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Improving surgical results in velopharyngeal surgery: our experience in the last decade.

Abstract

BACKGROUND AND PURPOSE

The surgical techniques used to treat velopharyngeal collapse in obstructive sleep apnoea patients have evolved over recent years. Our aim was to determine whether these new techniques have better surgical results.

MATERIALS AND METHODS

This is a retrospective study of moderate to severe obstructive sleep apnoea patients surgically treated from 2006 to 2018. Only adult patients with no compliance to positive airway pressure and without simultaneous multilevel surgery were included. During this period, 4 different techniques were performed: uvulopalatopharyngoplasty, lateral pharyngoplasty, expansion pharyngoplasty and barbed reposition pharyngoplasty. Success rates as defined by Sher, as well as postoperative AHI<10/h and mean relative AHI reduction (MRR) were compared.

RESULTS

82 patients were included. AHI was significantly reduced from 43.4±24/h to 15.6±18.6/h. No significant changes in body mass index were observed. Hypoxaemia time, oxygen desaturation index, and Epworth sleepiness scale values improved after surgery. The best success rates were obtained performing barbed reposition pharyngoplasty (78.26% measured by Sher's criteria, 65.22% by AHI<10/h criteria and 74.1% by the MRR). The differences observed were statistically significant.

CONCLUSIONS

Barbed reposition pharyngoplasty is a recently introduced technique that showed superiority over the other palatal surgery techniques in this cohort.

Authors+Show Affiliations

Servicio de Otorrinolaringología, Hospital Universitario Doctor Peset , Valencia, España.Servicio de Otorrinolaringología, Hospital Universitario Doctor Peset , Valencia, España. Electronic address: marinacll@gmail.com.Servicio de Otorrinolaringología, Hospital Universitario Doctor Peset , Valencia, España.Servicio de Otorrinolaringología, Hospital Universitario Doctor Peset , Valencia, España.

Pub Type(s)

Journal Article

Language

eng spa

PubMed ID

31514960

Citation

Martínez Ruiz de Apodaca, Paula, et al. "Improving Surgical Results in Velopharyngeal Surgery: Our Experience in the Last Decade." Acta Otorrinolaringologica Espanola, 2019.
Martínez Ruiz de Apodaca P, Carrasco Llatas M, Valenzuela Gras M, et al. Improving surgical results in velopharyngeal surgery: our experience in the last decade. Acta Otorrinolaringol Esp. 2019.
Martínez Ruiz de Apodaca, P., Carrasco Llatas, M., Valenzuela Gras, M., & Dalmau Galofre, J. (2019). Improving surgical results in velopharyngeal surgery: our experience in the last decade. Acta Otorrinolaringologica Espanola, doi:10.1016/j.otorri.2019.06.001.
Martínez Ruiz de Apodaca P, et al. Improving Surgical Results in Velopharyngeal Surgery: Our Experience in the Last Decade. Acta Otorrinolaringol Esp. 2019 Sep 9; PubMed PMID: 31514960.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improving surgical results in velopharyngeal surgery: our experience in the last decade. AU - Martínez Ruiz de Apodaca,Paula, AU - Carrasco Llatas,Marina, AU - Valenzuela Gras,Marta, AU - Dalmau Galofre,José, Y1 - 2019/09/09/ PY - 2019/05/03/received PY - 2019/06/09/accepted PY - 2019/9/14/entrez PY - 2019/9/14/pubmed PY - 2019/9/14/medline KW - Barbed reposition pharyngoplasty KW - Faringoplastia de reposición con sutura barbada KW - Faringoplastias KW - Obstructive sleep apnoea syndrome KW - Pharyngeal surgical techniques KW - Síndrome de apnea-hipopnea del sueño JF - Acta otorrinolaringologica espanola JO - Acta Otorrinolaringol Esp N2 - BACKGROUND AND PURPOSE: The surgical techniques used to treat velopharyngeal collapse in obstructive sleep apnoea patients have evolved over recent years. Our aim was to determine whether these new techniques have better surgical results. MATERIALS AND METHODS: This is a retrospective study of moderate to severe obstructive sleep apnoea patients surgically treated from 2006 to 2018. Only adult patients with no compliance to positive airway pressure and without simultaneous multilevel surgery were included. During this period, 4 different techniques were performed: uvulopalatopharyngoplasty, lateral pharyngoplasty, expansion pharyngoplasty and barbed reposition pharyngoplasty. Success rates as defined by Sher, as well as postoperative AHI<10/h and mean relative AHI reduction (MRR) were compared. RESULTS: 82 patients were included. AHI was significantly reduced from 43.4±24/h to 15.6±18.6/h. No significant changes in body mass index were observed. Hypoxaemia time, oxygen desaturation index, and Epworth sleepiness scale values improved after surgery. The best success rates were obtained performing barbed reposition pharyngoplasty (78.26% measured by Sher's criteria, 65.22% by AHI<10/h criteria and 74.1% by the MRR). The differences observed were statistically significant. CONCLUSIONS: Barbed reposition pharyngoplasty is a recently introduced technique that showed superiority over the other palatal surgery techniques in this cohort. SN - 1988-3013 UR - https://www.unboundmedicine.com/medline/citation/31514960/Improving_surgical_results_in_velopharyngeal_surgery:_our_experience_in_the_last_decade DB - PRIME DP - Unbound Medicine ER -