Does drug-induced sleep endoscopy predict surgical success of limited palatal muscle resection in patients with obstructive sleep apnea?

The aims of this study were to determine the associated factors affecting the success rate of limited palatal muscle resection (LPMR), and to investigate whether drug-induced sleep endoscopy (DISE) could predict the therapeutic response to LPMR in patients with obstructive sleep apnea obstructive sl...

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Bibliographic Details
Published in:Auris, nasus, larynx nasus, larynx, 2018-10, Vol.45 (5), p.1027-1032
Main Authors: Kim, Jae-Wook, Kim, Deok Soo, Kim, Sung-Dong, Mun, Sue Jean, Koo, Soo-Kweon, Cho, Kyu-Sup
Format: Article
Language:English
Subjects:
Adult
Cephalometry
Drug-induced sleep endoscopy
Female
Humans
Hypnotics and Sedatives
Laryngoscopy
Male
Midazolam
Middle Aged
Obstructive
Operative
Palatal Muscles - physiopathology
Palatal Muscles - surgery
Palate
Polysomnography
Prognosis
Prospective Studies
Sleep apnea
Sleep Apnea, Obstructive - physiopathology
Sleep Apnea, Obstructive - surgery
Snoring
Soft
Surgical procedures
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Summary:The aims of this study were to determine the associated factors affecting the success rate of limited palatal muscle resection (LPMR), and to investigate whether drug-induced sleep endoscopy (DISE) could predict the therapeutic response to LPMR in patients with obstructive sleep apnea obstructive sleep apnea (OSA). Twenty-one consecutive OSA patients underwent LPMR were enrolled. All patients received routine ENT examination, preoperative DISE, and polysomnography (PSG). Clinical, polysomnographic, cephalometric variables, and DISE findings were evaluated. The measurements were related to the success or failure of LPMR based on the results of preoperative and postoperative PSG. The overall success rate of LPMR was 66.6%. Postoperative AHI and minimal oxygen saturation were significantly decreased after LPMR (p
ISSN:0385-8146
1879-1476
DOI:10.1016/j.anl.2018.01.005