The effects of anterior palatoplasty on floppy eyelid syndrome patients with obstructive sleep apnea

Bayır, Ömer; Acar, Mutlu; Yüksel, Elvan; Yüceege, Melike; Saylam, Güleser; Tatar, Emel Çadallı; Özdek, Ali; Fırat, Hikmet; Gürdal, Canan; Korkmaz, Mehmet

doi:10.1002/lary.25905

Cited by 15 publications

(14 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bayir sought to evaluate a surgical treatment for OSA, anterior palatoplasty, on FES patients with OSA [96]. Sixtytwo sleep clinic patients found to have mild or moderate OSA on sleep study were recruited and screened for FES.…”

Section: Floppy Eyelid Syndrome (Fes)mentioning

confidence: 99%

Obstructive sleep apnoea

West

Turnbull

2018

Eye

View full text Add to dashboard Cite

Obstructive sleep apnoea (OSA) is increasing in prevalence due to rising obesity. While OSA is a disorder primarily of the upper airway during sleep, its pathophysiological impact on other body systems is increasingly recognised. There has been interest in the prevalence of OSA in different ophthalmic conditions and possible causation has been postulated. As OSA is common, it can be expected that people with co-existent OSA will be found in any ophthalmic disease population studied. To determine with confidence the significance of finding patients with OSA in a particular cohort requires a well matched control group, ideally matched for age, obesity, gender and co-morbidities. Only if one can say with certainty that the prevalence of OSA is higher in a group with a particular co-existent ophthalmic disease can we begin to speculate about possible mechanisms for the overlap in these conditions. Possible mechanisms for how OSA might affect the eye are discussed in this review. The current literature is reviewed with respect to diabetic retinopathy, glaucoma, floppy eyelid syndrome, non-arteritic ischaemic optic neuropathy, keratoconus and AMD. Associations with OSA have been found, but robust prospective studies using multi-channel sleep studies to diagnose OSA are lacking. Gaps remain in the evidence and in our knowledge. It is hoped that this review will highlight the need for ophthalmologists to consider OSA in their patients. It also makes recommendations for future research, especially to consider whether therapies for OSA can also be effective for ophthalmic disorders.

show abstract

Section: Floppy Eyelid Syndrome (Fes)mentioning

confidence: 99%

Obstructive sleep apnoea

West

Turnbull

2018

Eye

View full text Add to dashboard Cite

show abstract

“…From this collection, studies were further excluded if they lacked objective pre- and post-operative polysomnography data or were designed to treat snoring alone or some other non-OSA disease. Overall, 8 articles met inclusion and exclusion criteria 7, 8, 17, 18, 19, 20, 21, 22Fig.…”

Section: Resultsmentioning

confidence: 99%

“…The ODI was reported by Bayir et al 17 (2016). Overall, the ODI decreased from a M ± SD of (11.93 ± 7.71) to (10.20 ± 8.53) events/h (a 14.5% reduction).…”

Section: Resultsmentioning

confidence: 99%

Cautery‐assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta‐analysis

Llewellyn

Noller

Camacho

2019

World j. otorhinolaryngol.-head neck surg.

View full text Add to dashboard Cite

ObjectiveTo systematically review outcomes for cautery-assisted palatal stiffening operation (CAPSO) as a treatment for adult obstructive sleep apnea (OSA).MethodsFive databases (including PubMed/MEDLINE) were searched through July 12, 2017.ResultsEight studies (307 patients) met criteria. Overall, CAPSO alone (80 patients) improved AHI from a mean ± standard deviation (M ± SD) of (16.8 ± 11.9) to (9.9 ± 10.9) events/h (41.1% decrease). Mixed CAPSO with/without tonsillectomy (92 patients) improved AHI from a M ± SD of (24.8 ± 12.6) to (10.6 ± 9.5) events/h (61.7% decrease). CAPSO with expansion pharyngoplasty (EP), (78 patients) improved AHI from a M ± SD of (26.3 ± 17.7) to (12.6 ± 5.8) events/h (52.1% decrease). CAPSO alone (90 patients) improved lowest oxygen saturation (LSAT) by 5.4 points. Mixed CAPSO with/without tonsillectomy (77 patients) improved LSAT by 10.6 points, and CAPSO with EP (78 patients) improved LSAT by 5.2 points. Sleepiness improved (182 patients) from an Epworth Sleepiness Scale score of 11.8 to 5.1, P < 0.001. Snoring reduced (120 patients) from 7.9 to 2.5 on visual analog scales (0–10 scale), P < 0.001.ConclusionsApnea-hypopnea index has improved by 41.0% for CAPSO alone, 61.7% for CAPSO with tonsillectomy and 52.1% for CAPSO with expansion pharyngoplasty. Additionally, lowest oxygen saturation, sleepiness and snoring have also improved after CAPSO.

show abstract

“…Bayir sought to evaluate a surgical treatment for OSA, anterior palatoplasty, on FES patients with OSA (99). Sixty-two sleep clinic patients found to have mild or moderate OSA on sleep study were recruited and screened for FES.…”

Section: Floppy Eyelid Syndrome (Fes)mentioning

confidence: 99%

Obstructive sleep apnoea

Turnbull¹,

Zaki²,

Hardinge³

2020

Medicine

View full text Add to dashboard Cite

Obstructive Sleep Apnoea (OSA) is increasing in prevalence due to rising obesity. Whilst OSA is a disorder primarily of the upper airway during sleep, its pathophysiological impact on other body systems is increasingly recognised. There has been interest in the prevalence of OSA in different ophthalmic conditions and possible causation has been postulated. As OSA is common, it can be expected that people with coexistent OSA will be found in any ophthalmic disease population studied. To determine with confidence the significance of finding patients with OSA in a particular cohort requires a well matched control group, ideally matched for age, obesity, gender and comorbidities. Only if one can say with certainty that the prevalence of OSA is higher in a group with a particular co-existent ophthalmic disease can we begin to speculate about possible mechanisms for the overlap in these conditions. Possible mechanisms for how OSA might affect the eye are discussed in this review. The current literature is reviewed with respect to diabetic retinopathy, glaucoma, floppy eyelid syndrome, non arteritic ischaemic optic neuropathy, keratoconus and AMD. Associations with OSA have been found, but robust prospective studies using multi-channel sleep studies to diagnose OSA are lacking. Gaps remain in the evidence and in our knowledge. It is hoped that this review will highlight the need for ophthalmologists to consider OSA in their patients. It also makes recommendations for future research, especially to consider whether therapies for OSA can also be effective for ophthalmic disorders.

show abstract

The effects of anterior palatoplasty on floppy eyelid syndrome patients with obstructive sleep apnea

Abstract: 2b Laryngoscope, 126:2171-2175, 2016.

Cited by 15 publications

References 39 publications

Obstructive sleep apnoea

Obstructive sleep apnoea

Cautery‐assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta‐analysis

Obstructive sleep apnoea

Contact Info

Product

Resources

About