinolaryngology-Head and Neck Surgery, Turku University Hospital, Turku, Finland., Ikonen E; Department of Otorhinolaryngology, Faculty of Medicine, University of Turku, Turku, Finland., Suomela M; Department of Otorhinolaryngology, Faculty of Medicine, University of Turku, Turku, Finland.; Department of Clinical Neurophysiology, Turku University Hospital, Turku, Finland., Piitulainen JM; Department of Otorhinolaryngology, Faculty of Medicine, University of Turku, Turku, Finland.; Division of Surgery and Cancer Diseases, Department of Otorhinolaryngology-Head and Neck Surgery, Turku University Hospital, Turku, Finland. |
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Jazyk: | angličtina |
Zdroj: | Acta oto-laryngologica [Acta Otolaryngol] 2024 Nov-Dec; Vol. 144 (11-12), pp. 646-651. Date of Electronic Publication: 2024 Nov 01. |
DOI: | 10.1080/00016489.2024.2420700 |
Abstrakt: | Background: Tonsillectomy is an effective treatment option for obstructive sleep apnoea in selected adult patients, but there has been a lack of long-term follow-up data. Objectives: To analyse the long-term outcomes of extracapsular tonsillectomy in the treatment of obstructive sleep apnoea in adults, with the longest follow-up periods to date. Materials and Methods: We recruited adults who had undergone extracapsular tonsillectomy because of obstructive sleep apnoea between 2004 and 2018 in the Hospital District of Southwest Finland. A new home sleep study, questionnaires, and a structured phone interview were conducted on these patients 4-17 years after surgical treatment. The primary outcome was the change in the apnoea-hypopnoea index. Results: The mean apnoea-hypopnoea index was reduced from 27.1 preoperatively to 14.1 after the long-term follow-up (mean 12 years), and the mean Epworth Sleepiness Scale score decreased from 9.2 to 4.6. The long-term surgical success rate was 38.5%. Four out of five patients would choose the surgery again according to the phone interview. Conclusions and Significance: This study supports the notion that extracapsular tonsillectomy alone can be considered as a surgical treatment option for selected adults with obstructive sleep apnoea and tonsillar hypertrophy. For most of the patients, the obstructive sleep apnoea is alleviated. |
Databáze: | MEDLINE |
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