Frequency of serious complications after surgery for snoring and sleep apnea

Abstract

A total of 4876 patients were treated surgically. Uvulopalatopharyngoplasty was performed in 3572 patients, uvulopalatoplasty in 929 patients, and nasal surgery in 375 patients. None of the surgically treated patients died in the peri- and postoperative period. Severe complications, mainly bleedings and infections, were recorded in 37.1 per 1000 patients treated with uvulopalatopharyngoplasty, in 5.6 per 1000 patients after uvulopalatoplasty, and in 8.8 per 1000 patients after nasal surgery.

SKUP3randomised controlled trial: polysomnographic results after uvulopalatopharyngoplasty in selected patients with obstructive sleep apnoea

“…However, our group has published several non-randomised studies showing that UPPP may be effective and safe,11 even in the long-term perspective,12 and the pharyngeal disturbances had not increased 1 year after UPPP 13. Franklin et al 14 found neither increased mortality nor an increased complication rate after UPPP compared with tonsillectomy in Sweden during 1997–2005. Methods to better select patients for UPPP have been sought.…”

Readmission after Adult Uvulopalatopharyngoplasty: A Population‐Based Inpatient Cohort Study in Taiwan

“…13,14,[25][26][27] The cost of hospital readmission was linked to medical care reimbursement and economic burden. 18 Complication rates between 3.7% 28 and 10% 29 were reported for UPPP with or without concurrent surgery. Baker et al reported complication rates of 7.1% for UPPP alone and 11.4% for UPPP with tongue base surgery.…”

Uvulopalatopharyngoplasty

“…While multilevel surgery for sleep apnea is becoming increasingly common, there are concerns about the safety of concurrent multilevel surgery in this patient population with baseline airway compromise and medical comorbidities. Several studies have examined postoperative the complication rates and safety of sleep surgery, but specific comparisons between multilevel and single‐level surgery have been lacking 17‐19 . This study—involving a large cohort of patients in a prospective, multicenter, national database—failed to reject the null hypothesis that there is no difference in the rate of complications among patients who undergo UPPP with or without additional multilevel procedures.…”

“…[17][18][19] This study-involving a large cohort of patients in a prospective, multicenter, national database-failed to reject the null hypothesis that there is no difference in the rate of complications among patients who undergo UPPP with or without additional multilevel procedures. Complication rates for UPPP with or without concurrent surgery have been reported as being between 3.7% 17 and 10%. 11 The cohort in the present study had complication rates of 7.0% to 11.4%; however, this may underestimate the true complication rate, since several procedure-specific complications (eg, prolonged dysphagia, nerve paralysis, change in taste) are not captured by the ACS-NSQIP database.…”

“…Complication rates for UPPP with or without concurrent surgery have been reported as being between 3.7% 17 and 10%. 11 The cohort in the present study had complication rates of 7.0% to 11.4%; however, this may underestimate the true complication rate, since several procedure-specific complications (eg, prolonged dysphagia, nerve paralysis, change in taste) are not captured by the ACS-NSQIP database.…”