Title |
Hyoid Bone Suspension as a Part of Multilevel Surgery for Obstructive Sleep Apnea Syndrome
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Published in |
International Archives of Otorhinolaryngology, October 2017
|
DOI | 10.1055/s-0037-1607227 |
Pubmed ID | |
Authors |
Abd Alzaher Tantawy, Sherif Mohammad Askar, Hazem Saeed Amer, Ali Awad, Mohammad Waheed El-Anwar |
Abstract |
Introduction Since oropharyngeal surgery alone is often insufficient to treat obstructive sleep apnea (OSA), advances have been developed in hypopharyngeal surgery. Objective To assess hyoid suspension surgery as part of a multilevel OSA surgery, also including palatal surgery. Methods The study included patients with OSA symptoms with apnea hypopnea index (AHI) > 15. They were scheduled for hyoid suspension after a nasoendoscopy during Müller maneuver and drug induced sleep endoscopy (DISE). All patients had body mass index (BMI) < 35 kg/m2. Hyoidothyroidopexy combined with tonsillectomy and palatal suspension was performed in all cases. Results The mean AHI dropped significantly ( p < 0.0001) from 68.4 ± 25.3 preoperatively to 25.6 ± 9.52 postoperatively. The mean lowest oxygen (O 2 ) saturation level increased significantly from 66.8 ± 11.3 to 83.2 ± 2.86 ( p < 0.0001). In addition, the snoring score significantly decreased ( p < 0.0001) from a preoperative mean of 3.4 ± 0.54 to 2 ± 0.7 at 6 months postoperatively. In regard to the Epworth sleepiness scale (ESS), it showed significant improvements ( p < 0.0001) as its mean diminished from 13.8 ± 5.4 preoperatively to 5.2 ± 1.6 postoperatively. Conclusion Hyoidothyroidopexy using absorbable suture seems to produce a good outcome in treating OSA. It could be effectively and safely combined with other palatal procedures in the multilevel surgery for OSA. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 32 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 6 | 19% |
Other | 4 | 13% |
Student > Bachelor | 4 | 13% |
Student > Doctoral Student | 2 | 6% |
Researcher | 2 | 6% |
Other | 5 | 16% |
Unknown | 9 | 28% |
Readers by discipline | Count | As % |
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Biochemistry, Genetics and Molecular Biology | 2 | 6% |
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Energy | 1 | 3% |
Other | 3 | 9% |
Unknown | 10 | 31% |