Abstract | BACKGROUND: METHODS: In between July 2000 and February 2003, 139 patients with OSA were included in the protocol. By now 46 patients finished the follow-up. Mean age was 51.9 years, the mean body mass index was 28.5 kg m (- 2). All patients underwent as well preoperatively as postoperatively a fully attended polysomnography in the sleep lab using standard criteria. Daytime sleepiness was assessed using the Epworth Sleepiness Scale (ESS). RESULTS: Before surgery the mean apnea-hypopnea-index (AHI) was 36.5 +/- 22.2, the mean ESS score was 10.4. Postoperatively the mean AHI decreased to 24.9 +/- 21.6 (p < 0.01) and the mean ESS score to 7.1 (p < 0.05). After surgery 39.1 % of the subjects were regarded as cured (reduction of AHI > or = 50 % and below 15). Another 30.4 % were substantially improved (reduction of AHI > 20 %). Altogether 69.6 % of the patients were counted as responders. Cure rates decreased with increasing AHI and BMI. The hyoid suspension showed a positive effect on the treatment success. CONCLUSIONS: The presented concept shows inferior success rates than other more invasive concepts. This might be due to the abandonment of the mandibular osteotomy with genioglossus advancement.
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Authors | T Verse, A Baisch, K Hörmann |
Journal | Laryngo- rhino- otologie
(Laryngorhinootologie)
Vol. 83
Issue 8
Pg. 516-22
(Aug 2004)
ISSN: 0935-8943 [Print] Germany |
Vernacular Title | Multi-Level-Chirurgie bei obstruktiver Schlafapnoe. Erste objektive Ergebnisse. |
PMID | 15316892
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Body Mass Index
- Combined Modality Therapy
- Data Interpretation, Statistical
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Outcome Assessment, Health Care
- Palate, Soft
(surgery)
- Pharynx
(surgery)
- Polysomnography
- Postoperative Complications
(etiology)
- Reoperation
(methods)
- Retrospective Studies
- Sleep Apnea, Obstructive
(diagnosis, surgery)
- Tongue
(surgery)
- Treatment Outcome
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