One-stage multilevel surgery for treatment of obstructive sleep apnea syndrome
We report the results of one-stage multilevel upper airway surgery for patients who could not tolerate continuous positive airway pressure (CPAP). Patients treated with multilevel surgery at a University Hospital in 2015-2019 were identified from a prospectively maintained database. The inclusion cr...
| Autores: | , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Universidad de Navarra |
| Repositorio: | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Idioma: | inglés |
| OAI Identifier: | oai:dadun.unav.edu:10171/111291 |
| Acceso en línea: | https://hdl.handle.net/10171/111291 |
| Access Level: | acceso abierto |
| Palabra clave: | Multilevel surgery Obstructive sleep apnea Sleep surgery Tongue base surgery |
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One-stage multilevel surgery for treatment of obstructive sleep apnea syndromeBosco, G. (Gabriela)|||/items/fdc1462c-3368-4e0c-b136-bf6ea2382a50Morato, M. (Marta)|||/items/7dcc0124-45c4-4cf3-b0d6-61c7bad78c99Pérez-Martín, N. (Nuria)|||/items/9546c439-680d-48fd-814c-d8795c6fbb04Navarro, A. (Andrés)|||/items/5d023a22-8141-4279-9bdd-c89c8d2c8ef2Racionero, M.A. (Miguel A.)|||/items/11e21a04-5797-461b-a6d0-bf4434d8d829O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195Multilevel surgeryObstructive sleep apneaSleep surgeryTongue base surgeryWe report the results of one-stage multilevel upper airway surgery for patients who could not tolerate continuous positive airway pressure (CPAP). Patients treated with multilevel surgery at a University Hospital in 2015-2019 were identified from a prospectively maintained database. The inclusion criteria were aged 18-70 years, body mass index (BMI) < 35 kg/m2, apnea-hypopnea index (AHI) > 20, and lingual tonsil hypertrophy grade 3 or 4. Drug-induced sleep endoscopy was performed before surgery in all patients. Multilevel surgery was performed in one stage and included expansion sphincter pharyngoplasty (ESP), coblation tongue base reduction (CTBR), and partial epiglottectomy (PE) as required. The outcome measures were postoperative AHI, time percentage oxygen saturation < 90%, and Epworth Sleepiness Scale (ESS) score. A total of 24 patients were included: median age 49.1 years, average BMI 27.26 kg/m2, and 90% men. Ten patients received ESP plus CTBR plus PE, eight received ESP plus CTBR, and six received ESP plus PE. The mean preoperative AHI was 33.01 at baseline and improved to 17.7 ± 13 after surgery (p < 0.05). The ESS score decreased from 11 ± 5.11 to 7.9 ± 4.94 (p < 0.05). The surgical success rate according to Sher's criteria was 82.3%. The median follow-up was 23.3 months (range 12-36). These findings suggest that multilevel surgery is a safe and successful treatment of OSAHS.MDPIDadun. Depósito Académico Digital Universidad de Navarra20212021-01-0120212021-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/111291reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/1112912026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
One-stage multilevel surgery for treatment of obstructive sleep apnea syndrome |
| title |
One-stage multilevel surgery for treatment of obstructive sleep apnea syndrome |
| spellingShingle |
One-stage multilevel surgery for treatment of obstructive sleep apnea syndrome Bosco, G. (Gabriela)|||/items/fdc1462c-3368-4e0c-b136-bf6ea2382a50 Multilevel surgery Obstructive sleep apnea Sleep surgery Tongue base surgery |
| title_short |
One-stage multilevel surgery for treatment of obstructive sleep apnea syndrome |
| title_full |
One-stage multilevel surgery for treatment of obstructive sleep apnea syndrome |
| title_fullStr |
One-stage multilevel surgery for treatment of obstructive sleep apnea syndrome |
| title_full_unstemmed |
One-stage multilevel surgery for treatment of obstructive sleep apnea syndrome |
| title_sort |
One-stage multilevel surgery for treatment of obstructive sleep apnea syndrome |
| dc.creator.none.fl_str_mv |
