Long-term stability of results following surgery for obstructive sleep apnea (OSA)
| العنوان: | Long-term stability of results following surgery for obstructive sleep apnea (OSA) |
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| المؤلفون: | Marina Carrasco-Llatas, José Dalmau-Galofre, Marta Valenzuela-Gras, Silvia Matarredona-Quiles, Paula Martínez-Ruiz de Apodaca |
| المصدر: | EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY r-FISABIO. Repositorio Institucional de Producción Científica instname r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, medicine.medical_treatment, Polysomnography, Upper airway surgery, Pharyngoplasty, 03 medical and health sciences, Sleep apnea surgery, Multilevel surgery, 0302 clinical medicine, Quality of life, medicine, Humans, Sleep study, 030223 otorhinolaryngology, Hyoid suspension, Retrospective Studies, Long-term results, Sleep Apnea, Obstructive, business.industry, Retrospective cohort study, General Medicine, medicine.disease, Tonsillectomy, Surgery, Obstructive sleep apnea, Treatment Outcome, Otorhinolaryngology, 030220 oncology & carcinogenesis, Quality of Life, Neurosurgery, business |
| الوصف: | Purpose Although upper airway surgery in selected patients with obstructive sleep apnea (OSA) has been shown to be beneficial, its long-term effects have been questioned. The main objective was to evaluate whether results following surgery remain stable over time, both in objective and subjective terms. As a secondary aim, such stability was also measured in relation with the type of surgery performed. Methods This work constitutes a retrospective study of OSA adult patients subjected to the following surgical procedures: different types of pharyngoplasties, tongue-base surgery, partial epiglottectomy or hyoid suspension. Those who exclusively underwent tonsillectomy or nasal surgery were excluded. Before surgery, a sleep study, and an assessment of the patients' sleepiness and quality of life were performed, which were repeated at 8, 34, and 48 months after surgery. A total of 153 patients was included. Results Following surgery, the apnea-hypopnea index decreased from 34.84/h to 14.54/h and did not vary more than one point in subsequent controls (p = 0.01). The oxygen desaturation index changed from 31.02/h to 14.0/h and remained stable in the second (15.34/h) and third (11.43/h) controls (p = 0.01). Parameters measuring sleepiness and well-being demonstrated the maintenance of long-term benefits. New pharyngoplasties were observed to be more stable than classic pharyngoplasties in the long term (p = 0.04). Single-level surgeries were found to be more stable than multilevel surgeries, although a statistically significant difference was not observed (p = 0.07). Conclusion The benefits obtained remained stable in the long term. In our sample, modern pharyngoplasty techniques showed superiority over the classic ones regarding long-term stability. |
| تدمد: | 1434-4726 0937-4477 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e7295dfd355b92ce72891df55c93d98f https://pubmed.ncbi.nlm.nih.gov/34159417 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e7295dfd355b92ce72891df55c93d98f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14344726 09374477 |
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