Radiofrequency Tissue Reduction of the Palate in Patients with Moderate Sleep-Disordered Breathing

Brown, Deron J.; Kerr, Paul; Kryger, Meir H.

doi:10.2310/7070.2001.19696

Cited by 34 publications

(21 citation statements)

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“…Previously, Brown et al found that RF surgery of the SP lacked clinical efficacy in patients with moderate OSAS 10. Blumen et al concluded that SP RF surgery is effective in treating mild to moderate OSAS patients, and up to 65.5% were cured (i.e., respiratory disturbance index <10 events/hour); however, 21.0% of the patients remained sleepy according to their ESS 11.…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency surgery of the soft palate in the treatment of mild obstructive sleep apnea is not effective as a single‐stage procedure: A randomized single‐blinded placebo‐controlled trial

Bäck¹,

Liukko²,

Rantanen

et al. 2009

The Laryngoscope

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Section: Discussionmentioning

confidence: 99%

Radiofrequency surgery of the soft palate in the treatment of mild obstructive sleep apnea is not effective as a single‐stage procedure: A randomized single‐blinded placebo‐controlled trial

Bäck¹,

Liukko²,

Rantanen

et al. 2009

The Laryngoscope

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“…Improvements in respiratory parameters have been described in groups of mild to moderate and more severely affected patients under interstitial radiofrequency at the soft palate [226,227]. Moreover, RAUP has been shown to be superior to interstitial radiofrequency surgery, but was associated with higher postoperative morbidity [217].…”

Section: Overview Of the Evidencementioning

confidence: 99%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

European Respiratory Journal

304

179

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“…Long-term results are not more successful because relapse occurs in a significant proportion of initially successfully treated patients (Janson et al, 1997). Moreover, more recently employed techniques for correcting retropalatal airway obstruction, like Laser-Assisted Uvulopalatoplasty or radiofrequency volumetric tissue reduction (i.e., somnoplasty), have also been disappointing in the treatment of OSAHS (ASDA, 1994;Brown et al, 2001).…”

Section: (23) Surgical Managementmentioning

confidence: 99%

Efficacy and Co-morbidity of Oral Appliances in the Treatment of Obstructive Sleep Apnea-Hypopnea: a Systematic Review

Hoekema

Stegenga

Bont

2004

Critical Reviews in Oral Biology & Medicine

157

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The Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) is a common sleep-related breathing disorder characterized by repetitive obstructions of the upper airway during sleep. Modification of pharyngeal patency by Oral Appliance (OA) therapy has been suggested as an alternative to various treatment modalities for OSAHS. To determine the evidence base with respect to the efficacy and co-morbidity of OA therapy in OSAHS, we conducted a systematic review of the available literature. Primary outcome measures were the reduction in number of upper-airway obstructions and co-morbidity related to the craniomandibular or craniofacial complex, respectively. Eligible studies regarding efficacy were independently assessed by two assessors using a quality assessment scale. Effect sizes of methodologically sound studies were calculated. In identical interventions, effect sizes were pooled with the use of a random-effects model. Given the scarcity of controlled studies related to co-morbidity, appraisal was confined to a description of eligible studies. Sixteen controlled trials related to efficacy were identified. With respect to the primary outcome measure, OA therapy was clearly more effective than control therapy (pooled effect size, -0.96; 95% confidence interval [CI], -1.49 to -0.42) and possibly more effective than uvulopalatopharyngoplasty. Although patients generally preferred OA therapy, improvement of respiratory variables, such as the number of upper-airway obstructions, was usually better in Continuous Positive Airway Pressure (CPAP) therapy (pooled effect size, 0.83; 95% CI, 0.59 to 1.06). Moreover, specific aspects related to OA design may influence patient-perceived efficacy and preference. Twelve patient-series and one controlled trial related to co-morbidity were identified. Analysis of the data suggests that OA therapy may have adverse effects on the craniomandibular and craniofacial complex. Although CPAP is apparently more effective and adverse effects of OA treatment have been described, it can be concluded that OA therapy is a viable treatment for, especially, mild to moderate OSAHS. Controlled studies addressing the specific indication and co-morbidity of OA therapy are warranted.

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Radiofrequency Tissue Reduction of the Palate in Patients with Moderate Sleep-Disordered Breathing

Cited by 34 publications

References 0 publications

Radiofrequency surgery of the soft palate in the treatment of mild obstructive sleep apnea is not effective as a single‐stage procedure: A randomized single‐blinded placebo‐controlled trial

Radiofrequency surgery of the soft palate in the treatment of mild obstructive sleep apnea is not effective as a single‐stage procedure: A randomized single‐blinded placebo‐controlled trial

Non-CPAP therapies in obstructive sleep apnoea

Efficacy and Co-morbidity of Oral Appliances in the Treatment of Obstructive Sleep Apnea-Hypopnea: a Systematic Review

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