Lateral-Expansion Pharyngoplasty: Combined Technique for the Treatment of Obstructive Sleep Apnea Syndrome
| Autor: | Davi Knoll Ribeiro, Luciana Godoy, José Antonio Pinto, Gabriel Santos Freitas, C. Duarte, Kelly Elia Abdo, Gabriella Spinola Jahic, Andre Freitas da Silva Cavallini, Heloisa dos Santos Sobreira Nunes |
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| Rok vydání: | 2019 |
| Předmět: |
Visual analogue scale
Excessive daytime sleepiness lcsh:Medicine Polysomnography surgical technique 03 medical and health sciences pharynx/surgery 0302 clinical medicine polysomnography medicine 030223 otorhinolaryngology obstructive sleep apnea Original Research medicine.diagnostic_test business.industry upper airway surgery Epworth Sleepiness Scale lcsh:R Sleep apnea Apnea medicine.disease lcsh:Otorhinolaryngology lcsh:RF1-547 nervous system diseases respiratory tract diseases Obstructive sleep apnea Otorhinolaryngology 030220 oncology & carcinogenesis Anesthesia medicine.symptom pharyngeal muscles business Hypopnea |
| Zdroj: | International Archives of Otorhinolaryngology International Archives of Otorhinolaryngology v.24 n.1 2020 Fundação Otorrinolaringologia (FORL) instacron:FORL International Archives of Otorhinolaryngology, Vol 24, Iss 01, Pp e107-e111 (2020) International Archives of Otorhinolaryngology, Volume: 24, Issue: 1, Pages: e107-e111, Published: 14 FEB 2020 |
| ISSN: | 1809-9777 |
| Popis: | Introduction Obstructive sleep apnea syndrome (OSAS) is a multifactorial disease characterized by episodes of partial or complete collapse during sleep of different regions of the upper airway. Surgery for OSAS evolved with the introduction of different techniques, considering new surgical concept of reconstruction of the upper airway. Objective To retrospectively evaluate the effectiveness of a new approach aimed at reducing pharyngeal collapse by combining two surgical techniques: lateral and expansion pharyngoplasty. Methods We reviewed the medical records of 38 patients with OSAS undergoing lateral/expansion pharyngoplasty from January 2012 to December 2016. The following data were collected: patient age, gender, and pre- and postoperative body mass index (BMI), Epworth sleepiness scale (ESS) scores, snoring visual analogue scale (VAS) scores, and polysomnography (PSG) results. Results The PSG results showed a significant reduction in the apnea/hypopnea index (AHI) from 22.4 ± 27.3 events/h preoperatively to 13.6 ± 17.9 events/h postoperatively (p = 0.009), with postoperative AHI reduction greater than 50% in 63.2% of the patients. There was also a significant reduction in the microarousal index (19.5 ± 22.6 vs 11.0 ± 13.4 events/h; p = 0.001) and in the minimum oxygen saturation (82.6 ± 10.3 vs 86.9 ± 11.1; p = 0.007). Conclusions Lateral-expansion pharyngoplasty represents a new surgical strategy for the treatment of OSAS in patients with palatal collapse by combining two different techniques: lateral and expansion pharyngoplasty. The two techniques, performed as a one-stage procedure, led to improvements in excessive daytime sleepiness, snoring, and PSG respiratory parameters by acting on lateral and retropalatal collapse, producing favorable results with good applicability in otolaryngology clinical practice. |
| Databáze: | OpenAIRE |
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