Bosco, G. (Gabriela)|||/items/fdc1462c-3368-4e0c-b136-bf6ea2382a50 Morato, M. (Marta)|||/items/7dcc0124-45c4-4cf3-b0d6-61c7bad78c99 Pérez-Martín, N. (Nuria)|||/items/9546c439-680d-48fd-814c-d8795c6fbb04 Navarro, A. (Andrés)|||/items/5d023a22-8141-4279-9bdd-c89c8d2c8ef2 Racionero, M.A. (Miguel A.)|||/items/11e21a04-5797-461b-a6d0-bf4434d8d829 O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 |
| author |
Bosco, G. (Gabriela)|||/items/fdc1462c-3368-4e0c-b136-bf6ea2382a50 |
| author_facet |
Bosco, G. (Gabriela)|||/items/fdc1462c-3368-4e0c-b136-bf6ea2382a50 Morato, M. (Marta)|||/items/7dcc0124-45c4-4cf3-b0d6-61c7bad78c99 Pérez-Martín, N. (Nuria)|||/items/9546c439-680d-48fd-814c-d8795c6fbb04 Navarro, A. (Andrés)|||/items/5d023a22-8141-4279-9bdd-c89c8d2c8ef2 Racionero, M.A. (Miguel A.)|||/items/11e21a04-5797-461b-a6d0-bf4434d8d829 O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 |
| author_role |
author |
| author2 |
Morato, M. (Marta)|||/items/7dcc0124-45c4-4cf3-b0d6-61c7bad78c99 Pérez-Martín, N. (Nuria)|||/items/9546c439-680d-48fd-814c-d8795c6fbb04 Navarro, A. (Andrés)|||/items/5d023a22-8141-4279-9bdd-c89c8d2c8ef2 Racionero, M.A. (Miguel A.)|||/items/11e21a04-5797-461b-a6d0-bf4434d8d829 O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 |
| author2_role |
author author author author author author author |
| dc.contributor.none.fl_str_mv |
Dadun. Depósito Académico Digital Universidad de Navarra |
| dc.subject.none.fl_str_mv |
Multilevel surgery Obstructive sleep apnea Sleep surgery Tongue base surgery |
| topic |
Multilevel surgery Obstructive sleep apnea Sleep surgery Tongue base surgery |
| description |
We report the results of one-stage multilevel upper airway surgery for patients who could not tolerate continuous positive airway pressure (CPAP). Patients treated with multilevel surgery at a University Hospital in 2015-2019 were identified from a prospectively maintained database. The inclusion criteria were aged 18-70 years, body mass index (BMI) < 35 kg/m2, apnea-hypopnea index (AHI) > 20, and lingual tonsil hypertrophy grade 3 or 4. Drug-induced sleep endoscopy was performed before surgery in all patients. Multilevel surgery was performed in one stage and included expansion sphincter pharyngoplasty (ESP), coblation tongue base reduction (CTBR), and partial epiglottectomy (PE) as required. The outcome measures were postoperative AHI, time percentage oxygen saturation < 90%, and Epworth Sleepiness Scale (ESS) score. A total of 24 patients were included: median age 49.1 years, average BMI 27.26 kg/m2, and 90% men. Ten patients received ESP plus CTBR plus PE, eight received ESP plus CTBR, and six received ESP plus PE. The mean preoperative AHI was 33.01 at baseline and improved to 17.7 ± 13 after surgery (p < 0.05). The ESS score decreased from 11 ± 5.11 to 7.9 ± 4.94 (p < 0.05). The surgical success rate according to Sher's criteria was 82.3%. The median follow-up was 23.3 months (range 12-36). These findings suggest that multilevel surgery is a safe and successful treatment of OSAHS. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021 2021-01-01 2021 2021-01-01 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
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article |
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https://hdl.handle.net/10171/111291 |
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https://hdl.handle.net/10171/111291 |
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Inglés eng |
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Inglés |
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eng |
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open access http://purl.org/coar/access_right/c_abf2 |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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application/pdf |
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MDPI |
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MDPI |
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reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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