Back to Search
Start Over
Hyoid surgery alone for obstructive sleep apnea: A systematic review and meta-analysis
- Source :
- The Laryngoscope. 126:1702-1708
- Publication Year :
- 2016
- Publisher :
- Wiley, 2016.
-
Abstract
- Objectives/Hypothesis The primary objective was to determine if sleep study variables (e.g., apnea-hypopnea index [AHI] and lowest oxygen saturation) and quantitative sleepiness data improve following isolated hyoid surgery for obstructive sleep apnea (OSA). Study Design Systematic review and meta-analysis. Methods Nine databases, including PubMed, were searched through September 5, 2015. Results Four hundred ninety-eight studies were screened, 64 were reviewed, and nine studies met inclusion criteria. A total of 101 patients were identified who underwent hyoid surgery alone for treatment of OSA. Subanalyses were performed for: 1) type of surgery, 2) primary versus secondary hyoid surgery, 3) positional versus nonpositional OSA, 4) age, and 5) body mass index. In patients undergoing isolated hyoid surgery, the AHI decreased from a mean ± standard deviation of 37.3 ± 21.1 (95% confidence interval [CI]: 33.1, 41.5) to 23.0 ± 18.6 (95% CI: 19.3, 26.7) events/hour, which correspond to a 38.3% reduction (P < .0001). AHI reduced by 38.3% for hyoid myotomy with suspension, by 50.7% for hyothyroidopexy, and by 7.1% for hyoid expansion. The Epworth Sleepiness Scale decreased by 3.2 points from 10.3 ± 4.9 (95% CI: 8.8, 11.8) to 7.1 ± 4.2 (95% CI: 5.8, 8.4; P = .0027). Conclusions Isolated hyoid surgery has reduced OSA severity and improved sleepiness in adults. Hyothyroidopexy provided a 50.7% reduction in AHI, followed by hyoid myotomy with suspension (38.3% reduction in AHI) and hyoid expansion (7.1% reduction in AHI). The current literature lacks high-quality evidence with regard to hyoid surgery, and additional studies are needed to further elucidate the effect of hyoid surgery in OSA. Level of Evidence NA Laryngoscope, 2015
- Subjects :
- Myotomy
medicine.medical_specialty
business.industry
medicine.medical_treatment
Epworth Sleepiness Scale
Hyoid bone
medicine.disease
Confidence interval
respiratory tract diseases
Surgery
Obstructive sleep apnea
03 medical and health sciences
0302 clinical medicine
stomatognathic system
Otorhinolaryngology
Meta-analysis
medicine
Sleep study
030223 otorhinolaryngology
business
Body mass index
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 0023852X
- Volume :
- 126
- Database :
- OpenAIRE
- Journal :
- The Laryngoscope
- Accession number :
- edsair.doi...........1dea84d5a90c8f648b74f384271f23d5
- Full Text :
- https://doi.org/10.1002/lary.25847