Tonsillectomy May Not Be the Answer in All OSA Cases.

Autor:	Bargagna B; Otorhinolaryngology, Department, Hospital Quirónsalud Marbella, 29603 Málaga, Spain.; Sanatorio Güemes, Ciudad Autónoma de Buenos Aires, CP 3933 Buenos Aires, Argentina., O'Connor-Reina C; Otorhinolaryngology, Department, Hospital Quirónsalud Marbella, 29603 Málaga, Spain., Rodriguez-Alcala L; Otorhinolaryngology, Department, Hospital Quirónsalud Marbella, 29603 Málaga, Spain., Navarro A; Otorhinolaryngology Department, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, CP 28042 Madrid, Spain.; Otorhinolaryngology Department, Hospital Universitario Sanitas La Zarzuela, CP 28023 Madrid, Spain., Bosco G; Otorhinolaryngology Department, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, CP 28042 Madrid, Spain.; Otorhinolaryngology Department, Hospital Universitario Sanitas La Zarzuela, CP 28023 Madrid, Spain., Pérez-Martín N; Otorhinolaryngology Department, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, CP 28042 Madrid, Spain.; Otorhinolaryngology Department, Hospital Universitario Sanitas La Zarzuela, CP 28023 Madrid, Spain., Baptista PM; Otorhinolaryngology Department, Otorhinolaryngology Dep., Al Zahra Hospital, Dubai 124412, United Arab Emirates., Carrasco-Llatas M; Otorhinolaryngology Department, Hospital Doctor Peset, CP 46017 Valencia, Spain., Plaza G; Otorhinolaryngology Department, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, CP 28042 Madrid, Spain.; Otorhinolaryngology Department, Hospital Universitario Sanitas La Zarzuela, CP 28023 Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Journal of clinical medicine [J Clin Med] 2024 Oct 28; Vol. 13 (21). Date of Electronic Publication: 2024 Oct 28.
DOI:	10.3390/jcm13216456
Abstrakt:	Tonsillectomy is considered the standard of care in patients with obstructive sleep apnea (OSA) and large tonsils; however, there are selected cases where this procedure should not be considered. We present two patients with tonsil grade 4 and severe OSA where tonsillectomy was not the solution for their problem and could be a superfluous procedure. In our experience, a preoperatory drug-induced sleep endoscopy (DISE) and proper patient phenotyping will prevent this type of surgical failure.
Databáze:	MEDLINE
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