Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea

Objective: Determine the effects of hyoid myotomy and suspension (HMS) without concurrent palatal or tongue base sleep surgery for obstructive sleep apnea (OSA). Method: Patients with OSA treated with HMS were identified using CPT code (21685) at an academic and private sleep surgery clinic. Those w...

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Autores principales:	Adrian A. Ong, Jonathan Buttram, Shaun A. Nguyen, Dustin Platter, Michael R. Abidin, M. Boyd Gillespie
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2017
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/62048210be3748258518b3fae8bb7e3d
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spelling	oai:doaj.org-article:62048210be3748258518b3fae8bb7e3d2021-12-02T12:55:39ZHyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea2095-881110.1016/j.wjorl.2017.05.008https://doaj.org/article/62048210be3748258518b3fae8bb7e3d2017-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881117300458https://doaj.org/toc/2095-8811Objective: Determine the effects of hyoid myotomy and suspension (HMS) without concurrent palatal or tongue base sleep surgery for obstructive sleep apnea (OSA). Method: Patients with OSA treated with HMS were identified using CPT code (21685) at an academic and private sleep surgery clinic. Those who underwent concurrent palatal or tongue base sleep surgery were excluded. Outcomes included simultaneous procedures, apnea-hypopnea index (AHI), lowest oxyhemoglobin saturation (LSAT), and Epworth Sleepiness Scale (ESS). Results: Nineteen patients with OSA underwent HMS without palatal or tongue base sleep surgery. The average age at surgery was (55.3 ± 13.5) years with a majority of patients being male (71%). Concurrent procedures included the following: torus mandibularis excision (n = 1), endoscopic sinus surgery (n = 4), septoplasty (n = 10), inferior turbinate reduction (n = 12), and nasal valve repair (n = 2). AHI improved significantly from (39.7 ± 21.2) events/h to (22.6 ± 22.7) events/h after HMS (P < 0.01), which represented a 43% reduction. LSAT significantly increased from (82.2% ± 9.9%) to (86.6% ± 6.2%), P < 0.01. There was no improvement in ESS after surgery (8.2 ± 4.4) to (8.3 ± 5.2), P = 0.904. A subset of patients with severe OSA (AHI > 30 events/h) had an improvement in AHI from (49.9 ± 16.6) events/h to (29.1 ± 24.9) events/h, P < 0.01. Conclusion: HMS without palatal or tongue base sleep surgery improves OSA severity. It can be considered as a valid option in the treatment of OSA in appropriately-selected patients. Keywords: Obstructive sleep apnea, Hyoid myotomy and suspension, AirLift systemAdrian A. OngJonathan ButtramShaun A. NguyenDustin PlatterMichael R. AbidinM. Boyd GillespieKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 3, Iss 2, Pp 110-114 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Adrian A. Ong Jonathan Buttram Shaun A. Nguyen Dustin Platter Michael R. Abidin M. Boyd Gillespie Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea
description	Objective: Determine the effects of hyoid myotomy and suspension (HMS) without concurrent palatal or tongue base sleep surgery for obstructive sleep apnea (OSA). Method: Patients with OSA treated with HMS were identified using CPT code (21685) at an academic and private sleep surgery clinic. Those who underwent concurrent palatal or tongue base sleep surgery were excluded. Outcomes included simultaneous procedures, apnea-hypopnea index (AHI), lowest oxyhemoglobin saturation (LSAT), and Epworth Sleepiness Scale (ESS). Results: Nineteen patients with OSA underwent HMS without palatal or tongue base sleep surgery. The average age at surgery was (55.3 ± 13.5) years with a majority of patients being male (71%). Concurrent procedures included the following: torus mandibularis excision (n = 1), endoscopic sinus surgery (n = 4), septoplasty (n = 10), inferior turbinate reduction (n = 12), and nasal valve repair (n = 2). AHI improved significantly from (39.7 ± 21.2) events/h to (22.6 ± 22.7) events/h after HMS (P < 0.01), which represented a 43% reduction. LSAT significantly increased from (82.2% ± 9.9%) to (86.6% ± 6.2%), P < 0.01. There was no improvement in ESS after surgery (8.2 ± 4.4) to (8.3 ± 5.2), P = 0.904. A subset of patients with severe OSA (AHI > 30 events/h) had an improvement in AHI from (49.9 ± 16.6) events/h to (29.1 ± 24.9) events/h, P < 0.01. Conclusion: HMS without palatal or tongue base sleep surgery improves OSA severity. It can be considered as a valid option in the treatment of OSA in appropriately-selected patients. Keywords: Obstructive sleep apnea, Hyoid myotomy and suspension, AirLift system
format	article
author	Adrian A. Ong Jonathan Buttram Shaun A. Nguyen Dustin Platter Michael R. Abidin M. Boyd Gillespie
author_facet	Adrian A. Ong Jonathan Buttram Shaun A. Nguyen Dustin Platter Michael R. Abidin M. Boyd Gillespie
author_sort	Adrian A. Ong
title	Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea
title_short	Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea
title_full	Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea
title_fullStr	Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea
title_full_unstemmed	Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea
title_sort	hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea
publisher	KeAi Communications Co., Ltd.
publishDate	2017
url	https://doaj.org/article/62048210be3748258518b3fae8bb7e3d
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Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea

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