Pharyngeal suspension suture with Repose bone screw for obstructive sleep apnea
Autor: | Michael Hawke, E.B. Ross, George P. Katsantonis, Robert E. Bonham, Ari DeRowe, B. Tucker Woodson, Selim R. Benbadis, Barry L. Wenig, Samuel A. Mickelson |
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Rok vydání: | 2000 |
Předmět: |
Adult
Male Gastrointestinal bleeding medicine.medical_specialty Polysomnography Bone Screws 03 medical and health sciences Postoperative Complications 0302 clinical medicine Tongue Suture (anatomy) Humans Medicine Prospective Studies Prospective cohort study 030223 otorhinolaryngology Aged Sleep Apnea Obstructive medicine.diagnostic_test business.industry Suture Techniques Sleep apnea Middle Aged medicine.disease Sialadenitis Surgery Obstructive sleep apnea Hypopharynx Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Anesthesia 030220 oncology & carcinogenesis Pharynx Female business Follow-Up Studies |
Zdroj: | Otolaryngology–Head and Neck Surgery. 122:395-401 |
ISSN: | 1097-6817 0194-5998 |
DOI: | 10.1067/mhn.2000.102119 |
Popis: | Multilevel surgery for obstructive sleep apnea syndrome (OSA) may improve success. This study's goal is to prospectively evaluate the feasibility and short-term subjective effectiveness of a new tongue-suspension technique.A multicenter nonrandomized open enrollment trial used the Repose device to treat tongue obstruction in 39 snoring and OSA patients. Outcomes include 1- and 2-month subjective reports of general health, snoring, and sleep.Twenty-three patients completed 1 month and 19 completed 2 months of follow-up. In OSA patients, activity level, energy/fatigue, and sleepiness improved. Two-month outcomes were less (activity level, energy/fatigue, and sleepiness). Fewer changes were observed in snorers than in OSA patients. There were 6 complications (18%), including sialadenitis (4), gastrointestinal bleeding (1), and dehydration (1) after the procedure.A pharyngeal suspension suture changes subjective outcomes. Improvement is incomplete. The procedure is nonexcisional, but significant complications may occur. Further evaluation is required to demonstrate effectiveness. |
Databáze: | OpenAIRE |
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