Cautery-assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta-analysis

Objective: To systematically review outcomes for cautery-assisted palatal stiffening operation (CAPSO) as a treatment for adult obstructive sleep apnea (OSA). Methods: Five databases (including PubMed/MEDLINE) were searched through July 12, 2017. Results: Eight studies (307 patients) met criteria. O...

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Autores principales:	Charles M. Llewellyn, Michael W. Noller, Macario Camacho
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2019
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/547334bbb64f467185488cc414b6aa6b
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spelling	oai:doaj.org-article:547334bbb64f467185488cc414b6aa6b2021-12-02T11:54:31ZCautery-assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta-analysis2095-881110.1016/j.wjorl.2018.05.007https://doaj.org/article/547334bbb64f467185488cc414b6aa6b2019-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881118300337https://doaj.org/toc/2095-8811Objective: To systematically review outcomes for cautery-assisted palatal stiffening operation (CAPSO) as a treatment for adult obstructive sleep apnea (OSA). Methods: Five databases (including PubMed/MEDLINE) were searched through July 12, 2017. Results: Eight studies (307 patients) met criteria. Overall, CAPSO alone (80 patients) improved AHI from a mean ± standard deviation (M ± SD) of (16.8 ± 11.9) to (9.9 ± 10.9) events/h (41.1% decrease). Mixed CAPSO with/without tonsillectomy (92 patients) improved AHI from a M ± SD of (24.8 ± 12.6) to (10.6 ± 9.5) events/h (61.7% decrease). CAPSO with expansion pharyngoplasty (EP), (78 patients) improved AHI from a M ± SD of (26.3 ± 17.7) to (12.6 ± 5.8) events/h (52.1% decrease). CAPSO alone (90 patients) improved lowest oxygen saturation (LSAT) by 5.4 points. Mixed CAPSO with/without tonsillectomy (77 patients) improved LSAT by 10.6 points, and CAPSO with EP (78 patients) improved LSAT by 5.2 points. Sleepiness improved (182 patients) from an Epworth Sleepiness Scale score of 11.8 to 5.1, P < 0.001. Snoring reduced (120 patients) from 7.9 to 2.5 on visual analog scales (0–10 scale), P < 0.001. Conclusions: Apnea-hypopnea index has improved by 41.0% for CAPSO alone, 61.7% for CAPSO with tonsillectomy and 52.1% for CAPSO with expansion pharyngoplasty. Additionally, lowest oxygen saturation, sleepiness and snoring have also improved after CAPSO. Keywords: Surgery, Sleep apnea syndromes, Systematic review, Meta-analysisCharles M. LlewellynMichael W. NollerMacario CamachoKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 5, Iss 1, Pp 49-56 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Charles M. Llewellyn Michael W. Noller Macario Camacho Cautery-assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta-analysis
description	Objective: To systematically review outcomes for cautery-assisted palatal stiffening operation (CAPSO) as a treatment for adult obstructive sleep apnea (OSA). Methods: Five databases (including PubMed/MEDLINE) were searched through July 12, 2017. Results: Eight studies (307 patients) met criteria. Overall, CAPSO alone (80 patients) improved AHI from a mean ± standard deviation (M ± SD) of (16.8 ± 11.9) to (9.9 ± 10.9) events/h (41.1% decrease). Mixed CAPSO with/without tonsillectomy (92 patients) improved AHI from a M ± SD of (24.8 ± 12.6) to (10.6 ± 9.5) events/h (61.7% decrease). CAPSO with expansion pharyngoplasty (EP), (78 patients) improved AHI from a M ± SD of (26.3 ± 17.7) to (12.6 ± 5.8) events/h (52.1% decrease). CAPSO alone (90 patients) improved lowest oxygen saturation (LSAT) by 5.4 points. Mixed CAPSO with/without tonsillectomy (77 patients) improved LSAT by 10.6 points, and CAPSO with EP (78 patients) improved LSAT by 5.2 points. Sleepiness improved (182 patients) from an Epworth Sleepiness Scale score of 11.8 to 5.1, P < 0.001. Snoring reduced (120 patients) from 7.9 to 2.5 on visual analog scales (0–10 scale), P < 0.001. Conclusions: Apnea-hypopnea index has improved by 41.0% for CAPSO alone, 61.7% for CAPSO with tonsillectomy and 52.1% for CAPSO with expansion pharyngoplasty. Additionally, lowest oxygen saturation, sleepiness and snoring have also improved after CAPSO. Keywords: Surgery, Sleep apnea syndromes, Systematic review, Meta-analysis
format	article
author	Charles M. Llewellyn Michael W. Noller Macario Camacho
author_facet	Charles M. Llewellyn Michael W. Noller Macario Camacho
author_sort	Charles M. Llewellyn
title	Cautery-assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta-analysis
title_short	Cautery-assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta-analysis
title_full	Cautery-assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta-analysis
title_fullStr	Cautery-assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta-analysis
title_full_unstemmed	Cautery-assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta-analysis
title_sort	cautery-assisted palatal stiffening operation for obstructive sleep apnea: a systematic review and meta-analysis
publisher	KeAi Communications Co., Ltd.
publishDate	2019
url	https://doaj.org/article/547334bbb64f467185488cc414b6aa6b
work_keys_str_mv	AT charlesmllewellyn cauteryassistedpalatalstiffeningoperationforobstructivesleepapneaasystematicreviewandmetaanalysis AT michaelwnoller cauteryassistedpalatalstiffeningoperationforobstructivesleepapneaasystematicreviewandmetaanalysis AT macariocamacho cauteryassistedpalatalstiffeningoperationforobstructivesleepapneaasystematicreviewandmetaanalysis
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Cautery-assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta-analysis

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