Huntley, Colin; Boon, Maurits; Tschopp, Samuel; Tschopp, Kurt; Jenks, Carolyn M; Thaler, Erica; Baptista Jardin, Peter; Shah, Janki; Kominsky, Alan; Kezirian, Eric J; Heiser, Clemens; Waxman, Jonathan; Lin, Ho-Sheng (2021). Comparison of Traditional Upper Airway Surgery and Upper Airway Stimulation for Obstructive Sleep Apnea. Annals of otology, rhinology & laryngology, 130(4), pp. 370-376. Sage 10.1177/0003489420953178
Full text not available from this repository. (Request a copy)OBJECTIVE
To compare patients with moderate-severe obstructive sleep apnea (OSA) undergoing traditional single and multilevel sleep surgery to those undergoing upper airway stimulation (UAS).
STUDY DESIGN
Case control study comparing retrospective cohort of patients undergoing traditional sleep surgery to patients undergoing UAS enrolled in the ADHERE registry.
SETTING
8 multinational academic medical centers.
SUBJECTS AND METHODS
233 patients undergoing prior single or multilevel traditional sleep surgery and meeting study inclusion criteria were compared to 465 patients from the ADHERE registry who underwent UAS. We compared preoperative and postoperative demographic, quality of life, and polysomnographic data. We also evaluated treatment response rates.
RESULTS
The pre and postoperative apnea hypopnea index (AHI) was 33.5 and 15 in the traditional sleep surgery group and 32 and 10 in the UAS group. The postoperative AHI in the UAS group was significantly lower. The pre and postoperative Epworth sleepiness scores (ESS) were 12 and 6 in both the traditional sleep surgery and UAS groups. Subgroup analysis evaluated those patients undergoing single level palate and multilevel palate and tongue base traditional sleep surgeries. The UAS group had a significantly lower postoperive AHI than both traditional sleep surgery subgroups. The UAS group had a higher percentage of patients reaching surgical success, defined as a postoperative AHI <20 with a 50% reduction from preoperative severity.
CONCLUSION
UAS offers significantly better control of AHI severity than traditional sleep surgery. Quality life improvements were similar between groups.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT) |
UniBE Contributor: |
Tschopp, Samuel |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1943-572X |
Publisher: |
Sage |
Language: |
English |
Submitter: |
Stefan Weder |
Date Deposited: |
19 Jan 2021 11:52 |
Last Modified: |
05 Dec 2022 15:43 |
Publisher DOI: |
10.1177/0003489420953178 |
PubMed ID: |
32862654 |
Uncontrolled Keywords: |
Otolaryngology Rhinology obstructive sleep apnea sleep apnea sleep disordered breathing sleep medicine sleep surgery |
URI: |
https://boris.unibe.ch/id/eprint/150349 |
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