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Hyoid Bone Suspension as a Part of Multilevel Surgery for Obstructive Sleep Apnea Syndrome
Tantawy, Abd Alzaher; Askar, Sherif Mohammad; Amer, Hazem Saeed; Awad, Ali; El-Anwar, Mohammad Waheed.
Affiliation
  • Tantawy, Abd Alzaher; Zagazig University. Faculty of Medicine. Department of Otorhinolaryngology and Head and Neck Surgery. Zagazig. EG
  • Askar, Sherif Mohammad; Zagazig University. Faculty of Medicine. Department of Otorhinolaryngology and Head and Neck Surgery. Zagazig. EG
  • Amer, Hazem Saeed; Zagazig University. Faculty of Medicine. Department of Otorhinolaryngology and Head and Neck Surgery. Zagazig. EG
  • Awad, Ali; Zagazig University. Faculty of Medicine. Department of Otorhinolaryngology and Head and Neck Surgery. Zagazig. EG
  • El-Anwar, Mohammad Waheed; Zagazig University. Faculty of Medicine. Department of Otorhinolaryngology and Head and Neck Surgery. Zagazig. EG
Int. arch. otorhinolaryngol. (Impr.) ; 22(3): 266-270, July-Sept. 2018. tab, graf
Article in English | LILACS | ID: biblio-975580
Responsible library: BR66.1
ABSTRACT
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 amultilevel 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 (O2) 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.
Subject(s)


Full text: Available Collection: International databases Database: LILACS Main subject: Palate / Sleep Apnea, Obstructive / Hyoid Bone Type of study: Diagnostic study / Observational study Limits: Adult / Female / Humans / Male Language: English Journal: Int. arch. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2018 Document type: Article Affiliation country: Egypt Institution/Affiliation country: Zagazig University/EG

Full text: Available Collection: International databases Database: LILACS Main subject: Palate / Sleep Apnea, Obstructive / Hyoid Bone Type of study: Diagnostic study / Observational study Limits: Adult / Female / Humans / Male Language: English Journal: Int. arch. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2018 Document type: Article Affiliation country: Egypt Institution/Affiliation country: Zagazig University/EG
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