TY - JOUR
T1 - Barbed suture pharyngoplasty in velopharyngeal complete concentric collapse
T2 - a multicentric study
AU - Castillo-Farias, Felipe
AU - Carrasco-Llatas, Marina
AU - Bosco, Gabriela
AU - Rinaldi, Vittorio
AU - Baptista-Jardín, Peter Michael
AU - Cammaroto, Giovanni
AU - Alkan, Uri
AU - Muñoz-Fernandez, Noelia
AU - Rosel, Pablo
AU - Bachelet, Cristian
AU - Casale, Manuele
AU - Moffa, Antonio
AU - Plaza-Mayor, Guillermo
AU - Perez-Martin, Nuria
AU - Vicini, Claudio
N1 - Publisher Copyright:
© 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - Background: Studies have shown that complete concentric circular collapse (CCC) at the velum is a frequent finding in drug-induced sleep endoscopy, implying a worse prognosis for surgical outcomes in the treatment of obstructive sleep apnea syndrome (OSAS). Our group evaluated the results of pharyngoplasties with barbed sutures for this indication. We selected 48 patients with OSAS and CCC who underwent pharyngoplasty with barbed sutures in 8 tertiary centers. The outcome results were measured by polygraphy or polysomnography and Epworth Symptoms Scale (ESS) at least 6 months after surgery. Results: Apnea Hypopnea Index (AHI) improved from 34.9/h [21.2] to 12.7/h [10.6]. The success rate according to Sher’s criteria was 86.7%, the cure rate was 23.9%, and an AHI < 10 occurred in 42.2% of the cases. The oxygen desaturation index improved from 32.5/h [29.9] to 12.5/h SD [11.6], and the ESS improved from 10.2 [5.2] to 6 [3.5]. Conclusions: Pharyngoplasty with barbed sutures seems to be a good alternative for patients with OSAS and CCC findings in drug-induced sleep endoscopy.
AB - Background: Studies have shown that complete concentric circular collapse (CCC) at the velum is a frequent finding in drug-induced sleep endoscopy, implying a worse prognosis for surgical outcomes in the treatment of obstructive sleep apnea syndrome (OSAS). Our group evaluated the results of pharyngoplasties with barbed sutures for this indication. We selected 48 patients with OSAS and CCC who underwent pharyngoplasty with barbed sutures in 8 tertiary centers. The outcome results were measured by polygraphy or polysomnography and Epworth Symptoms Scale (ESS) at least 6 months after surgery. Results: Apnea Hypopnea Index (AHI) improved from 34.9/h [21.2] to 12.7/h [10.6]. The success rate according to Sher’s criteria was 86.7%, the cure rate was 23.9%, and an AHI < 10 occurred in 42.2% of the cases. The oxygen desaturation index improved from 32.5/h [29.9] to 12.5/h SD [11.6], and the ESS improved from 10.2 [5.2] to 6 [3.5]. Conclusions: Pharyngoplasty with barbed sutures seems to be a good alternative for patients with OSAS and CCC findings in drug-induced sleep endoscopy.
KW - Complete concentric collapse
KW - Sleep apnea syndromes
KW - Sleep apnea, Obstructive
KW - Snoring
UR - https://www.scopus.com/pages/publications/85131823820
U2 - 10.1186/s43163-022-00241-x
DO - 10.1186/s43163-022-00241-x
M3 - Article
AN - SCOPUS:85131823820
SN - 1012-5574
VL - 38
JO - Egyptian Journal of Otolaryngology
JF - Egyptian Journal of Otolaryngology
IS - 1
M1 - 57
ER -