Hyoid surgery alone for obstructive sleep apnea: A systematic review and meta-analysis

The Laryngoscope
Sungjin A SongMacario Camacho

Abstract

The primary objective was to determine if sleep study variables (e.g., apnea-hypopnea index [AHI] and lowest oxygen saturation) and quantitative sleepiness data improve following isolated hyoid surgery for obstructive sleep apnea (OSA). Systematic review and meta-analysis. Nine databases, including PubMed, were searched through September 5, 2015. Four hundred ninety-eight studies were screened, 64 were reviewed, and nine studies met inclusion criteria. A total of 101 patients were identified who underwent hyoid surgery alone for treatment of OSA. Subanalyses were performed for: 1) type of surgery, 2) primary versus secondary hyoid surgery, 3) positional versus nonpositional OSA, 4) age, and 5) body mass index. In patients undergoing isolated hyoid surgery, the AHI decreased from a mean ± standard deviation of 37.3 ± 21.1 (95% confidence interval [CI]: 33.1, 41.5) to 23.0 ± 18.6 (95% CI: 19.3, 26.7) events/hour, which correspond to a 38.3% reduction (P < .0001). AHI reduced by 38.3% for hyoid myotomy with suspension, by 50.7% for hyothyroidopexy, and by 7.1% for hyoid expansion. The Epworth Sleepiness Scale decreased by 3.2 points from 10.3 ± 4.9 (95% CI: 8.8, 11.8) to 7.1 ± 4.2 (95% CI: 5.8, 8.4; P = .0027). Isolated hyoid surg...Continue Reading

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Citations

Apr 29, 2016·Sleep & Breathing = Schlaf & Atmung·Macario CamachoAnthony M Tolisano
Sep 12, 2018·Expert Review of Respiratory Medicine·Macario CamachoClete A Kushida
Sep 21, 2018·Current Opinion in Otolaryngology & Head and Neck Surgery·Stacey L IshmanAimee A Kennedy
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May 27, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Rodrigo Martinez-MonederoEric J Kezirian
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Jul 3, 2021·Clinics in Geriatric Medicine·Maria V Suurna, Ana C Krieger
Aug 8, 2021·American Journal of Otolaryngology·Sherif AskarAlaa Khazbak

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