Long-term efficacy of expansion sphincter pharyngoplasty in obstructive sleep apnea syndrome

Purpose The aim of this study was to analyze both short-term and long-term results of the expansion sphincter pharyngoplasty surgery, which is commonly used in obstructive sleep apnea syndrome (OSAS) and to compare it with objective and subjective methods. Methods Patients who underwent expansion sp...

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Bibliographic Details
Published in:Sleep & breathing 2021-12, Vol.25 (4), p.1913-1918
Main Authors: Cayir, Serkan, Yesildag, Kerim, Kayabasi, Serkan
Format: Article
Language:English
Subjects:
Adult
Apnea
Dentistry
Female
Follow-Up Studies
Humans
Internal Medicine
Male
Medicine
Medicine & Public Health
Middle Aged
Morbidity
Neurology
Otorhinolaryngologic Surgical Procedures
Otorhinolaryngology
Outcome Assessment, Health Care
Patients
Pediatrics
Pharynx - surgery
Pneumology/Respiratory System
Polysomnography
Reconstructive Surgical Procedures
Sleep
Sleep and wakefulness
Sleep apnea
Sleep Apnea, Obstructive - surgery
Sleep Breathing Physiology and Disorders • Original Article
Sleep disorders
Sphincter
Surgery
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Summary:Purpose The aim of this study was to analyze both short-term and long-term results of the expansion sphincter pharyngoplasty surgery, which is commonly used in obstructive sleep apnea syndrome (OSAS) and to compare it with objective and subjective methods. Methods Patients who underwent expansion sphincter pharyngoplasty were included in the study. Polysomnography at postoperative sixth-month, Epworth Sleepiness Scale, and visual analog score of snoring (VAS) were used to assess short-term results. Epworth Sleepiness Scale (ESS) and visual analog score of snoring (VAS) at postoperative third-year were used for long-term results. Sixth-month and third-year data before and after the surgery were compared. Possible complications and morbidity rates related to surgery were evaluated. Results Of 39 patients, OSAS was assessed as mild in 16 (41%), moderate in 14 (36%), and severe in 9 (23%). Mean age of patients was 43.2 ± 7.5, and 21 were men (54%). According to postoperative six-month PSG data, the apnea hypopnea index (AHI) values decreased significantly from 25.2 ± 8.3 to 11.6 ± 6.9/h, p =0.012. There were decreases in ESS from baseline to 6-month and 3-years from 10.4, to 4.4, and 4.4, and VAS scores changed from 8.6 to 1.6 and 1.9, p
ISSN:1520-9512
1522-1709
DOI:10.1007/s11325-021-02315-1