Obstructive sleep apnoea after radiotherapy for head and neck cancer.
Acta Otorhinolaryngol Ital
; 40(5): 338-342, 2020 Oct.
Article
en En
| MEDLINE
| ID: mdl-33299223
ABSTRACT
OBJECTIVE:
The aim of this study is to focus attention on obstructive sleep apnoea hypopnoea syndrome (OSHAS) as a sequela of non-surgical treatments of selected head and neck cancer (HNca), sharing our experience in drug-induced sleep endoscopy (DISE). To the best of our knowledge, this is the first study that documents dynamic anatomical and functional alterations during sleep in irradiated OSAHS patients by DISE.METHODS:
A retrospective study of patients affected by OSAHS referring to our department from January 2018 to December 2019 was carried out. Inclusion criteria were patients who underwent radiation or chemo-radiation for HNca affecting upper airways that presented sleep-related breathing disorders after treatment.RESULTS:
6 patients with moderate to severe OSAHS and a clinical story of previous non-surgical treatment for an HNca were enrolled. DISE showed in all patients typical anatomical alterations observed in irradiated individuals. Four patients were treated with continuous positive airway pressure, while 2 subjects were treated with tailored minimal invasive surgery without post-operative complications.CONCLUSIONS:
Our results suggest that minimal invasive surgical treatments can be a good therapeutic option in very selected patients with post-irradiation iatrogenic OSAHS.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Apnea Obstructiva del Sueño
/
Neoplasias de Cabeza y Cuello
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Acta Otorhinolaryngol Ital
Año:
2020
Tipo del documento:
Article
País de afiliación:
Italia