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European Archives of Oto-Rhino-Laryngology

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Open Access 03-01-2024 | Pharyngoplasty | Miscellaneous

Anterolateral advancement pharyngoplasty versus barbed reposition pharyngoplasty in patients with obstructive sleep apnea

Authors: Tarek Abdelzaher Emara, Mohamed Sherif Ahmed Abd Elmonem, Ashraf Mahmoud Khaled, Hisham Ahmed Hasan Genedy, Rabie Sayed Youssef

Published in: European Archives of Oto-Rhino-Laryngology | Issue 4/2024

Abstract

Objectives

To compare functional outcomes and complication rates of anterolateral advancement pharyngoplasty (ALA) versus barbed reposition pharyngoplasty (BRP) in the treatment of obstructive sleep apnea patients with palatal and lateral pharyngeal wall collapse.

Study design

Prospective study.

Setting

University hospitals.

Subjects and methods

Forty-six patients were included in this study. Patients were divided into two groups randomly, group 1 (23 cases) underwent anterolateral advancement pharyngoplasty and group 2 (23 cases) underwent barbed relocation pharyngoplasty. According to the following criteria: both sex, age between 18 and 65 years, body mass index ≤ 32 kg/m2, Friedman stage II or III, type I Fujita, nocturnal polysomnography study diagnostic for OSA, retropalatal and lateral pharyngeal wall collapse, diagnosis with flexible nasoendoscopy during a Muller’s maneuver based on a 5-point scale and drug-induced sleep endoscopy. Patients who suffered from retroglossal airway collapse were rolled out.

Results

Apnea–hypopnea index decreased from 27.50 ± 11.56 to 11.22 ± 7.63 (P ≤ .001) in group 1 and from 33.18 ± 10.94 to 12.38 ± 6.77 (P ≤ .001) in group 2. Retropalatal posterior airway space increased from 9.84 ± 1.29 mm to 21.48 ± 2.8 mm (P ≤ .001) in group 1 and increased from 10.26 ± 1.2 mm to 22.86 ± 2.62 mm (P ≤ .001) in group 2. Retropalatal space volume increased from 1.9 ± 0.68 cm³ to 2.75 ± 0.7 cm³ (P ≤ .001) in group 1 and increased from 1.96 ± 0.88 cm³ to 2.82 ± 0.83 cm³ (P ≤ .001) in group 2. Surgical success was 86.95% in group 1 compared to 82.6% in group 2.

Conclusions

Both techniques appear to be effective with a high surgical success rate in the treatment of OSA patients with retropalatal and lateral pharyngeal wall collapse.

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Title: Anterolateral advancement pharyngoplasty versus barbed reposition pharyngoplasty in patients with obstructive sleep apnea
Authors: Tarek Abdelzaher Emara
Mohamed Sherif Ahmed Abd Elmonem
Ashraf Mahmoud Khaled
Hisham Ahmed Hasan Genedy
Rabie Sayed Youssef
Publication date: 03-01-2024
Publisher: Springer Berlin Heidelberg
Keywords: Pharyngoplasty
Sleep Apnea
Published in: European Archives of Oto-Rhino-Laryngology / Issue 4/2024
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08402-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Anterolateral advancement pharyngoplasty versus barbed reposition pharyngoplasty in patients with obstructive sleep apnea

Abstract

Objectives

Study design

Setting

Subjects and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Study design

Setting

Subjects and methods

Results

Conclusions

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