Evaluation of multiple surgeries as therapeutic options for Obstructive Sleep Apnea Syndrome
Journal Title: Archives of Otolaryngology and Rhinology - Year 2018, Vol 4, Issue 4
Abstract
Obstructive Sleep Apnea Syndrome (OSAS) is a chronic disease characterized by repeated airflow obstruction in the upper airway. Location of obstructive site is essential for proper surgical planning. Objective: To evaluate the success rate of multiple surgeries, in various combinations, in the treatment of Moderate and Severe OSAS. Methods: Fifty patients with moderate and severe OSAS subjected to multiple surgeries for treatment were studied, and the laboratory values of pre -and postoperative polysomnography were analyzed. Results: Considering the reduce AHI from an average of 47.9 events / hour (± 23.30) preoperatively to a mean postoperative value of 19.82 events / hour (± 21.16) in cases of moderate OSAS, AHI was reduced from 22.89 to 18.50 events / hour. In severe cases of OSAS, the AHI reduced from 58.62 to 20.38 events / hour. Conclusion: Several combinations of multiple surgeries for OSAS are valid for the treatment -resistant patients using CPAP alternatives. The success rate is significantly better in severe cases than in mild ones. Among the surgeries, craniofacial surgery contributed to improve postoperative AHI and showed a greater reduction than in patients not undergoing this technique.
Authors and Affiliations
DK Ribeiro, JA Pinto, R Kohler, HDS Sobreira Nunes, AF da Silva Cavallini
Keywords
Related Articles
- EP ID EP529906
- DOI 10.17352/2455-1759.000080
- Views 75
- Downloads 0
Midface Osseous Dimensions are not Affected by Uncorrected Nasal Septal Deviation
Objective: To investigate the effects of uncorrected nasal septal deviation on the pyriform aperture (PA) dimensions, the upper anterior face height (UAFH), and the anteroposterior length of the maxilla (LM) of adult pat...
Adenoid Hypertrophy in Adults: An Underdiagnosed Entity?
Adenoid enlargement is uncommon in adults. We studied the varied presentation of adenoid hypertrophy in two adults. A 45 year old male who presented with nasal obstruction and snoring, and a 35 year old male who presente...
Positional Changes in the Hyoid Bone, Hypopharynx, Cervical Vertebrae, and Cranium Before and After Correction of Glosso-Larynx (CGL)
Introduction: Respiratory inhibition by ankyloglossia with deviation of the epiglottis and larynx (ADEL) was thought to be caused by tongue muscles. But to explain this effect by the tongue muscles alone was unreasonable...
Sinus or nasal surgery alleviates headache symptoms: A prospective study
Introduction: The primary aim of this prospective study was to evaluate headache severity before and after surgery in patients with chronic rhinosinusitis without polyps (CRSsNP), chronic rhinosinusitis with polyps (CRSw...
Factors influencing extent of surgery for Substernal Thyroid Goiters: Hemithyroidectomy versus total Thyroidectomy
Background: When compared to removal of cervical goiters, patients undergoing removal of substernal goiter have been found to have higher rates of complications, including recurrent laryngeal nerve injury, bleeding, and...