Efficacy of Modified Hyoid Bone Suspension Technique Compared to Midline Glossectomy in Management of Hypopharyngeal Obstruction in Obstructive Sleep Apnea Patients

Background: Obstructive sleep apnea (OSA) is a common and challenging health problem, especially in adults, as it is the second most common disease related to sleep. Surgical treatment plays an important role in management of OSA. However, the optimal procedure is not yet determined. Aim of the wo...

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Autor principal:	Osama Refaat
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	obstructive sleep apnea apnea hypopnea index midline glossectomy hyoid suspension hypopharyngeal Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b923de72bce2496d864916c5c4858e11
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spelling	oai:doaj.org-article:b923de72bce2496d864916c5c4858e112021-12-02T13:52:45ZEfficacy of Modified Hyoid Bone Suspension Technique Compared to Midline Glossectomy in Management of Hypopharyngeal Obstruction in Obstructive Sleep Apnea Patients2636-41742682-378010.21608/ijma.2020.106003https://doaj.org/article/b923de72bce2496d864916c5c4858e112020-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_106003_1fd50e7dfa1f070a5d84bd0869d9acd6.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Obstructive sleep apnea (OSA) is a common and challenging health problem, especially in adults, as it is the second most common disease related to sleep. Surgical treatment plays an important role in management of OSA. However, the optimal procedure is not yet determined. Aim of the work: To compare between modified hyoid bone suspension and midline glossectomy in management of OSA due to hypopharyngeal obstruction. Patients and Methods:40 patients with OSA due to hypopharyngeal obstruction were randomly assigned to either modified hyoid bone suspension (group A; 20 patients) or midline glossectomy (group B; 20 patients). All had been assessed by full history, clinical examination and Lab investigations and underwent pre-assigned surgical intervention. Indicators of OSA such as minimal oxygen saturation, Apnea hypopnea Index [AHI] and Epworth Sleepiness Scale [ESS] had been measured preoperatively and 6 months after surgery. Results: The studied groups were comparable as patient characteristics and preoperative data. However, hyoid suspension was associated with significant decrease of AHI [16.67±6.06 vs 20.72±4.41] and ESS [9.10±2.42 vs 11.20±2.33]. Also, minimal oxygen saturation improved significantly in group A than group B. The percentage of responders increased significantly in group A (75.0% vs 40.0% respectively). Conclusion: Modified hyoid suspension is superior than the midline glossectomy, as a safer and more effective procedure for treatment of OSA due to hypopharyngeal obstruction.Osama RefaatAl-Azhar University, Faculty of Medicine (Damietta)articleobstructive sleep apneaapnea hypopnea indexmidline glossectomyhyoid suspensionhypopharyngealMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 3, Pp 674-681 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	obstructive sleep apnea apnea hypopnea index midline glossectomy hyoid suspension hypopharyngeal Medicine (General) R5-920
spellingShingle	obstructive sleep apnea apnea hypopnea index midline glossectomy hyoid suspension hypopharyngeal Medicine (General) R5-920 Osama Refaat Efficacy of Modified Hyoid Bone Suspension Technique Compared to Midline Glossectomy in Management of Hypopharyngeal Obstruction in Obstructive Sleep Apnea Patients
description	Background: Obstructive sleep apnea (OSA) is a common and challenging health problem, especially in adults, as it is the second most common disease related to sleep. Surgical treatment plays an important role in management of OSA. However, the optimal procedure is not yet determined. Aim of the work: To compare between modified hyoid bone suspension and midline glossectomy in management of OSA due to hypopharyngeal obstruction. Patients and Methods:40 patients with OSA due to hypopharyngeal obstruction were randomly assigned to either modified hyoid bone suspension (group A; 20 patients) or midline glossectomy (group B; 20 patients). All had been assessed by full history, clinical examination and Lab investigations and underwent pre-assigned surgical intervention. Indicators of OSA such as minimal oxygen saturation, Apnea hypopnea Index [AHI] and Epworth Sleepiness Scale [ESS] had been measured preoperatively and 6 months after surgery. Results: The studied groups were comparable as patient characteristics and preoperative data. However, hyoid suspension was associated with significant decrease of AHI [16.67±6.06 vs 20.72±4.41] and ESS [9.10±2.42 vs 11.20±2.33]. Also, minimal oxygen saturation improved significantly in group A than group B. The percentage of responders increased significantly in group A (75.0% vs 40.0% respectively). Conclusion: Modified hyoid suspension is superior than the midline glossectomy, as a safer and more effective procedure for treatment of OSA due to hypopharyngeal obstruction.
format	article
author	Osama Refaat
author_facet	Osama Refaat
author_sort	Osama Refaat
title	Efficacy of Modified Hyoid Bone Suspension Technique Compared to Midline Glossectomy in Management of Hypopharyngeal Obstruction in Obstructive Sleep Apnea Patients
title_short	Efficacy of Modified Hyoid Bone Suspension Technique Compared to Midline Glossectomy in Management of Hypopharyngeal Obstruction in Obstructive Sleep Apnea Patients
title_full	Efficacy of Modified Hyoid Bone Suspension Technique Compared to Midline Glossectomy in Management of Hypopharyngeal Obstruction in Obstructive Sleep Apnea Patients
title_fullStr	Efficacy of Modified Hyoid Bone Suspension Technique Compared to Midline Glossectomy in Management of Hypopharyngeal Obstruction in Obstructive Sleep Apnea Patients
title_full_unstemmed	Efficacy of Modified Hyoid Bone Suspension Technique Compared to Midline Glossectomy in Management of Hypopharyngeal Obstruction in Obstructive Sleep Apnea Patients
title_sort	efficacy of modified hyoid bone suspension technique compared to midline glossectomy in management of hypopharyngeal obstruction in obstructive sleep apnea patients
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/b923de72bce2496d864916c5c4858e11
work_keys_str_mv	AT osamarefaat efficacyofmodifiedhyoidbonesuspensiontechniquecomparedtomidlineglossectomyinmanagementofhypopharyngealobstructioninobstructivesleepapneapatients
_version_	1718392402196037632

Efficacy of Modified Hyoid Bone Suspension Technique Compared to Midline Glossectomy in Management of Hypopharyngeal Obstruction in Obstructive Sleep Apnea Patients

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