Outcomes of Hyoid Suspension for the Treatment of Obstructive Sleep Apnea

Bowden, Mary Talley; Kezirian, Eric J.; Utley, David S.; Goode, Richard L.

doi:10.1001/archotol.131.5.440

Cited by 85 publications

(45 citation statements)

References 24 publications

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“…HTP might be suitable for patients with predominant lateral collapse of the hypopharynx [2, 10, 21]. The effectiveness of HTP has been reported [3-5]. Riley et al [5] were the first to describe the technique of hyoid suspension.…”

Section: Discussionmentioning

confidence: 99%

“…OSA can occur at different levels: retropalatal, retrolingual, or both [3, 4]. Riley et al [5] suggested hyoidthyroidpexia (HTP) as a technique to overcome obstruction at the level of the hypopharynx.…”

Section: Introductionmentioning

confidence: 99%

“…HTP is a hypopharyngeal procedure recommended for patients with a retrolingual obstruction. The technique could widen and support the hypopharyngeal airway space with avoidance of airway collapse at the level of the tongue base [3, 4]. …”

Section: Introductionmentioning

confidence: 99%

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Voice and Swallowing Outcomes after Hyoid Suspension Surgery in Patients with Obstructive Sleep Apnea

Askar

Quriba

Hassan

et al. 2017

Folia Phoniatr Logop

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Objective: The role of hyoidthyroidpexia (HTP) surgery in the management of patients with obstructive sleep apnea (OSA) is well described with good reported outcomes. The effect of HTP on other laryngeal functions is not well discussed. This study was designed to evaluate voice and swallowing outcomes after HTP. Patients and Methods: This study was applied on a selected group of OSA patients. HTP (as a sole procedure) was performed in 17 patients and 14 patients had simultaneous palatal procedures (e.g., anterior palatoplasty). Pre- and postoperative assessment of voice and swallowing were done. Results: Comparison between pre- and postoperative results of voice and swallowing measures revealed a nonsignificant difference. Conclusion: HTP (as a sole technique or as part of a multilevel intervention) could help with airway collapse and might be considered a safe, simple, and effective technique in the management of selected patients experiencing OSA. In addition, it seems to have no hazardous effect on either the voice or swallowing function of patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Voice and Swallowing Outcomes after Hyoid Suspension Surgery in Patients with Obstructive Sleep Apnea

Askar

Quriba

Hassan

et al. 2017

Folia Phoniatr Logop

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“…However, the reported success rates varied substantially from 17% [17] to 78% [18]. In a review article based upon the available evidence, Chau and Goode [19] stated that hyoid surgery achieves reasonable, even though widely variable, success rates (17-78%) when utilized as part of a multilevel surgical approach.…”

Section: Discussionmentioning

confidence: 99%

Contribution of Hyoid and Tonsillar Procedures to Outcome in Multilevel Surgery for Obstructive Sleep Apnea Syndrome

Tetter¹,

Tschopp²

2016

ORL

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Background/Objective: In multilevel surgery for obstructive sleep apnea (OSA), the contribution of distinct operative steps is still unclear. The aim of the present study is to retrospectively compare different combinations of multilevel surgeries in order to estimate the contribution of hyoid and tonsillar procedures to the outcome. Methods: A total of 45 patients were selected in a retrospectively matched case-control study from a database of patients who underwent surgery for OSA at our institution: group A (n = 15) had hyoid suspension, tonsillectomy, and radiofrequency-assisted uvulopalatoplasty (RAUP); group B (n = 15) had hyoid pharyngoplasty with resection of the hyoid body and preepiglottic fat tissue, tonsillectomy, and RAUP; and group C (n = 15) had hyoid suspension and RAUP but no tonsillectomy, because the tonsils had already been removed. The apnea-hypopnea index (AHI) was defined as the primary outcome measure. Results: The postoperative AHI significantly improved in groups A and B, in which all patients had a tonsillectomy. However, the improvement in the patients of group C, who had no tonsillectomy, was not significant (p = 0.08). Conclusion: The patients having undergone multilevel surgery without tonsillectomy showed significantly poorer postoperative results, suggesting that the effectiveness of hyoid procedures at the level of the hypopharynx may be limited. However, removal of the tonsils is a major predictive factor for postoperative success.

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“…There is variable advancement of the tongue base, with variable surgical results. This procedure is usually performed as an adjunctive surgery for the treatment of OSA [41].…”

Section: Surgeries Of the Tonguementioning

confidence: 99%

Surgical Therapy of Obstructive Sleep Apnea: A Review

2012

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Obstructive sleep apnea (OSA) is a disease characterized by intermittent and repetitive narrowing of the airway during sleep. Surgical therapies for the treatment of OSA aim to improve airway patency by addressing selected site(s) of obstruction. Because several areas may each be responsible for the narrowing, different surgical modalities have also been developed. In this review, we give an overview of surgery for each of potential obstruction site(s). As a consequence of the multi-factorial and heterogeneous etiology of OSA, surgical therapies need to be selected and performed specifically for each patient, as there is no perfect surgery that will fit all patients. As with any other treatment modalities for OSA, surgical therapies have variable efficacy, but are a very important tool on OSA management in selected patients and have been shown effectiveness in decreasing the morbidity and mortality associated with the disease.

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Outcomes of Hyoid Suspension for the Treatment of Obstructive Sleep Apnea

Abstract: To examine the efficacy of hyoid myotomy and suspension as a treatment of hypopharyngeal obstruction in obstructive sleep apnea.

Cited by 85 publications

References 24 publications

Voice and Swallowing Outcomes after Hyoid Suspension Surgery in Patients with Obstructive Sleep Apnea

Voice and Swallowing Outcomes after Hyoid Suspension Surgery in Patients with Obstructive Sleep Apnea

Contribution of Hyoid and Tonsillar Procedures to Outcome in Multilevel Surgery for Obstructive Sleep Apnea Syndrome

Surgical Therapy of Obstructive Sleep Apnea: A Review

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