Quality of life post barbed reposition pharyngoplasty in obstructive sleep apnea patients: A pre-post quasi-experimental study at secondary hospital.

Abstract

Background: Obstructive sleep apnea syndrome (OSAS) significantly impacts patients' quality of life (QOL) due to symptoms such as impaired sleep and reduced daily functioning. Barbed reposition pharyngoplasty (BRP) has emerged as a surgical intervention aimed at alleviating these symptoms. However, its effect on patients' QOL remains underexplored.

Objectives: To evaluate the impact of BRP surgery on a patient's QOL with OSAS.

Methods: Our study had a quasi-experimental design, which was conducted for 40 adult OSAS patients (one group) from 2015 to 2023 between men and women with inclusion criteria above 18 years old who had been diagnosed with OSAS and who had BRP surgery. We measured the impact of this surgery on patient satisfaction by correlating the subjective measures of the pre- and post-operative self-administered the Functional Outcomes of Sleep Questionnaire (FOSQ) as one of the prognostic indicators.

Results: The study included 40 participants, with ages ranging from their 30s to 60s. The mean age of the participants is 44.5 years (SD ± 9.5). Mean FOSQ scores had a significant increase (p < 0.001) in all domains (general productivity, activity level, vigilance, social outcomes, intimate) when comparing pre-operative mean scores with post-operative mean scores. No statistically significant differences were observed in mean percentage change from baseline FOSQ when compared between males and females (p > 0.05) for all domains (general productivity, activity level, vigilance, social outcomes, intimate).

Conclusion: BRP surgery seems to have a significant impact on patient satisfaction in OSAS patients as it reflects on their health-related QOL mood, social outcome, and daily activity and improves their quality of sleep.