Soft Palate Implants for the Treatment of Mild to Moderate Obstructive Sleep Apnea

Nordgård, Ståle; Stene, Brit Kari; Skjostad, Ketil W.

doi:10.1016/j.otohns.2005.11.034

Cited by 38 publications

(41 citation statements)

References 18 publications

(32 reference statements)

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“…The clinical relevance of the results of this study may be that palate implants may significantly improve simple snoring and mild OSA in a small proportion of subjects with minimal morbidity and may represent an attractive first step alternative to traditional UPPP for isolated patients (19). This study suggests that proper patient selection is the most important factor to achieve high success rates from the pillar procedure.…”

Section: Discussionmentioning

confidence: 64%

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Which Patients Can Benefit from Pillar Palatal Implant Procedure?

Kuşçu¹,

Günaydın²,

Sözen³

et al. 2014

Turk Arch Otolaryngol

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Objective: The aim of this prospective study is to determine which patients may benefit from pillar procedure as a treatment for snoring.Methods: A total of 37 patients (25 males and 12 females) with a history of snoring were implanted with 3 pillar palatal implants. Flexible fiberoptic examination was used to evaluate the upper airway, especially the retropalatal and retrolingual areas. Visual analog scale (VAS) and polysomnography were performed on before and 3 rd months after the pillar procedure. The implantation was performed under local anesthesia. Results:The mean VAS score was reduced from 9.3±0.6 to 6.2±1.1 at the 3 rd month. VAS scores of snoring intensity were reduced >50% in 24 of the patients (64.8%).The mean apnea-hypopnea index (AHI) was 11.7±2.3 before the implantation and was reduced to 8.4±1.6 at the 3 rd month. VAS and AHI had a close relation with gender, body weight, and oropharynx class. There were no major complications, such as infection, extrusion, and major bleeding. Conclusion:Pillar procedure has a high success rate if it is done with appropriate patient selection, but overall effectiveness remains limited. Initial AHI and VAS values, oropharynx and tonsil position scores, and gender are important determinants of pillar procedure.

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Section: Discussionmentioning

confidence: 64%

“…This study agrees with earlier studies that the pillar system reduces snoring; also, VAS decreased among bed partners, and AHI decreased at the 3-month follow-up. Most studies about OSA (16)(17)(18)(19) found no relation between VAS and AHI. In this study, we observed a slight correlation between AHI and VAS.…”

Section: Discussionmentioning

confidence: 98%

Which Patients Can Benefit from Pillar Palatal Implant Procedure?

Kuşçu¹,

Günaydın²,

Sözen³

et al. 2014

Turk Arch Otolaryngol

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“…However, there has been a large development in treatment of these conditions over the past 20 years (3). Currently, there are several publications that evaluate the success of the pillar palatal implant system, which is frequently used to treat snoring (6)(7)(8). UPF surgery is usually recommended in patients who possess a convenient anatomic structure and a similar degree of respiratory disorder during sleep with the pillar palatal implant (in patients with a simple snoring, mild, or moderate apnea).…”

Section: Discussionmentioning

confidence: 99%

“…Instead, the Pillar Palatal Implant technique was done under local anesthesia to patients who did not show any signs of retropalatal obstruction. Operations were applied according to a classic route (6)(7)(8)(9)(10)(11)(12).…”

Section: Methodsmentioning

confidence: 99%

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Comparison of Two Techniques in Simple Snoring and Obstructive Sleep Apnea Syndrome Patients: Palatal Implant or Uvulopalatal Flap

2014

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International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

100

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Background: Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICS:OSA). Methods: Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidencebased review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICS:OSA was created and reviewed by all authors for consensus. Results: The ICS:OSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated. Conclusion:This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.

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Soft Palate Implants for the Treatment of Mild to Moderate Obstructive Sleep Apnea

Abstract: C-4.

Cited by 38 publications

References 18 publications

Which Patients Can Benefit from Pillar Palatal Implant Procedure?

Which Patients Can Benefit from Pillar Palatal Implant Procedure?

Comparison of Two Techniques in Simple Snoring and Obstructive Sleep Apnea Syndrome Patients: Palatal Implant or Uvulopalatal Flap

International Consensus Statement on Obstructive Sleep Apnea

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