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Published in: European Archives of Oto-Rhino-Laryngology 9/2015

01-09-2015 | Miscellaneous

Surgical results of different palate techniques to treat oropharyngeal collapse

Authors: Marina Carrasco-Llatas, Martín Marcano-Acuña, Vanessa Zerpa-Zerpa, José Dalmau-Galofre

Published in: European Archives of Oto-Rhino-Laryngology | Issue 9/2015

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Abstract

The aim of this study was to assess the surgical success rate of patients undergoing oropharyngeal surgery, selected through drug-induced sleep endoscopy. Secondly, to compare outcomes of the different oropharyngeal surgery techniques applied. The study design was retrospective case series of surgically treated patients from 2006 to 2013. All patients were diagnosed with either moderate or severe obstructive sleep apnea and did not tolerate conventional positive airway pressure. We performed five different surgical techniques to treat oropharyngeal collapse: partial palate resection, uvulopalatopharyngoplasty, Z-palatoplasty, lateral pharyngoplasty and expansion pharyngoplasty. Patients in whom multilevel surgery was performed were excluded. 53 patients were included in our study, 52.8 % were severe obstructive sleep apnea patients, mean age was 43.9 years, mean body mass index 27.5. The surgical success rate according to Sher’s criteria was 71.7 %. 47.2 % had a postoperative apnea hypopnea index lower than 10. The highest success rate was measured in patients who underwent expansion pharyngoplasty (90 % according to Sher’s criteria, 80 % with a postoperative apnea hypopnea index lower than 10) although it did not reach statistical significance. Our conclusion is that drug-induced sleep endoscopy is a good tool to select surgical candidates in patients with moderate-to-severe obstructive sleep apnea who are not compliant with the optimal therapy. Expansion pharyngoplasty was the surgical technique with the highest success rates.
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Metadata
Title
Surgical results of different palate techniques to treat oropharyngeal collapse
Authors
Marina Carrasco-Llatas
Martín Marcano-Acuña
Vanessa Zerpa-Zerpa
José Dalmau-Galofre
Publication date
01-09-2015
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 9/2015
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-015-3565-1

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