Evaluation of multiple surgeries as therapeutic options for Obstructive Sleep Apnea Syndrome
Journal Title: Archives of Otolaryngology and Rhinology - Year 2018, Vol 4, Issue 4
Abstract
Obstructive Sleep Apnea Syndrome (OSAS) is a chronic disease characterized by repeated airflow obstruction in the upper airway. Location of obstructive site is essential for proper surgical planning. Objective: To evaluate the success rate of multiple surgeries, in various combinations, in the treatment of Moderate and Severe OSAS. Methods: Fifty patients with moderate and severe OSAS subjected to multiple surgeries for treatment were studied, and the laboratory values of pre -and postoperative polysomnography were analyzed. Results: Considering the reduce AHI from an average of 47.9 events / hour (± 23.30) preoperatively to a mean postoperative value of 19.82 events / hour (± 21.16) in cases of moderate OSAS, AHI was reduced from 22.89 to 18.50 events / hour. In severe cases of OSAS, the AHI reduced from 58.62 to 20.38 events / hour. Conclusion: Several combinations of multiple surgeries for OSAS are valid for the treatment -resistant patients using CPAP alternatives. The success rate is significantly better in severe cases than in mild ones. Among the surgeries, craniofacial surgery contributed to improve postoperative AHI and showed a greater reduction than in patients not undergoing this technique.
Authors and Affiliations
DK Ribeiro, JA Pinto, R Kohler, HDS Sobreira Nunes, AF da Silva Cavallini
Keywords
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- EP ID EP529906
- DOI 10.17352/2455-1759.000080
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