Submucosal lingualplasty for adult obstructive sleep apnea

Gunawardena, Indunil, Robinson, Sam, MacKay, Stuart, Woods, Charmaine M., Choo, June, Esterman, Adrian, and Carney, A. Simon (2013) Submucosal lingualplasty for adult obstructive sleep apnea. Otolaryngology - Head And Neck Surgery, 148 (1). pp. 157-165.

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Abstract

Objective: To measure quality-of-life outcomes, polysomnographic outcomes, and adverse effects for a new technique of tongue reduction in obstructive sleep apnea.

Study Design: Case series.

Setting: Tertiary hospital.

Subjects and Methods: Consecutively treated adult patients (N = 27) with obstructive sleep apnea having submucosal lingualplasty in 2007 were studied. All had concurrent or previous uvulopalatoplasty +/- palatal advancement. Full polysomnography preoperatively and 3.7 +/- 0.4 months postoperatively, scored using the American Academy of Sleep Medicine 2007 criteria, was recorded. Snoring severity score, Epworth Sleepiness Scale, and complication data were collected at a 2.61 +/- 0.08-year follow-up via questionnaire.

Results: Mean snoring severity score fell from 7.1 +/- 0.4 to 2.3 +/- 0.6 (P < .05). Epworth Sleepiness Scale score fell from 8.3 +/- 1.1 to 5.8 +/- 1.0 (P < .05). The apnea-hypopnea index (AHI) fell from 44.0 +/- 4.3 to 12.5 +/- 2.3 (P < .05). Success, defined as achieving an AHI <15 postoperatively, was observed in 74% (20/27), with each of these patients achieving a reduction in AHI >50%. Lowest oxygen saturation improved from 84 +/- 1 to 88 +/- 1 (P < .05). Pain was mild to moderate. Short-term postoperative complications included bleeding (3.7%) and infection (14.8%). Some minor long-term (6 months) alteration in tongue function was reported with regard to speech (47%), swallow (33%), and taste (33%).

Conclusion: Submucosal lingualplasty with concurrent palatal surgery is a promising treatment option in adult patients with obstructive sleep apnea with macroglossia.

Item ID: 37497
Item Type: Article (Research - C1)
ISSN: 1097-6817
Keywords: obstructive sleep apnea, submucosal lingualplasty, sleep, sleep study, sleep surgery, tongue reduction surgery
Funders: Arthrocare Corporation
Date Deposited: 04 Feb 2015 07:41
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified @ 100%
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