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
Clinical Otolaryngology – Wiley
Published: Jan 1, 2018
Keywords: ; ; ; ;
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
All the latest content is available, no embargo periods.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud