Abstract | INTRODUCTION: METHODS: Between March 2001 and February 2003, 66 patients with OSA were treated with a hyoid suspension in combination with surgeries at the base of tongue, the soft palate or the nose (always performed by the same surgeon). All patients underwent a pre- and postoperative polysomnography in the sleep lab. Daytime sleepiness was assessed using the Epworth Sleepiness Scale (ESS). Mean age was 52,1 years, the mean body mass index (BMI) was 28,04 kg/m(2). RESULTS: The mean apnea-hypopnea-index (AHI) was 38,9121,10/h before operation and 19,25+/-19,64/h after operation (p<0,0001). More statistically significant changes were found for the arousal index, the oxygen saturation and the ESS (p<0,05). After surgery 57,6% of the subjects (38/66) were regarded as cured (reduction of AHI > or =50% and below 15/h). Another 21,2% (14/66) improved (reduction of AHI >20%). Altogether 78,8% of the patients were counted as responders. CONCLUSION: Multi-level surgeries based on the hyoid suspension show the effectiveness of this concept. This surgical strategy could be equal to the CPAP mask, especially in cases of CPAP intolerance.
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Authors | K Hörmann, J T Maurer, A Baisch |
Journal | HNO
(HNO)
Vol. 52
Issue 9
Pg. 807-13
(Sep 2004)
ISSN: 0017-6192 [Print] Germany |
Vernacular Title | Schnarchen /Schlafapnoe--chirurgisch heilbar ? |
PMID | 15372171
(Publication Type: Clinical Trial, Controlled Clinical Trial, English Abstract, Journal Article)
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Topics |
- Adult
- Aged
- Continuous Positive Airway Pressure
- Female
- Humans
- Hyoid Bone
(surgery)
- Male
- Middle Aged
- Polysomnography
- Sleep Apnea Syndromes
(diagnosis, surgery, therapy)
- Snoring
(diagnosis, surgery, therapy)
- Treatment Outcome
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