Retrospective Study: Epidemiologic characteristics in patients with obstructive sleep apnea and hypopnea syndrome and snoring who underwent pharyngoplasty, Hospital Británico de Buenos Aires: 2011-2016
Article Sidebar
How to Cite
This work is licensed under a Creative Commons Attribution 3.0 Unported License.
Downloads
Societal impact
Main Article Content
Abstract
Objective: Obstructive sleep apnea and hypopnea syndrome (OSAHS) and snoring contribute to the development of comorbidities. The first line of treatment in OSAHS is CPAP. In patients without treatment adherence, the surgical option is proposed. Multiple interventions adapted to each patient have been described according to degree of obstruction. This study describes the epidemiological characteristics of patients who underwent pharyngoplasty between 2011 and 2016 at the Hospital Británico de Buenos Aires.
Methodology: Retrospective study of patients who underwent pharyngoplasty. Patients over 18 with OSAHS diagnosed by polysomnography and/or chronic snoring were included. We excluded patients under 18 as well as those with morbid obesity.
Results: 51 patients were included with an average age of 44.8 ± 1.7, of whom 84.3% were men. 35.3% (n = 18) of the patients presented some comorbidity, where arterial hypertension was the most frequent. 85% (n = 43) of the patients had OSAHS, of which 29.4% involved a severe degree and 35.3% a moderate one. 15% of patients who underwent surgical treatment presented snoring.
Conclusions: In this study, it was found that the patients were mostly men with a mean age of 44.8 ± 1.7; they were also symptomatic (Epworth> 9), suffered from obesity (BMI 28.9 ± 0.4), and presented poor adherence to CPAP. The most frequent comorbidity was arterial hypertension. The prevalent degree of OSAHS was moderate (35.5%). 15% of patients who underwent surgical treatment suffered from chronic snoring.
Article Details
References
American Academy of Sleep Medicine. The International Classification of Sleep Disorders, Revised. Diagnostic and Coding Manual. 2001.
Almeida F, Monteiro S, Duarte B, Parsekian A. Epidemiologic profile of patients with Snoring and Obstructive Sleep Apnea in a University Hospital. Int Arch Otorhinolaryngol 2014; 18:142-145.
Punjabi N. The Epidemiology of Adult Obstructive Sleep Apnea. Proc Am Thorac Soc 2008; 5:136-143.
Mackay S, Jefferson N, Marshall N. Beyond Uvulopalatopharyngoplasty for obstructive sleep apnea. Single surgeon case series of contemporary airway reconstruction. Journal of Laryngology and Otology 2013; 127:1184-1189.
Weaver T, Grunstein R. Adherence to continuous positive Airway pressure therapy. The challenge to effective treatment. Proceedings of the American Thoracic Society 2008; 5:173-178.
Aurora N, Casey K, Kristo D, Auerbach S, Bista S, Chowdhuri S, et al. Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults. Sleep 2010; 33(10):1408-1413.
Fujita S, Cinway W, Zorik F. Surgical Correction of anatomic abnormalities in Obstructive Sleep Apneas Syndrome: Uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981; 89:923-934.
Emara T, Hassan M, Mohamad A, Anany A, Ebrahem A. Anterolateral advancement pharyngoplasty: A new technique for treatment of Obstructive Sleep Apnea. Otolaryngol Head Neck Surg 2016; 155(4):702-707.
Randerath W, Verbraecken J, Andreas S, Bettega G, Boudewyns A, Hamans E, et al. Non – CPAP therapies in Obstructive Sleep Apnea. ERS Task Force Report. Eur Respir J 2011; 37:1000-1028.
Zancanella E, Haddad FM, Oliveira LA, Nakasato A, Duarte B, Soares CF, et al. Guideline. Obstructive sleep apnea and primary snoring: treatment. Braz J Otorhinolaryngol 2014; 80(1):517-528.
Robinson S, Chia M, Carney S, Chawla S, Harris P, Esterman A. Upper Airway reconstructive surgery long – term quality of life outcomes compared with CPAP for adults Obstructive Sleep Apnea. Otolaryngol Head Neck Surg 2009; 141:257-263.
Rotenberg B, Theriault J, Gottesman S. Redefining the timing of surgery for Obstructive Sleep Apnea in Anatomically Favorable Patients. Laryngoscope 2014; 124:51-59.
Epstein L, Kristo D, Strollo P, Friedman N, Malhotra A, Patil S, et al. Clinical Guideline for the evaluation, management and long-term care of Obstructive Sleep Apnea un adults. Journal of Clinical Sleep Medicine 2009; 5(3):263-276.
Friedman M, Ibrahim H, Lowenthal S, Ramakrishnam V, Joseph N. Uvulopalatoplasty: A modified technique por selected patients. Laryngoscope 2004; 114:441-449.
Pinto JA, Ribeiro D, Cavallini A, Duarte C, Freitas G. Comorbidities Associated with Obstructive Sleep Apnea: A Retrospective Study. Int Arch Otorhinolaryngol 2016; 20:145-150.