What is "success" following surgery for obstructive sleep apnea? The effect of different polysomnographic scoring systems

The Laryngoscope
Jonathan C HobsonA Simon Carney

Abstract

To illustrate that the diagnosis of obstructive sleep apnea (OSA) is dependent on the polysomnographic scoring criteria used, and the success rates of treatments for OSA are dependent on the defined outcome measures. Retrospective case series with prospective reanalysis of polysomnographic data. Consecutively treated adult patients (N = 40) with moderate to severe OSA having multilevel pharyngeal surgery in 2007 were studied. All patients underwent submucosal lingualplasty and concurrent or previous uvulopalatopharyngoplasty ± palatal advancement. Full polysomnography (PSG) was performed preoperatively and at a mean of 145 days postoperatively. Pre- and postoperative PSG data were analyzed by two different but widely used scoring systems for the apnea-hypopnea index (AHI): The American Academy of Sleep Medicine (AASM) 1999 Chicago criteria and the AASM 2007 recommended criteria. Follow-up PSG data were available in 31 of 40 patients. Successful surgery was defined as a reduction in AHI(Rec) <20 with a 50% reduction from the patient's baseline, and in this group the surgical intervention was associated with a 72.2% success rate. If, however, differing AHI metrics are used or the absolute or percent reduction used to define a suc...Continue Reading

References

Apr 29, 1998·Clinics in Chest Medicine·M T Naughton, T D Bradley
Aug 6, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FriedmanLee Bass
Jul 14, 2004·Circulation·Apoor S GamiVirend K Somers
Feb 5, 2005·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Edward M WeaverDavid L Steward
Aug 10, 2005·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B Tucker WoodsonHyun J Lim
Sep 18, 2007·Chest·Rahul K Kakkar, Richard B Berry
Jan 5, 2008·BMJ : British Medical Journal·Adam G ElshaugGuy J Maddern
Feb 16, 2008·American Journal of Respiratory and Critical Care Medicine·Naresh M PunjabiMark H Sanders
Feb 26, 2009·Sleep·Warren R RuehlandAndrew T Thornton
May 13, 2009·ANZ Journal of Surgery·Karen HumphreysGuy Maddern
Aug 1, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Sam RobinsonAdrian Esterman
May 22, 2010·Clinics in Chest Medicine·Macy M S Lui, Mary S M Ip
Jul 16, 2010·Sleep Medicine Reviews·Edward M Weaver
Nov 11, 2010·Sleep·R Nisha AuroraUNKNOWN American Academy of Sleep Medicine
Nov 19, 2010·Postgraduate Medicine·Kannan Ramar, Salim Surani

❮ Previous
Next ❯

Citations

Jun 3, 2014·Otolaryngologic Clinics of North America·Julia A CrawfordJ Scott Magnuson
Aug 13, 2013·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Joseph E CilloDavid J Dattilo
Feb 24, 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·Kenny P Pang, Brian W Rotenberg
Jun 25, 2013·The Laryngoscope·Samantha TamBrian Rotenberg
Feb 1, 2014·The Laryngoscope·Kenny P Pang, Brian W Rotenberg
Feb 25, 2015·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·Marina Carrasco-LlatasJosé Dalmau-Galofre
May 26, 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·Giuseppe MeccarielloClaudio Vicini
Mar 2, 2016·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·C M WoodsA S Carney
Apr 30, 2017·Clinical and Experimental Otorhinolaryngology·Su Jin KimHun-Jong Dhong
Feb 1, 2017·Neurology. Clinical Practice·Patrick Pavwoski, Anita Valanju Shelgikar
Sep 4, 2018·Journal of the Chinese Medical Association : JCMA·Hao-Chun HuLieber Po-Hung Li
Aug 6, 2021·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·David KentChristopher G Harrod

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Joseph E CilloDavid J Dattilo
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
Wietske RichardNico de Vries
Sleep Medicine Reviews
Damien LegerPierre Philip
Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
David J Dattilo, Moris Aynechi
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
B Tucker WoodsonAndrew Goldberg
© 2021 Meta ULC. All rights reserved