Does nasal surgery improve multilevel surgical outcome in obstructive sleep apnea:A multicenter study on 735 patients

Objective: Does nasal surgery affect multilevel surgical success outcome. Methods: Prospective eight country nonrandomized trial of 735 obstructive sleep apnea (OSA) patients, who had multilevel palate and/or tongue surgery, divided into two groups, with or without nose surgery. Results: There were...

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Autores: Pang KP, Montevecchi F, Vicini C, Carrasco-Llatas M, Baptista PM, Olszewska E, Braverman I, Kishore S, Chandra S, Yang HC, Chan YH, Pang SB, Pang KA, Pang EB, Rotenberg B
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p8684
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/8684
Access Level:acceso abierto
Palabra clave:multilevel surgery
obstructive sleep apnea
success rate
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spelling Does nasal surgery improve multilevel surgical outcome in obstructive sleep apnea:A multicenter study on 735 patientsPang KPMontevecchi FVicini CCarrasco-Llatas MBaptista PMOlszewska EBraverman IKishore SChandra SYang HCChan YHPang SBPang KAPang EBRotenberg Bmultilevel surgeryobstructive sleep apneasuccess rateObjective: Does nasal surgery affect multilevel surgical success outcome. Methods: Prospective eight country nonrandomized trial of 735 obstructive sleep apnea (OSA) patients, who had multilevel palate and/or tongue surgery, divided into two groups, with or without nose surgery. Results: There were 575 patients in nose group, 160 patients in no nose group. The mean age for nose group 44.6 +/- 11.4, no nose group 44.2 +/- 11.8. Mean preoperative BMI for nose group 27.5 +/- 3.6, no nose group 27.5 +/- 4.1, mean postoperative BMI nose group 26.3 +/- 3.7, no nose group 27.1 +/- 3.8 (P= .006). Mean preoperative AHI nose group 32.7 +/- 19.4, no nose group 34.3 +/- 25.0 (P = .377); and mean postoperative AHI nose group 13.5 +/- 10.2, no nose group 17.1 +/- 16.0 (P = .001). Mean preoperative ESS nose group was 11.3 +/- 4.7, no nose group was 10.4 +/- 5.4 (P = .051); and mean postoperative ESS nose group was 5.3 +/- 3.2, no nose group was 6.7 +/- 2.8 (P = .001). The nose group had higher percentage change (adjusted for age, gender, BMI) in AHI (33.7%, 95% CI 14% to 53.5%) compared to the no nose group (P = .001); the nose group also had more percentage change in ESS (37%, 95% CI 23.6% to 50.3%) compared to the no nose group (P < .001). Change in BMI did not affect AHI nor ESS change (Cohen effect 0.03 and 0.14, respectively). AHI change in both groups were also statistically significant in the mild OSA (P = .008) and the severe OSA (P = .01). Success rate of surgery for the nose group 68.2%, while the no nose group 55.0% (P = .002). Conclusion: Combining nose surgery in multilevel surgery improves surgical success.WILEY2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/8684Laryngoscope Investigative OtolaryngologyISSN: 23788038reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p86842026-06-11T12:45:17Z
dc.title.none.fl_str_mv Does nasal surgery improve multilevel surgical outcome in obstructive sleep apnea:A multicenter study on 735 patients
title Does nasal surgery improve multilevel surgical outcome in obstructive sleep apnea:A multicenter study on 735 patients
spellingShingle Does nasal surgery improve multilevel surgical outcome in obstructive sleep apnea:A multicenter study on 735 patients
Pang KP
multilevel surgery
obstructive sleep apnea
success rate
title_short Does nasal surgery improve multilevel surgical outcome in obstructive sleep apnea:A multicenter study on 735 patients
title_full Does nasal surgery improve multilevel surgical outcome in obstructive sleep apnea:A multicenter study on 735 patients
title_fullStr Does nasal surgery improve multilevel surgical outcome in obstructive sleep apnea:A multicenter study on 735 patients
title_full_unstemmed Does nasal surgery improve multilevel surgical outcome in obstructive sleep apnea:A multicenter study on 735 patients
title_sort Does nasal surgery improve multilevel surgical outcome in obstructive sleep apnea:A multicenter study on 735 patients
dc.creator.none.fl_str_mv Pang KP
Montevecchi F
Vicini C
Carrasco-Llatas M
Baptista PM
Olszewska E
Braverman I
Kishore S
Chandra S
Yang HC
Chan YH
Pang SB
Pang KA
Pang EB
Rotenberg B
author Pang KP
author_facet Pang KP
Montevecchi F
Vicini C
Carrasco-Llatas M
Baptista PM
Olszewska E
Braverman I
Kishore S
Chandra S
Yang HC
Chan YH
Pang SB
Pang KA
Pang EB
Rotenberg B
author_role author
author2 Montevecchi F
Vicini C
Carrasco-Llatas M
Baptista PM
Olszewska E
Braverman I
Kishore S
Chandra S
Yang HC
Chan YH
Pang SB
Pang KA
Pang EB
Rotenberg B
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv multilevel surgery
obstructive sleep apnea
success rate
topic multilevel surgery
obstructive sleep apnea
success rate
description Objective: Does nasal surgery affect multilevel surgical success outcome. Methods: Prospective eight country nonrandomized trial of 735 obstructive sleep apnea (OSA) patients, who had multilevel palate and/or tongue surgery, divided into two groups, with or without nose surgery. Results: There were 575 patients in nose group, 160 patients in no nose group. The mean age for nose group 44.6 +/- 11.4, no nose group 44.2 +/- 11.8. Mean preoperative BMI for nose group 27.5 +/- 3.6, no nose group 27.5 +/- 4.1, mean postoperative BMI nose group 26.3 +/- 3.7, no nose group 27.1 +/- 3.8 (P= .006). Mean preoperative AHI nose group 32.7 +/- 19.4, no nose group 34.3 +/- 25.0 (P = .377); and mean postoperative AHI nose group 13.5 +/- 10.2, no nose group 17.1 +/- 16.0 (P = .001). Mean preoperative ESS nose group was 11.3 +/- 4.7, no nose group was 10.4 +/- 5.4 (P = .051); and mean postoperative ESS nose group was 5.3 +/- 3.2, no nose group was 6.7 +/- 2.8 (P = .001). The nose group had higher percentage change (adjusted for age, gender, BMI) in AHI (33.7%, 95% CI 14% to 53.5%) compared to the no nose group (P = .001); the nose group also had more percentage change in ESS (37%, 95% CI 23.6% to 50.3%) compared to the no nose group (P < .001). Change in BMI did not affect AHI nor ESS change (Cohen effect 0.03 and 0.14, respectively). AHI change in both groups were also statistically significant in the mild OSA (P = .008) and the severe OSA (P = .01). Success rate of surgery for the nose group 68.2%, while the no nose group 55.0% (P = .002). Conclusion: Combining nose surgery in multilevel surgery improves surgical success.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/8684
url https://fisabio.portalinvestigacion.com/publicaciones/8684
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv WILEY
publisher.none.fl_str_mv WILEY
dc.source.none.fl_str_mv Laryngoscope Investigative Otolaryngology
ISSN: 23788038
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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