Double suspension sutures: A simple surgical technique for selected cases of obstructive sleep apnoea: Our experience with twenty‐two patients

Double suspension sutures: A simple surgical technique for selected cases of obstructive sleep... KeypointsThis work aimed at presenting a simple modification of expansion pharyngoplasty using bilateral‐double palatal suspension sutures for the treatment of selected cases of snoring and OSA.Between March 2013 and August 2017, twenty‐two patients underwent the double suspension sutures technique as a treatment for retropalatal collapse of obstructive sleep apnoea.Postoperatively, the mean AHI and the mean lowest oxygen saturation level showed highly significant improvement. Both the retropalatal and interpillar distances were increased significantly.No persistent postoperative complications were reported. Snoring disappeared in 86.4% of patients.The procedure is simple, well‐tolerated by patients and reversible. It is an economic and less traumatic manoeuvre. It could be applied as a part of multilevel surgery.INTRODUCTIONSince its early introduction by Ikematsu in 1963 and subsequent popularisation by Fujita et al. in 1981, Uvulopalatopharyngoplasty (UPPP) had been widely performed and extensively investigated in many centers. Low success rates and many complications were reported.In the last 15 years, researchers shifted to more conservative, less invasive surgical options in trials to optimise its outcome and to deal with its difficulties. Cahali described the lateral pharyngoplasty technique, and then, Pang and Woodson (2007) presented the expansion sphincter pharyngoplasty. In 2009, Pang and Puraviappan described the anterior palatoplasty as a minimally http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Otolaryngology Wiley

Double suspension sutures: A simple surgical technique for selected cases of obstructive sleep apnoea: Our experience with twenty‐two 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.13056
Publisher site
See Article on Publisher Site

Abstract

KeypointsThis work aimed at presenting a simple modification of expansion pharyngoplasty using bilateral‐double palatal suspension sutures for the treatment of selected cases of snoring and OSA.Between March 2013 and August 2017, twenty‐two patients underwent the double suspension sutures technique as a treatment for retropalatal collapse of obstructive sleep apnoea.Postoperatively, the mean AHI and the mean lowest oxygen saturation level showed highly significant improvement. Both the retropalatal and interpillar distances were increased significantly.No persistent postoperative complications were reported. Snoring disappeared in 86.4% of patients.The procedure is simple, well‐tolerated by patients and reversible. It is an economic and less traumatic manoeuvre. It could be applied as a part of multilevel surgery.INTRODUCTIONSince its early introduction by Ikematsu in 1963 and subsequent popularisation by Fujita et al. in 1981, Uvulopalatopharyngoplasty (UPPP) had been widely performed and extensively investigated in many centers. Low success rates and many complications were reported.In the last 15 years, researchers shifted to more conservative, less invasive surgical options in trials to optimise its outcome and to deal with its difficulties. Cahali described the lateral pharyngoplasty technique, and then, Pang and Woodson (2007) presented the expansion sphincter pharyngoplasty. In 2009, Pang and Puraviappan described the anterior palatoplasty as a minimally

Journal

Clinical OtolaryngologyWiley

Published: Jan 1, 2018

References

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