| Autor: |
Matthew Maksimoski, Sarah E. Maurrasse, Stephen R. Hoff, Jennifer Lavin, Taher Valika, Dana M. Thompson, Jonathan B. Ida |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Journal of otolaryngology - headneck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. 51(1) |
| ISSN: |
1916-0216 |
| Popis: |
Background The purpose of this study was to evaluate the efficacy of sleep endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy in patients with sleep disordered breathing (SDB), including polysomnography (PSG) and swallowing outcomes. Methods A retrospective review was performed of all patients undergoing simultaneous lingual tonsillectomy and epiglottopexy over the study period. PSG objective measures were recorded pre- and postoperatively, along with demographic data, comorbidities, and descriptive data of swallowing dysfunction in the postoperative setting. Results A total of 24 patients met inclusion criteria for consideration, with 13 having valid pre- and postoperative PSG data. Successful surgery was achieved in 84.6% of patients, with no difference based on presence of medical comorbidities including Trisomy 21. Median reduction in obstructive apnea–hypopnea index (oAHI) with the procedure was 69.9%. Four patients (16.7%) had postoperative concern for dysphagia, but all objective swallowing evaluations were normal and no dietary modifications were necessary. Conclusion Combination lingual tonsillectomy and epiglottopexy in indicated patients has a high rate of success in this single-institutional study without new dysphagia in this population. These procedures are amenable to a combination surgery in appropriately selected patients determined by sleep state endoscopy in the setting of SDB evaluated with drug-induced sleep endoscopy. Graphical abstract |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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