Long-term efficacy of expansion sphincter pharyngoplasty in obstructive sleep apnea syndrome

Cayir, Serkan; Yeşildağ, Kerim; Kayabaşı, Serkan

doi:10.1007/s11325-021-02315-1

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Among patients with contraindications, alternative procedures may provide similar benefits with lower risk of complications. For instance, barbed reposition pharyngoplasty offers greater stabilization of the pharyngeal lateral wall and while avoiding invasive resection of the soft tissues [ 35 ], while expansion sphincter pharyngoplasty has demonstrated promising long-term effectiveness with low morbidity and complication rates [ 36 ]. Encouraging data also exist regarding transoral robotic surgery as a means to reduce lingual tonsil volume and retrolingual collapse [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

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Obesity and outcomes in patients undergoing upper airway surgery for obstructive sleep apnea

Tully

Curran

et al. 2022

PLoS ONE

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Objective Obesity is frequently debated as a factor associated with increased postoperative complications. Specifically, upper airway surgeries for obstructive sleep apnea (OSA), a common comorbidity among obese patients, may be complicated by obesity’s impact on intraoperative ventilation. The aim of this retrospective study was to analyze the association of various degrees of obesity with postoperative outcomes in patients undergoing surgery for OSA. Methods The American College of Surgeons National Surgical Quality Improvement database between 2015 and 2019 was used to create a sample of patients diagnosed with OSA who underwent uvulopalatopharyngoplasty, tracheotomy, and surgeries at the base of tongue, maxilla, palate, or nose/turbinate. Inverse probability-weighted logistic regression and unadjusted multivariable logistic regression were used to compare outcomes of non-obese and obesity class 1, class 2, and class 3 groups (World Health Organization classification). Primary outcome was a composite of 30-day readmissions, reoperations, and/or postoperative complications, and a secondary outcome was all-cause same-day hospital admission. Results There were 1929 airway surgeries identified. The inverse probability-weighted regression comparing class 1, class 2, and class 3 obesity groups to non-obese patients showed no association between obesity and composite outcome and no association between obesity and hospital admission (all p-values > 0.05). Conclusion These results do not provide evidence that obesity is associated with poorer outcomes or hospital admission surrounding upper airway surgery for OSA. While these data points towards the safety of upper airway surgery in obese patients with OSA, larger prospective studies will aid in elucidating the impact of obesity.

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Section: Discussionmentioning

confidence: 99%

“…promising long-term effectiveness with low morbidity and complication rates [36]. Encouraging data also exist regarding transoral robotic surgery as a means to reduce lingual tonsil volume and retrolingual collapse [37].…”

Section: Plos Onementioning

confidence: 99%

Obesity and outcomes in patients undergoing upper airway surgery for obstructive sleep apnea

Tully

Curran

et al. 2022

PLoS ONE

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Clinical outcomes of expansion sphincter pharyngoplasty—a 17-year systematic review

Pang,

Lim

et al. 2024

Eur Arch Otorhinolaryngol

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Long-term outcomes of pharyngoplasty for Obstructive Sleep Apnea Syndrome

et al. 2022

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Introduction: Pharyngoplasty techniques for the treatment of obstructive sleep apnea syndrome (OSAS) have evolved, which improved the understanding of the anatomy, patient selection, and adoption of functional approaches. Aim: To analyze long-term results of pharyngoplasty in OSAS patients. Material and methods: Between 2007 and 2021, a total of 234 adult patients with OSAS who had previously failed positive airway pressure (PAP) therapy underwent sleep surgery. Of this group, 75 patients met the criteria of a minimum 5-year follow-up. To date, 25 patients completed the follow-up study protocol, including the medical history, visual analog scale (VAS) for snoring loudness, body mass index (BMI), endoscopy of the upper airways, type III sleep study, and standardized questionnaires including Epworth Sleepiness Scale (ESS) and EQ-5D-5L Euro – Quality of Life Questionnaire. Results: The average period of follow-up was 96.80 ± 30.20 months. The mean age of participants was 54.6 ± 14.02 and the mean BMI 30.28 ± 2.74. Patients underwent uvulopalatopharyngoplasty (n = 21) and expansion sphincterpharyngoplasty (n = 4) between 2008–2015. A long-term improvement in sleep parameters was observed for the mean AHI (29.84 ± 20.06before and 19.45 ± 18.53 after surgery, p = 0.0294), and the median VAS (8.13 before and 3.78 after surgery), mean oxygen saturation during sleep 94,5% (IQR 93.0–95.25), and the median ESS score was 6.17 ± 4.57. The majority of patients reported subjective long-term improvement in sleep quality and a reduction of snoring. Conclusions: In OSAS patients who failed PAP therapy, pharyngoplasty may provide a long-term improvement in upper airway obstruction during sleep.

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Long-term efficacy of expansion sphincter pharyngoplasty in obstructive sleep apnea syndrome

Cited by 3 publications

References 17 publications

Obesity and outcomes in patients undergoing upper airway surgery for obstructive sleep apnea

Obesity and outcomes in patients undergoing upper airway surgery for obstructive sleep apnea

Clinical outcomes of expansion sphincter pharyngoplasty—a 17-year systematic review

Long-term outcomes of pharyngoplasty for Obstructive Sleep Apnea Syndrome

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