Hyoidthyroidpexia: A Surgical Treatment for Sleep Apnea Syndrome

Herder, Cindy den; Tinteren, Harm van; Vries, Nico de

doi:10.1097/01.mlg.0000156464.37681.bf

Cited by 69 publications

(59 citation statements)

References 15 publications

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“…The AHI decreased significantly from 36 to 21 after the hyoid suspension (table e26). The ESS score fell significantly from 8 at baseline to 5 after surgery [278,280]. Two studies [281,282] compared MLS with and without hyoid suspension.…”

Section: Overview Of the Evidencementioning

confidence: 98%

See 1 more Smart Citation

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

European Respiratory Journal

305

179

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Section: Overview Of the Evidencementioning

confidence: 98%

“…Most authors use the hyoid suspension as a component of MLS for severe OSA secondarily after CPAP failure (table e25). Only three short-term studies investigated the effect of an isolated hyoid suspension for OSA [278][279][280]. The AHI decreased significantly from 36 to 21 after the hyoid suspension (table e26).…”

Section: Overview Of the Evidencementioning

confidence: 99%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

European Respiratory Journal

305

179

View full text Add to dashboard Cite

“…We have published earlier reports on the results of HS [25] and on the results and complications of RFTB [16]. The results of combined HS and RF of the tongue base will be reported in the near future.…”

Section: Discussionmentioning

confidence: 92%

“…In this paper, we will use the term HS referring to HS type II or hyoidthyroidpexia. Previous reports stated that HS was successful in 52-53.3% of patients [18,25]. With this paper, we report and evaluate adverse events and complications of HS.…”

Section: Introductionmentioning

confidence: 89%

Complications of hyoid suspension in the treatment of obstructive sleep apnea syndrome

Richard

Timmer

Vries

2010

Eur Arch Otorhinolaryngol

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The objectives of the study are to assess adverse events and complications of hyoid suspension (HS) as a treatment of obstructive sleep apnea syndrome (OSAS). The study design was cohort. Thirty-nine patients with OSAS and obstruction at tongue base level, as assessed by sleep endoscopy, underwent HS. Information about adverse events and complications were obtained by reviewing charts and patient-completed questionnaires. The mean follow-up period from surgery to last control visit was 13.1 months (range 2-38). The charts demonstrated mainly adverse events. Minor complications occurred in six patients. No major complications were observed. The mean admission duration was 3.3 days (range 2-5). Twenty-six patients (67%) returned their questionnaires. No association was found between completing questionnaires and the success of the intervention (p = 0.73). The questionnaires were completed on average 25.9 months (range 3.5-51.5) after surgery. VAS scores showed a fast decline in complaints regarding taste, speech, swallowing and pain. No significant long-term differences were found, when comparing the postoperative VAS scores with the preoperative VAS scores. Of the 26 evaluable questionnaires, 20 patients (77%) would recommend HS to an acquaintance if they suffered from sleep apnea syndrome, when only taking side effects into consideration. The intention to give a positive recommendation did not seem to be related to the therapeutic success of the intervention. In conclusion, this study demonstrates that the complication rate of HS is low and that the discomfort is very acceptable.

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“…Therefore, hyoid suspension may be considered as a modality only in combination with other procedures or in case of CPAP failure. It is important to keep in mind that surgical success rates decrease with increasing BMI and AHI [178][179][180]. Due to a lack of evidence, hyoid suspension is not recommended for simple snoring.…”

Section: Radiofrequency Surgery Of the Tongue Basementioning

confidence: 99%

Non-positive airway pressure therapy for obstructive sleep apnea

Jafari

Roux

2012

Curr Respir Care Rep

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Obstructive sleep apnea (OSA) is a common disorder associated with cardiovascular morbidity. Various methods are offered to improve symptoms of OSA and its outcome. Although positive airway pressure is the most effective treatment for OSA, its clinical effectiveness is limited by patients' compliance. Other suggested treatments for OSA focus on expanding upper airway and reducing its collapsibility. For example, mandibular advancement device (MAD) achieves this goal by mechanically protruding the mandible. Other available treatments including weight reduction, positional therapy, drugs, nasal dilators, and nasal expiratory pressure device are clearly inferior to CPAP.

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Hyoidthyroidpexia: A Surgical Treatment for Sleep Apnea Syndrome

Cited by 69 publications

References 15 publications

Non-CPAP therapies in obstructive sleep apnoea

Non-CPAP therapies in obstructive sleep apnoea

Complications of hyoid suspension in the treatment of obstructive sleep apnea syndrome

Non-positive airway pressure therapy for obstructive sleep apnea

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