Cílená chirurgická léčba obstrukční spánkové apnoe
| Title in English | Targeted surgery for obstructive sleep apnea. |
|---|---|
| Authors | |
| Year of publication | 2022 |
| Type | Article in Periodical |
| Magazine / Source | Česká a Slovenská Neurologie a Neurochirurgie |
| MU Faculty or unit | |
| Citation | |
| Web | https://www.csnn.eu/casopisy/ceska-slovenska-neurologie/2022-2-7/cilena-chirurgicka-lecba-obstrukcni-spankove-apnoe-130769 |
| Doi | http://dx.doi.org/10.48095/cccsnn2022157 |
| Keywords | obstructive sleep apnea; hypopnea; desaturation; uvlopalatopharyngoplasty; uvulopalatoplasty |
| Attached files | |
| Description | Aim: The aim of this study was to evaluate the eff ectiveness of surgical treatment in patients with obstructive sleep apnea (OSA). We would like to ascertain in our study whether the targeted and personalized surgical treatment of OSA can achieve similar eff ectiveness of surgical treatment in all degrees of severity of OSA. Methods: The retrospective study included 65 adult patients who had undergone the basic ear, nose and throat examination, multi-channel polygraphy confi rming the dia gnosis of OSA and subsequent surgical treatment: uvulopalatopharyngoplasty or radiofrequency-assisted uvulopalatoplasty, uvulaflap, in combination with or without radiofrequency induced thermotherapy at the base of the tongue, and subsequent control multichannel polygraphy at 3–12 months after surgery. Results: It was confi rmed that postoperatively all groups of patients reported a statistically signifi cant reduction in apnea/hypopnea index by 59% (P = 6.7×10–12) and reduction in desaturation by 57% (P = 3.2×10–5). The most eff ective surgical procedures were uvulopalatopharyngoplasty in combination with radiofrequency induced thermotherapy at the base of the tongue with the reduction of the apnea/hypopnea index by 59% (P = 1.8×10–12) and reduction of desaturation by 51% (P = 0.001), and uvulopalatopharyngoplasty with the reduction of the apnea/hypopnea index by 57% (P = 0.006) and reduction of desaturation by 85% (P = 0.07108). Conclusion: The surgical treatment of OSA shows very good eff ectiveness in all degrees of severity of OSA provided by the standardized dia gnosis of the site of obstruction and when the surgical procedure is selected accordingly. |