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Prospective multicentre study on barbed reposition pharyngoplasty standing alone or as a part of multilevel surgery for sleep apnoea
Author(s) -
Montevecchi F.,
Meccariello G.,
Firinu E.,
Rashwan M. S.,
Arigliani M.,
De Benedetto M.,
Palumbo A.,
Bahgat Y.,
Bahgat A.,
Lugo Saldana R.,
Marzetti A.,
Pignataro L.,
Mantovani M.,
Rinaldi V.,
Carrasco M.,
Freire F.,
Delgado I.,
Salamanca F.,
Bianchi A.,
Onerci M.,
Agostini P.,
Romano L.,
Benazzo M.,
Baptista P.,
Salzano F.,
Dallan I.,
Nuzzo S.,
Vicini C.
Publication year - 2018
Publication title -
clinical otolaryngology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.914
H-Index - 68
eISSN - 1749-4486
pISSN - 1749-4478
DOI - 10.1111/coa.13001
Subject(s) - medicine , epworth sleepiness scale , prospective cohort study , body mass index , hypopnea , surgery , anesthesia , polysomnography , apnea
Objectives The aim of this study was to demonstrate in a prospective multicentre study that Barbed Reposition Pharyngoplasty ( BRP ) procedure is safe and effective in management of obstructive sleep apnoea/hypopnea syndrome ( OSAHS ) patients. Design Prospective study. Setting Multicentre study. Participants Patients suffering from obstructive sleep apnoea. Main outcomes measures Values of postoperative apnoea‐hypopnea index ( AHI ), oxygen desaturation index ( ODI ), epworth sleepiness scale ( ESS ). Results 111 Barbed Reposition Pharyngoplasty procedures standing alone or as a part of multilevel surgery for OSAHS , performed between January and September 2016, were analysed in 15 different centres. The average hospitalisation period was 2.5 ± 0.5 days. The mean patient age was 46.3 ± 10.5 years. The average body mass index at the time of the procedure was 27.9 ± 3.2, and the majority of the patients were men (83%). The mean preoperative and postoperative apnoea/hypopnea index was 33.4 ± 19.5 and 13.5 ± 10.3, respectively ( P < .001). The mean preoperative and postoperative ESS score was 10.2 ± 4.5 and 6.1 ± 3.6, respectively ( P < .001). The mean preoperative and postoperative ODI were 29.6 ± 20.7 and 12.7 ± 10.8, respectively ( P < .001). Conclusions Patients undergoing BRP standing alone or as part of a multilevel approach for the treatment of OSAHS have a reasonable expectation for success with minimal morbidity.