Barbed reposition pharyngoplasty (BRP) in obstructive sleep apnea treatment: State of the art.
Am J Otolaryngol
; 43(1): 103197, 2022.
Article
en En
| MEDLINE
| ID: mdl-34492427
ABSTRACT
PURPOSE:
In this paper, we perform a systematic review that discusses the state of the art and evolution on the barbed reposition pharyngoplasty (BRP) in the velo-pharyngeal surgery. Clinical evidence and published outcomes of this surgical technique are reported and discussed. MATERIALS ANDMETHODS:
We performed a systematic review of the current literature through the analysis of the last 10 years of literature on barbed palate surgery. Study design, number of patients enrolled, inclusion criteria, pre- and posttreatment outcomes (AHI, ODI), surgical success rate, follow-up time and complication has been collected and reported.RESULTS:
15 studies for a total of 1531 patients, out of which 1061 underwent barbed reposition pharyngoplasty. Five trials were uncontrolled prospective studies (215 patients, 14% of total), nine were retrospective studies (1266 patients, 82,6% of total), and one randomized prospective clinical trial (RCT) (50 patients, 3,32% of total). All analyzed studies reported good outcomes after BRP surgery. Average preoperative values of AHI and ODI reduced in all studies considered with a significative statistical difference between preoperative and postoperative values (p < 0.05 in all cases). The postoperative surgical success rate ranged between 65.4 and 93% of cases. There were no significant intra-operative or post-operative complications in all studies considered in this systematic review.CONCLUSIONS:
Barbed reposition pharyngoplasty has proven to be an easy to learn, quick, safe and effective new palatopharyngeal procedure, that can be used in a single level surgery or as a part of multilevel procedures.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Paladar Blando
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Faringe
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Procedimientos Quirúrgicos Otorrinolaringológicos
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Apnea Obstructiva del Sueño
Tipo de estudio:
Clinical_trials
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Observational_studies
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Systematic_reviews
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am J Otolaryngol
Año:
2022
Tipo del documento:
Article