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Barbed Suspension Pharyngoplasty For Treatment Of Lateral Pharyngeal Wall And Palatal Collapse In Patients Affected By OSAHS

Marco Barbieri, Francesco Missale, Fabiola Incandela, Marco Fragale, Andréa Barbieri, Valeria Roustan, Frank Rikki Canevari, Giorgio Peretti
Published 2019 · Medicine
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PurposeThe aim of this study is to analyze the efficacy of a new modified pharyngoplasty technique with barbed sutures: barbed suspension pharyngoplasty (BSP).MethodsWe enrolled patients affected by obstructive sleep apnea–hypopnea syndrome (OSAHS), having the main site of obstruction at the palatal and lateral pharyngeal walls, who refused or failed to tolerate CPAP therapy and underwent non-resective pharyngoplasty with barbed sutures between January 2014 and October 2017. Two surgical techniques with barbed sutures were used: barbed reposition pharyngoplasty (BRP) and BSP; the main characteristics of the latter are a double passage of the needle, each side, through the soft palate.ResultsForty-two patients met the study inclusion criteria and were included in the analysis. Twenty-two patients underwent BRP and 20 BSP. Patients treated with both BRP and BSP achieved significant improvement in polysomnographic parameters: AHI, ODI, t90%, and daily sleepiness tested by the ESS questionnaire (p < 0.001). There were no significant differences between groups considering gender, age, or severity of OSAHS (p > 0.05). Outcomes were also comparable (p = 0.10) in the two groups; patients who underwent BSP had successful treatment in 100% of cases, compared to 86% with BRP, with a cure rate of 40% vs. 18%.ConclusionsBSP is a novel surgical technique that is effective in treating oropharyngeal collapse and can be tailored for patients with high collapsibility of the soft palate who might benefit from the palatal stiffness given by multiple passages of the suture inside it.
This paper references
10.1177/019459989411100109
Manometric and Endoscopic Localization of Airway Obstruction after Uvulopalatopharyngoplasty
B Tucker Woodson (1994)
10.1111/coa.13027
Evolution of soft palate surgery techniques for obstructive sleep apnea patients: A comparative study for single‐level palatal surgeries
Mohamed S Rashwan (2018)
10.1164/ajrccm.154.4.8887615
Upper airway and soft tissue structural changes induced by CPAP in normal subjects.
Richard J. Schwab (1996)
10.1111/coa.13001
Prospective multicentre study on barbed reposition pharyngoplasty standing alone or as a part of multilevel surgery for sleep apnoea
F. Montevecchi (2018)
10.1007/s11325-012-0647-9
Does drug-induced sleep endoscopy change the treatment concept of patients with snoring and obstructive sleep apnea?
Corlette Eichler (2012)
10.1093/sleep/14.6.540
A new method for measuring daytime sleepiness: the Epworth sleepiness scale.
Murray W. Johns (1991)
10.1002/lary.24479
Drug-induced sleep endoscopy in sleep-disordered breathing: report on 1,249 cases.
Anneclaire V. Vroegop (2014)
10.1007/s100720300004
Italian version of the Epworth sleepiness scale: external validity
Luca Vignatelli (2003)
Functional expansion pharyngo - plasty in the treatment of obstructive sleep apnea
G Sorrenti (2013)
10.1016/j.smrv.2016.07.002
Prevalence of obstructive sleep apnea in the general population: A systematic review.
Chamara V Senaratna (2017)
10.1002/lary.23911
Functional expansion pharyngoplasty in the treatment of obstructive sleep apnea.
Giovanni Sorrenti (2013)
10.1007/s00405-015-3628-3
Barbed reposition pharyngoplasty (BRP) for OSAHS: a feasibility, safety, efficacy and teachability pilot study. “We are on the giant’s shoulders”
Claudio Vicini (2015)
10.1111/coa.13008
Barbed expansion sphincter pharyngoplasty for the treatment of oropharyngeal collapse in obstructive sleep apnoea syndrome: A retrospective study on 17 patients
Luca Pianta (2018)
10.1016/j.otohns.2007.03.014
Expansion Sphincter Pharyngoplasty: A New Technique for the Treatment of Obstructive Sleep Apnea
Kenny P Pang (2007)
The velo-uvulo-pharyngeal lift or "roman blinds" technique for treatment of snoring: a preliminary report
Mário Mantovani (2012)
10.4135/9781412950589.n318
[External validity].
J. Windeler (2008)
10.1097/00005537-200311000-00020
Lateral pharyngoplasty: a new treatment for obstructive sleep apnea hypopnea syndrome.
Michel Burihan Cahali (2003)
10.1007/s00405-012-1965-z
The nose oropharynx hypopharynx and larynx (NOHL) classification: a new system of diagnostic standardized examination for OSAHS patients
Claudio Vicini (2012)
10.1183/20734735.020118
Tailoring surgical interventions to treat obstructive sleep apnoea: one size does not fit all
Priya Sethukumar (2018)



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