Modified anterior palatoplasty and double suspension sutures (with or without tonsillectomy) in selected patients with obstructive sleep apnea: a preliminary report

Sleep & Breathing = Schlaf & Atmung
S M AskarAli Awad

Abstract

Retropalatal region might be considered the most common site of obstruction in patients with snoring and OSA. We aimed at presentation of two combined techniques: modified anterior palatoplasty (MAP) and bilateral double suspension suture (DSS). This prospective study was conducted on OSA patients with retro-palatal collapse only that was confirmed by nasoendoscopy during Muller's maneuver and drug induced sleep endoscopy. MAP and DSS were performed for all patients. Preoperative and 6 months after surgery, all patients underwent fiber-optic nasoendoscopy using the Muller maneuver and polysomnography, snoring scores, and Epworth Sleepiness Scale (ESS) values were assessed. Mean apnea hypopnea index (AHI) dropped significantly (p < 0.0001) from a mean of 28.6 ± 5.5 preoperatively to 8.3 ± 2.96 postoperatively. Successful outcome was reported in 26 patients (98.65%) while 3 patients (10.35%) were responders. The mean lowest oxygen (O2) saturation level increased significantly from 79.4 ± 3.5 to 93.1 ± 3.1 (p < 0.0001). ESS showed significant improvement (p < 0.0001) as its mean diminished from 14.5 ± 2.4 preoperatively to 3.4 ± 1 postoperatively. Visual analog scale of snoring was significantly (p < 0.0001) decreased from 7.9 ± 1...Continue Reading

References

Dec 1, 1989·Pediatric Clinics of North America·L Brodsky
Aug 1, 1994·Clinical Otolaryngology and Allied Sciences·P D Ellis
Mar 31, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·E A Mair, R H Day
Sep 6, 2003·Otolaryngologic Clinics of North America·V J AbdullahC A van Hasselt
Feb 24, 2006·Archives of Otolaryngology--head & Neck Surgery·Eric J Kezirian, Andrew N Goldberg
May 5, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Kenny P Pang, David J Terris
Feb 6, 2008·Proceedings of the American Thoracic Society·Terri E Weaver, Ronald R Grunstein
Jun 24, 2008·Acta Oto-laryngologica·Marco BenazzoClaudio Vicini
Dec 23, 2008·Auris, Nasus, Larynx·Hidehito YagiTsutomu Nakashima
Aug 1, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Kenny P PangDavid J Terris
Aug 19, 2009·PLoS Medicine·Naresh M PunjabiJonathan M Samet
Sep 3, 2010·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Andrea De VitoClaudio Vicini
May 27, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Eric J KezirianNico de Vries
Jul 12, 2013·The Laryngoscope·Giovanni Sorrenti, Ottavio Piccin
Apr 7, 2016·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Brian W RotenbergKenny P Pang
Sep 22, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Magdy Abdalla Sayed El-Ahl, Mohammad Waheed El-Anwar
Nov 14, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Bakri AdzreilJalaludin Amin
Jun 28, 2017·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·S M AskarA Awad
Dec 31, 2017·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·S M Askar, M W El-Anwar
Jul 10, 2018·International Archives of Otorhinolaryngology·Abd Alzaher TantawyMohammad Waheed El-Anwar

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Citations

Feb 8, 2019·The Journal of Craniofacial Surgery·Mohammad Waheed El-Anwar, Sherif M Askar
Nov 21, 2019·The Laryngoscope·Sherif M AskarAli M Awad
Jan 3, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Sherif Mohammad AskarAmal Saeed Quriba
May 29, 2021·Future Science OA·Laith KhasawnehAbdel-Hameed Al-Mistarehi
Aug 6, 2021·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·David KentChristopher G Harrod
Aug 8, 2021·American Journal of Otolaryngology·Sherif AskarAlaa Khazbak
Oct 9, 2021·Cranio : the Journal of Craniomandibular Practice·Mohammad Waheed El-AnwarAmeer Abdul Monem Abou Sharkh

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