The Efficacy of Multilevel Surgery of the Upper Airway in Adults With Obstructive Sleep Apnea/Hypopnea Syndrome

Lin, Hsin‐Ching; Friedman, Michael; Chang, Hsueh‐Wen; Gürpınar, Berk

doi:10.1097/mlg.0b013e31816422ea

Cited by 257 publications

(263 citation statements)

References 61 publications

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“…17 On statistical analysis, two patients in our study underwent tonsillectomy with uvuloplasty as a sole surgical treatment for OSA. And these two patients improved well without any complications accounting a success rate of 100%.…”

Section: Discussionmentioning

confidence: 99%

A study on evaluation of pre and postoperative polysomnography for obstructive sleep apnea patients

Mohankumar

Rajasekar

Veerasigamani

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Obstructive sleep apnea is the most common form of sleep-disordered breathing. However, obstructive sleep apnea has been associated with much more insidious conditions, including hypertension, diabetes, heart disease, stroke, and daytime somnolence can lead to a dramatically increased risk of motor vehicle accidents.Methods: This study was conducted in our institution in 34 OSA patients. After thorough evaluation with PSG, dynamic MRI, DISE patients were treated with various surgeries depending on the level of obstruction. Commonly UPPP, ESP, zetaplasty, tonsillectomy, tongue base reduction were done either alone or in combination. Results: Pre and postoperative polysomnograhpy for obstructive sleep apnea was evaluated and statistically analyzed. Significant proportion of patients improved both subjectively and objectively as determined by reduction in AHI from 41.73±13.94 to 15.77±9.13, reduction in ESS from 16.41+3.09 to 5.14±3.41 and reduction in snoring.Conclusions: OSA can be easily treated with proper preoperative investigations, appropriate surgery, prevention of complications and continued lifestyle modifications.

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Section: Discussionmentioning

confidence: 99%

A study on evaluation of pre and postoperative polysomnography for obstructive sleep apnea patients

Mohankumar

Rajasekar

Veerasigamani

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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“…Hence, a combination of procedures to address airway obstruction at multiple levels may improve success compared to single-site therapy [7,8,51,52]. For example, a nasal procedure may be performed in combination with an oropharyngeal procedure.…”

Section: Multi-level Surgery and Staged Surgerymentioning

confidence: 99%

“…Data suggests that only 25 % of patients present with a uni-level obstruction, whereas 75 % had multi-level obstruction sites [52]. Evidence has shown that single-site surgery has a poor success rate when multilevel obstruction is present.…”

Section: Sleep Apnea Surgery In Childrenmentioning

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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“…They identified 12 randomized controlled trials studying palatal implants, radiofrequency surgery, maxillomandibular advancement and uvulopalatoplasty and concluded that high quality trials studying surgical treatment are feasible and can lead to recommendations with high levels of evidence [14]. Other authors concluded in a systematic review that, in a certain percentage of OSA patients who either fail or are unwilling to pursue CPAP therapy, multilevel OSA surgery offers a chance to control their OSA [15].…”

Section: Introductionmentioning

confidence: 99%

The Utility of Sleep Endoscopy in Adults with Obstructive Sleep Apnea: A Review of the Literature

Maanen

Ravesloot

Safiruddin

et al. 2013

Curr Otorhinolaryngol Rep

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Since history and physical examination alone cannot reliably diagnose obstructive sleep apnea (OSA), the gold standard for the diagnosis of OSA is polysomnography. When an oral device or surgery is considered, it is of utmost importance to examine an individual's pattern, degree and site(s) of upper airway obstruction. This article tries to evaluate recent literature published on the use of (drug-induced) sleep endoscopy in evaluating the individually tailored treatment. Different techniques, interrater reliability, test-retest reliability and currently available data on the relationship with treatment outcome are reviewed.

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The Efficacy of Multilevel Surgery of the Upper Airway in Adults With Obstructive Sleep Apnea/Hypopnea Syndrome

Abstract: Multilevel surgery for OSAHS is obviously associated with improved outcomes, although this benefit is supported largely by level 4 evidence. Future research should focus on prospective and controlled studies.

Cited by 257 publications

References 61 publications

A study on evaluation of pre and postoperative polysomnography for obstructive sleep apnea patients

A study on evaluation of pre and postoperative polysomnography for obstructive sleep apnea patients

Surgical Therapy of Obstructive Sleep Apnea: A Review

The Utility of Sleep Endoscopy in Adults with Obstructive Sleep Apnea: A Review of the Literature

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