Expansion sphincter pharyngoplasty: Usefulness of DISE
| Autor: | Guillermo Plaza, Miguel A. Racionero, Nuria Pérez-Martín, Gabriela Bosco |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Polysomnography 03 medical and health sciences 0302 clinical medicine Medicine Humans In patient Prospective Studies Stage (cooking) 030223 otorhinolaryngology Prospective cohort study Sleep Apnea Obstructive medicine.diagnostic_test business.industry Suture Techniques Endoscopy General Medicine Middle Aged Surgery Airway Obstruction medicine.anatomical_structure Treatment Outcome Sleep endoscopy Sleep Aids Pharmaceutical Pharyngeal Muscles Sphincter Pharynx Female Small tonsils Palate Soft business Sleep Body mass index 030217 neurology & neurosurgery |
| Zdroj: | Acta otorrinolaringologica espanola. 70(4) |
| ISSN: | 2173-5735 |
| Popis: | Objectives The aim of this study was first to present the indications and results using expansion sphincter pharyngoplasty to treat obstructive sleep apnoea–hypopnoea syndrome (OSAHS). And second, to compare the findings of drug-induced sleep endoscopy (DISE) before and after the surgery. Material and methods The study design was a prospective cohort of patients surgically treated between 2015 and 2016. All patients were diagnosed with mild to severe obstructive sleep apnoea and did not tolerate CPAP. All had pre- and post-surgery DISE and polysomnography. The inclusion criteria were age, between 18 years and 70 years, small tonsils (sizes 1 and 2), Friedman II and III clinical stage, and lateral collapse in preoperative DISE. We performed surgery to the palate only, using expansion sphincter pharyngoplasty. Results Seventeen patients were included, 52.94% had severe OSAHS. Average age was 42 years, average body mass index was 28. The surgical success rate according to Sher criteria was 82.35%. 41.17% had a postoperative apnoea–hypopnoea index of less than 10. Seventy-five percent of the patients had no further need for CPAP. Conclusion Expansion sphincter pharyngoplasty is a safe technique for treating OSAHS, in patients with small tonsils, Friedman grade I and II and collapse of lateral walls in DISE, in the absence of multilevel collapse. The postoperative DISE showed improvement of the lateral collapse was achieved with the expansion. |
| Databáze: | OpenAIRE |
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