Efficacy of Expansion Pharyngoplasty without Drug-induced Sleep Endoscopy Screening in Obstructive Sleep Apnea.

IF 1 Q3 OTORHINOLARYNGOLOGY
International Archives of Otorhinolaryngology Pub Date : 2024-10-25 eCollection Date: 2024-10-01 DOI:10.1055/s-0044-1782630
Rafael Tenor, Juan Miguel Palomeque-Vera, Angel Bandera-López, Pilar Cuellar, Manuel Oliva-Domínguez
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Abstract

Introduction  Expansion sphincter pharyngoplasty has been shown to be a good alternative to continuous pressure devices in patients with moderate to severe obstructive sleep apnea. On the other hand, drug-induced sleep endoscopy provides information on the pattern of collapse in obstructive sleep apnea, although it is unclear whether this information improves the surgical outcomes. Objective  To evaluate the success rate obtained when performing expansion sphincter pharyngoplasty on a group of patients diagnosed with moderate to severe obstructive sleep apnea who were not previously selected by drug-induced sleep endoscopy. Methods  We present a series of patients with moderate to severe obstructive sleep apnea who underwent surgery. Pre- and postoperative home sleep apnea tests were performed. The success rate was calculated, and we assessed whether there were statistically significant pre- and postoperative differences in the apnea-hypopnea index and oximetry values. Results  In total, 20 patients were included, and the surgical success rate was of 80%. Statistically significant improvements were demonstrated in the mean apnea-hypopnea index (from 40.25 ± 15.18 events/hour to 13.14 ± 13.82 events/hour; p  < 0. 0001), the mean oximetric data (from 26.3 ± 12.97 desaturations/hour to 13.57 ± 15.02 desaturations/hour; p  = 0.034), and in the mean percentage of total sleep time in which the patient had less than 90% of saturation (from 8.64 ± 9.25% to 4.4 ± 7.76%; p  = 0.028). Conclusion  The results showed significant improvements in the apnea-hypopnea index and in the oximetric data, with a surgical success rate of 80%, despite the lack of prior drug-induced sleep endoscopy screening.

无需药物诱导睡眠内窥镜筛查的扩张性咽成形术对阻塞性睡眠呼吸暂停的疗效。
导言 对中重度阻塞性睡眠呼吸暂停患者而言,扩张括约肌咽成形术已被证明是持续加压装置的良好替代方案。另一方面,药物诱导睡眠内窥镜检查可提供阻塞性睡眠呼吸暂停患者塌陷模式的信息,但目前尚不清楚这些信息是否能改善手术效果。目的 评估对一组被诊断为中重度阻塞性睡眠呼吸暂停的患者实施扩张括约肌咽成形术的成功率,这些患者之前未通过药物诱导睡眠内窥镜检查进行筛选。方法 我们介绍了一系列接受手术治疗的中重度阻塞性睡眠呼吸暂停患者。术前和术后进行了家庭睡眠呼吸检测。我们计算了成功率,并评估了呼吸暂停-低通气指数和血氧饱和度值在术前和术后是否存在显著的统计学差异。结果 共纳入 20 名患者,手术成功率为 80%。平均呼吸暂停-低通气指数(从 40.25 ± 15.18 次/小时降至 13.14 ± 13.82 次/小时;P = 0.034)和患者睡眠饱和度低于 90% 的平均总睡眠时间百分比(从 8.64 ± 9.25% 降至 4.4 ± 7.76%;P = 0.028)均有明显改善。结论 结果显示,尽管之前没有进行过药物诱导睡眠内窥镜筛查,但呼吸暂停-低通气指数和血氧饱和度数据均有明显改善,手术成功率达 80%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.80
自引率
0.00%
发文量
84
审稿时长
12 weeks
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