AHI Outcomes Are Superior after Upper Airway Reconstructive Surgery in Adult CPAP Failure Patients.
Otolaryngol Head Neck Surg
; 154(3): 553-7, 2016 Mar.
Article
em En
| MEDLINE
| ID: mdl-26671901
ABSTRACT
OBJECTIVE:
This study aims to evaluate Apnea-Hypopnea Index (AHI) outcomes of upper airway adult obstructive sleep apnea (OSA) reconstructive surgery, as compared with outcomes of suboptimal continuous positive airway pressure (CPAP) therapy, in response to reviews claiming unreliable surgical AHI reduction. STUDYDESIGN:
Prospective cohort study.SETTING:
Single-surgeon series at medical centers within Wollongong, Australia. SUBJECTS ANDMETHODS:
Adult patients with OSA who were partial device users or who refused CPAP were considered candidates for upper airway surgery (N = 48). Subjects underwent physical examination and polysomnography before and after surgery. Three groups were delineated on the nature of their suboptimal CPAP therapy group 1, partially using CPAP or refusing long-term CPAP despite adherence (with available download data); group 2, unable or refusing to use CPAP with 2 sleep studies over time; group 3, unable or refusing to use CPAP with 1 sleep study over time. Collected data included demographics and AHI outcomes.RESULTS:
Average AHI across all 3 groups with suboptimal CPAP therapy before surgery was 30.24 ± 17.17 events per hour sleep, as compared with the average postoperative AHI of 7.65 ± 6.59 events per hour sleep. This decrease was shown to be statistically significant with Wilcoxon signed-rank test (P < .0001).CONCLUSIONS:
AHI outcomes are superior with surgery in untreated or suboptimally treated adult OSA patients prescribed CPAP.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Bucais
/
Procedimentos de Cirurgia Plástica
/
Apneia Obstrutiva do Sono
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article