Barbed expansion sphincter pharyngoplasty for the treatment of oropharyngeal collapse in obstructive sleep apnoea syndrome: A retrospective study on 17 patients

Barbed expansion sphincter pharyngoplasty for the treatment of oropharyngeal collapse in... KeypointsExpansion Sphincter Pharyngoplasty (ESP) was introduced in 2007 and represents a promising surgical technique to treat patients with oropharyngeal walls collapse with reduced morbidity and high success rates.Between December 2012 and January 2015, 17 patients underwent ESP at the department of Otorhinolaryngology of the University of Brescia (Italy), using barbed knotless sutures to improve the biomechanical effect of sutures on tissue collapse (BESP).Patients with moderate‐to‐severe OSAS and BMI < 30 kg/m2, who did not tolerate or refused ventilation therapy, were selected for BESP based on the presence of oropharyngeal collapse, as determined by upper airway examination and drug‐induced sleep endoscopy.Overall success of BESP was 94,1%. Postoperative oxygen desaturation index (ODI) showed significant improvement (P < .01). Likewise, Epworth Sleepiness Scale score was significantly reduced (P < .05). No patient complained of uncontrolled pain after the procedure and/or reported unsatisfactory analgesia at follow‐up visits.Albeit limited by the sample size and duration of follow‐up, our experience confirms the validity of BESP in this selected patient population.INTRODUCTIONExpansion Sphincter Pharyngoplasty (ESP) is a promising surgical technique designed to treat patients with obstructive sleep apnoea syndrome (OSAS), characterised by oropharyngeal walls collapse, with reduced morbidity and high success rates compared to traditional uvulopalatopharyngoplasty (UPPP). In addition, the use of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Otolaryngology Wiley

Barbed expansion sphincter pharyngoplasty for the treatment of oropharyngeal collapse in obstructive sleep apnoea syndrome: A retrospective study on 17 patients

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 John Wiley & Sons Ltd
ISSN
1749-4478
eISSN
1749-4486
D.O.I.
10.1111/coa.13008
Publisher site
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Abstract

KeypointsExpansion Sphincter Pharyngoplasty (ESP) was introduced in 2007 and represents a promising surgical technique to treat patients with oropharyngeal walls collapse with reduced morbidity and high success rates.Between December 2012 and January 2015, 17 patients underwent ESP at the department of Otorhinolaryngology of the University of Brescia (Italy), using barbed knotless sutures to improve the biomechanical effect of sutures on tissue collapse (BESP).Patients with moderate‐to‐severe OSAS and BMI < 30 kg/m2, who did not tolerate or refused ventilation therapy, were selected for BESP based on the presence of oropharyngeal collapse, as determined by upper airway examination and drug‐induced sleep endoscopy.Overall success of BESP was 94,1%. Postoperative oxygen desaturation index (ODI) showed significant improvement (P < .01). Likewise, Epworth Sleepiness Scale score was significantly reduced (P < .05). No patient complained of uncontrolled pain after the procedure and/or reported unsatisfactory analgesia at follow‐up visits.Albeit limited by the sample size and duration of follow‐up, our experience confirms the validity of BESP in this selected patient population.INTRODUCTIONExpansion Sphincter Pharyngoplasty (ESP) is a promising surgical technique designed to treat patients with obstructive sleep apnoea syndrome (OSAS), characterised by oropharyngeal walls collapse, with reduced morbidity and high success rates compared to traditional uvulopalatopharyngoplasty (UPPP). In addition, the use of

Journal

Clinical OtolaryngologyWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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