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Prospective multi-center study on expansion sphincter pharyngoplasty
- Source :
- Acta Oto-Laryngologica. 139:219-222
- Publication Year :
- 2019
- Publisher :
- Informa UK Limited, 2019.
-
Abstract
- The aim of this study was to demonstrate the long-term effectiveness of Expansion Sphincter Pharyngoplasty (ESP) as a standalone surgical treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS) patients through a prospective multi-center study.A prospective non-comparative multicenter study of patients suffering from OSHAS selected after drug-induced sleep endoscopy, with ESP as standing alone procedure was performed. Inclusion criteria were lateral collapse on oropharynx and preoperative AHI between 5 and 70. Minimum follow-up was12 months. Outcome measures were Epworth sleepiness scale (ESS), AHI, success rate and CPAP need after surgery.A total of 75 ESP were performed. Mean patient age was 46.7 ± 10.5 years. Mean pre-operative and post-operative AHI was 22.1 ± 12.2 and 8.6 ± 6.7, respectively (p .001). Mean pre-operative and post-operative ESS score was 11.5 ± 4.7 and 4.6 ± 6.6, respectively (p .001). AHI5 was obtained in 25 patients (33.3%), and CPAP was not further needed after surgery in a total of 62 patients (82.6%).In this prospective multi-center study, patients undergoing ESP standing alone for the treatment of OSAHS have a reasonable expectation for success with minimal morbidity.
- Subjects :
- Adult
Male
medicine.medical_specialty
Polysomnography
Risk Assessment
Severity of Illness Index
03 medical and health sciences
fluids and secretions
0302 clinical medicine
medicine
Humans
Minimally Invasive Surgical Procedures
Prospective Studies
030223 otorhinolaryngology
Surgical treatment
Sleep Apnea, Obstructive
business.industry
Sleep apnea
General Medicine
Middle Aged
Plastic Surgery Procedures
biochemical phenomena, metabolism, and nutrition
medicine.disease
Surgery
Treatment Outcome
medicine.anatomical_structure
Otorhinolaryngology
030220 oncology & carcinogenesis
Multi center study
Pharyngeal Muscles
Sphincter
Female
Sleep (system call)
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 16512251 and 00016489
- Volume :
- 139
- Database :
- OpenAIRE
- Journal :
- Acta Oto-Laryngologica
- Accession number :
- edsair.doi.dedup.....68db924d263ca70333e195912135b18f