E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Comparative evaluation of surgical modalities in cases with obstructive sleep apnea syndrome

Manish Sharma, Om Prakash, Mohit Goel.

Abstract
Background: Sleep apnea is divided into three main types: central sleep apnea syndrome (CSAS), obstructive sleep apnea syndrome (OSAS), and mixed sleep apnea syndrome (MSAS). OSAS is responsible for 80% of cases of sleep apnea.

Objective: To determine the surgical outcome in patients with obstructive sleep apnea (OSA) following classical uvulopalatopharyngoplasty (UPPP) and modified UPPP and to compare the long-term results of surgery with nasal continuous positive airway pressure (n-CPAP) therapy.

Materials and Methods: Twenty-four diagnosed cases of OSAS were included in this study. These cases were divided into three groups of equal sizes (eight cases each). Cases in group I were subjected to modified UPPP, group II cases were subjected to classical UPPP, and group III were subjected to CPAP therapy.

Results: There were only 2 female patients out of 24 cases (8.33%). All the male patients were alcoholic (n = 22), and out of the 24 cases 41.66% (n = 10) were smokers. The cephalometry analysis of these patients was as follows: the mean distance from mandibular plane to hyoid bone in group I patient was 22 mm, group II 20.37 mm, and group III 20.87 mm. The mean posterior airway space in group I was 11.37 mm, group II was 11.12 mm, and group III was 11.75 mm. The mean length of soft palate in group I was 47.75 mm, group II was 42.62 mm, and group III was 45.37 mm. Out of the 24 patients in our study 16 underwent surgical treatment.

Conclusion: About 80%–90% of our patients of group I were satisfied subjectively at 1-month follow-up. About 66%–75% of group II patients were also satisfied at 1-month follow-up. About 95%–100% of group III patients were also free of symptoms of OSA who were using CPAP daily.

Key words: Apnea, cephalometry, continuous positive airway pressure, uvulopalatopharyngoplasty


 
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REFERENCES
1. American Academy of Sleep Medicine Task Force. Sleep-related breathing disorders in adults: recommendation for syndrome definition and measurement techniques in clinical research. The report of an American Academy of Sleep Medicine Task Force. Sleep 1999;22:667-89. [Pubmed]   
2. Sher AE, Schechtman KB. Picurilloz F. The efficacy of surgical modification of upper airway in adults with obstructive sleep apnea syndrome. Sleep 1996;19:156-77. [Pubmed]   
3. Eugenio V, JosĂ© MM, Carrizo S, Naya MJ. Tongue-base suspension in conjunction with uvulopalatopharyngoplasty for treatment of obstructive sleep apnea; long-term follow-up results. Laryngoscope 2006;116:1223-7. [DOI via Crossref]    [Pubmed]   
4. Johnson NT, Chinn NJ. Uvulopalatopharyngoplasty and inferior sagittal mandibular osteotomy with genioglossus advancement for treatment of obstructive sleep apnea. Chest 1994;105: 278-83. [DOI via Crossref]   
5. DeRowe A, Gunther E, Fibbi A, Lehtimaki K, Vahatalo K, Maurer J, et al. Tongue-base suspension with a soft tissue to bone anchor for OSA. Otolaryngol Head Neck Surg 2000;122:100-3. [DOI via Crossref]   
6. Woodson BT. A tongue suspension suture for obstructive sleep apnea and snorers. Otolaryngol Head Neck Surg 2001;124: 297-303. [DOI via Crossref]    [Pubmed]   
7. Rilley RW, Powell NB, Guilleminault C. Obstructive sleep apnea syndrome: a review of 306 consecutively treated surgical patients. Otolaryngol Head Neck Surg 1993;108:117-25. [DOI via Crossref]   
8. den Herder C, van Tinteren H, de Vries N. Hyoidthyroidpexia: a surgical treatment for sleep apnea syndrome. Laryngoscope. 2005;115(4):740-5. [DOI via Crossref]    [Pubmed]   
9. Nishimura Y, Nishimura T, Hattori H, Hattori C, Yonekura A, Suzuki K. Obesity and obstructive sleep apnea syndrome. Acta Otolaryngol Suppl. 2003;(550):22-4. [DOI via Crossref]    [Pubmed]   
10. Adsberg U, Jessen M. Eight years of follow-up—uvulopalatopharyngoplasty combined with midline glossectomy as a treatment for obstructive sleep apnea syndrome. Acta Otolaryngol Suppl 2000; 543:175-8. [DOI via Crossref]   
11. Guilleminault C, Lee JH, Chan A. Pediatric obstructive sleep apnea syndrome. Arch Pediatr Adolesc Med 2005;159(8):775-85. [DOI via Crossref]    [Pubmed]   

How to Cite this Article
Pubmed Style

Manish Sharma, Om Prakash, Mohit Goel. Comparative evaluation of surgical modalities in cases with obstructive sleep apnea syndrome. Int J Med Sci Public Health. 2016; 5(4): 785-790. doi:10.5455/ijmsph.2016.17122015279


Web Style

Manish Sharma, Om Prakash, Mohit Goel. Comparative evaluation of surgical modalities in cases with obstructive sleep apnea syndrome. http://www.ijmsph.com/?mno=211101 [Access: July 17, 2019]. doi:10.5455/ijmsph.2016.17122015279


AMA (American Medical Association) Style

Manish Sharma, Om Prakash, Mohit Goel. Comparative evaluation of surgical modalities in cases with obstructive sleep apnea syndrome. Int J Med Sci Public Health. 2016; 5(4): 785-790. doi:10.5455/ijmsph.2016.17122015279



Vancouver/ICMJE Style

Manish Sharma, Om Prakash, Mohit Goel. Comparative evaluation of surgical modalities in cases with obstructive sleep apnea syndrome. Int J Med Sci Public Health. (2016), [cited July 17, 2019]; 5(4): 785-790. doi:10.5455/ijmsph.2016.17122015279



Harvard Style

Manish Sharma, Om Prakash, Mohit Goel (2016) Comparative evaluation of surgical modalities in cases with obstructive sleep apnea syndrome. Int J Med Sci Public Health, 5 (4), 785-790. doi:10.5455/ijmsph.2016.17122015279



Turabian Style

Manish Sharma, Om Prakash, Mohit Goel. 2016. Comparative evaluation of surgical modalities in cases with obstructive sleep apnea syndrome. International Journal of Medical Science and Public Health, 5 (4), 785-790. doi:10.5455/ijmsph.2016.17122015279



Chicago Style

Manish Sharma, Om Prakash, Mohit Goel. "Comparative evaluation of surgical modalities in cases with obstructive sleep apnea syndrome." International Journal of Medical Science and Public Health 5 (2016), 785-790. doi:10.5455/ijmsph.2016.17122015279



MLA (The Modern Language Association) Style

Manish Sharma, Om Prakash, Mohit Goel. "Comparative evaluation of surgical modalities in cases with obstructive sleep apnea syndrome." International Journal of Medical Science and Public Health 5.4 (2016), 785-790. Print. doi:10.5455/ijmsph.2016.17122015279



APA (American Psychological Association) Style

Manish Sharma, Om Prakash, Mohit Goel (2016) Comparative evaluation of surgical modalities in cases with obstructive sleep apnea syndrome. International Journal of Medical Science and Public Health, 5 (4), 785-790. doi:10.5455/ijmsph.2016.17122015279





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