Preservation Palatopharyngoplasty for Obstructive Sleep Apnea With High Modified Mallampati Scores: Clinical and Polysomnographic Outcomes.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY

Otolaryngology- Head and Neck Surgery Pub Date : 2025-03-07 DOI:10.1002/ohn.1184

Mohamed Abdelwahab, Mohamed Faisal Kassir, Nicolas S Poupore, Robson Capasso, Shaun A Nguyen

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引用次数: 0

Abstract

Objective: This study aims to describe and evaluate clinical and polysomnographic outcomes of the preservation palatopharyngoplasty procedure, which preserves pharyngeal mucosa and muscles, in patients with obstructive sleep apnea with high modified Mallampati scores (3 or 4).

Study design: A retrospective chart review.

Setting: A tertiary medical center.

Methods: A total of 23 patients who underwent preservation palatopharyngoplasty between November 2022 and May 2024 were included. Outcomes measured were apnea-hypopnea index (AHI), oxygen desaturation index (ODI), Epworth Sleepiness Scale (ESS) scores, and Nasal Obstruction Symptom Evaluation (NOSE) Scale scores pre- and postsurgery. Data were analyzed using unpaired or paired t-tests, and statistical significance was set at P < .05.

Results: The mean age of included patients was 51.74 years. Postoperative results showed a significant 25.48% (standard deviation [SD] = 32.59) decrease in AHI (P = .0011) and 35.25% (SD = 11.00) mean decrease in ODI (P = .0030). REM sleep percentage increased from 12.96% to 21.35% (P = .0106), and REM AHI decreased from 55.49 to 40.02 events/h (P = .0255). Significant improvements were also seen in ESS (P = .0123) and NOSE scores (P = .0134). Among the included patients, 12 out of 23 patients achieved surgical success per Sher's criteria.

Conclusion: The preservation palatopharyngoplasty significantly improved subjective and objective measures in OSA patients with higher Mallampati scores by enhancing upper airway patency and reducing OSA severity.

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保留腭咽成形术治疗具有高改良Mallampati评分的阻塞性睡眠呼吸暂停：临床和多导睡眠图结果。

目的：本研究旨在描述和评估保留腭咽成形术的临床和多道睡眠图结果，该手术可保留咽黏膜和肌肉，用于改善Mallampati评分（3或4）的阻塞性睡眠呼吸暂停患者。研究设计：回顾性图表回顾。环境：三级医疗中心。方法：共纳入2022年11月至2024年5月期间接受保存腭咽成形术的23例患者。测量的结果是手术前后呼吸暂停低通气指数（AHI）、氧去饱和指数（ODI）、Epworth嗜睡量表（ESS）评分和鼻塞症状评估量表（NOSE）评分。数据分析采用非配对或配对t检验，P为有统计学意义。结果：纳入患者平均年龄为51.74岁。术后结果显示AHI降低25.48%（标准差[SD] = 32.59）（P = 0.0011）， ODI平均降低35.25% (SD = 11.00) （P = 0.0030）。REM睡眠比例由12.96%上升至21.35% (P = 0.0106)， REM AHI由55.49下降至40.02 events/h （P = 0.0255）。ESS评分（P = 0.0123）和NOSE评分（P = 0.0134）也有显著改善。在纳入的患者中，根据Sher标准，23例患者中有12例手术成功。结论：保留腭咽成形术通过提高上气道通畅度和降低OSA严重程度，显著改善了Mallampati评分较高的OSA患者的主观和客观措施。

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

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.