Is there a relationship between tonsil volume and the success of pharyngeal surgery among adult patients with obstructive sleep apnea?

Matarredona-Quiles, Silvia; Carrasco-Llatas, Marina; Apodaca, Paula Martínez Ruiz de; Ortega-Beltrá, Noelia; Dalmau-Galofre, José

doi:10.1016/j.bjorl.2021.12.002

Cited by 7 publications

(4 citation statements)

References 28 publications

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“…In the past, but also in more recent studies, different scales and anatomical criteria, like Brodsky’s grading scale [ 49 , 50 ], Archimedes’ principle [ 51 ], and the Ellipsoid formula [ 52 ], have been applied to estimate the size of the tonsils, especially in children who suffer from snoring and apneas. However, novel and emerging techniques based on ultrasonics are considered the most accurate and efficient [ 53 ].…”

Section: Resultsmentioning

confidence: 99%

Insights into the Use of Point-of-Care Ultrasound for Diagnosing Obstructive Sleep Apnea

et al. 2023

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Obstructive sleep apnea (OSA) is a sleeping disorder caused by complete or partial disturbance of breathing during the night. Existing screening methods include questionnaire-based evaluations which are time-consuming, vary in specificity, and are not globally adopted. Point-of-care ultrasound (PoCUS), on the other hand, is a painless, inexpensive, portable, and useful tool that has already been introduced for the evaluation of upper airways by anesthetists. PoCUS could also serve as a potential screening tool for the diagnosis of OSA by measuring different airway parameters, including retropalatal pharynx transverse diameter, tongue base thickness, distance between lingual arteries, lateral parapharyngeal wall thickness, palatine tonsil volume, and some non-airway parameters like carotid intima–media thickness, mesenteric fat thickness, and diaphragm characteristics. This study reviewed previously reported studies to highlight the importance of PoCUS as a potential screening tool for OSA.

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Section: Resultsmentioning

confidence: 99%

Insights into the Use of Point-of-Care Ultrasound for Diagnosing Obstructive Sleep Apnea

et al. 2023

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“…Body mass index less than 28 kg/m 2 is a predictor of subjective improvement after laser-assisted uvulopalatoplasty for snoring [32] 2009 BMI 119 -Is there a relationship between tonsil volume and the success of pharyngeal surgery among adult patients with obstructive sleep apnea? [33] 2022 Tonsil Size 44 65.6%…”

Section: Resultsmentioning

confidence: 99%

Predictors of Success of Pharyngeal Surgery in the Treatment of Obstructive Sleep Apnea: A Narrative Review

Nunes,

Vaz de Castro,

Favier

et al. 2023

JCM

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(1) Background: This narrative review aims to explore the predictors of success for pharyngeal surgery in the treatment of obstructive sleep apnea (OSA). An extensive literature search was conducted, identifying relevant studies published up to June 2023, utilizing various databases and key search terms related to OSA, surgical interventions, and predictors of success. The review encompasses both retrospective and prospective studies, case series, and cohort studies to provide a broad understanding of the topic; (2) Methods: Review of English scientific literature on phenotypes of OSA related to predictors of success of pharyngeal surgery; (3) Results: Of 75 articles, 21 were included, in these the following were determined to be factors for surgical success: body mass index (BMI) (8 articles), apnea/hypopnea index (AHI) (8 articles), cephalometry (8 articles), palatine tonsil size (7 articles), Modified Mallampati score (2 articles), genioglossus electromyography (2 articles), Friedman score or upper airway anatomy (3 articles), nasopharyngolaryngoscopy (2 articles), drug-induced sleep endoscopy (DISE) (1 article), oral cavity anatomy (1 article) and oxygen desaturation index (ODI) (1 article); (4) Conclusions: The lack of standardized protocols for the indication of pharyngeal surgery is a reality, however identifying known predictors of surgical success may facilitate homogenizing indications.

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“…De hecho, el volumen amigdalar ha demostrado estar relacionado con el éxito quirúrgico de las faringoplastias [19]. Los modelos estadísticos estiman en ≥6,5cm3 el volumen amigdalar predictor de éxito quirúrgico [20]. Estos conceptos obligan a tener que ofrecer los resultados de la cirugía de vía aérea superior controlados o ajustados por el grado amigdalar.…”

Section: Resultados De La Amigdalectomíaunclassified

Tratamiento quirúrgico de la Apnea obstructiva del sueño: adenoamigdalectomía en el adulto

Martínez-Ruiz de Apodaca,

Carrasco-Llatas,

Baptista-Jardin

et al. 2023

ORL

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Introducción y objetivo: La apnea obstructiva del sueño (AOS) es una enfermedad de etiología multifactorial que conduce al colapso de la vía aérea superior. La hipertrofia de los tejidos linfoides contribuye a la colapsabilidad de la vía aérea. Revisión conceptual de la adenoamigdalectomía en el paciente adulto con AOS. Síntesis: En presencia de hipertrofia amigdalar grado ≥3, la amigdalectomía es el tratamiento de primera línea. Las distintas técnicas disponibles de adenoamigdalectomía son adecuadas para el tratamiento del paciente con AOS. Se deben respetar los músculos palatogloso y palatofaríngeo. Además de la curación y del éxito quirúrgico, la amigdalectomía ofrece beneficios como la disminución de presión necesaria aplicada al CPAP y consiguientemente un aumento de su tolerancia. Conclusiones: La exéresis de los tejidos linfoides hipertróficos en el paciente adulto con AOS resulta imprescindible. Esta cirugía elimina elementos obstructivos de la vía aérea superior favoreciendo su permeabilidad y estabilidad.

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Is there a relationship between tonsil volume and the success of pharyngeal surgery among adult patients with obstructive sleep apnea?

Cited by 7 publications

References 28 publications

Insights into the Use of Point-of-Care Ultrasound for Diagnosing Obstructive Sleep Apnea

Insights into the Use of Point-of-Care Ultrasound for Diagnosing Obstructive Sleep Apnea

Predictors of Success of Pharyngeal Surgery in the Treatment of Obstructive Sleep Apnea: A Narrative Review

Tratamiento quirúrgico de la Apnea obstructiva del sueño: adenoamigdalectomía en el adulto

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