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106003

Efficacy of Modified Hyoid Bone Suspension Technique Compared to Midline Glossectomy in Management of Hypopharyngeal Obstruction in Obstructive Sleep Apnea Patients

Article

Last updated: 04 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Otorhinolaryngology

Abstract

Background: Obstructive sleep apnea (OSA) is a common and challenging health problem, especially in adults, as it is the second most common disease related to sleep. Surgical treatment plays an important role in management of OSA. However, the optimal procedure is not yet determined. 
Aim of the work: To compare between modified hyoid bone suspension and midline glossectomy in management of OSA due to hypopharyngeal obstruction.
Patients and Methods:40 patients with OSA due to hypopharyngeal obstruction were randomly assigned to either modified hyoid bone suspension (group A; 20 patients) or midline glossectomy (group B; 20 patients). All had been assessed by full history, clinical examination and Lab investigations and underwent pre-assigned surgical intervention. Indicators of OSA such as minimal oxygen saturation, Apnea hypopnea Index [AHI] and Epworth Sleepiness Scale [ESS] had been measured preoperatively and 6 months after surgery.
Results: The studied groups were comparable as patient characteristics and preoperative data. However, hyoid suspension was associated with significant decrease of AHI [16.67±6.06 vs 20.72±4.41] and ESS [9.10±2.42 vs 11.20±2.33]. Also, minimal oxygen saturation improved significantly in group A than group B. The percentage of responders increased significantly in group A (75.0% vs 40.0% respectively).
Conclusion: Modified hyoid suspension is superior than the midline glossectomy, as a safer and more effective procedure for treatment of OSA due to hypopharyngeal obstruction. 

DOI

10.21608/ijma.2020.106003

Keywords

Obstructive sleep apnea, Apnea hypopnea index, Midline glossectomy, hyoid suspension, Hypopharyngeal

Authors

First Name

Osama

Last Name

Refaat

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Egypt

Email

osamarefaat78@gmail.com

City

Cairo

Orcid

0000-0001-5752-097X

Volume

2

Article Issue

3

Related Issue

16043

Issue Date

2020-07-01

Receive Date

2020-06-01

Publish Date

2020-07-01

Page Start

674

Page End

681

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 3_Pages 674-681.pdf

PDF . 310.4kB

Link

https://ijma.journals.ekb.eg/article_106003.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=106003

Order

28

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Efficacy of Modified Hyoid Bone Suspension Technique Compared to Midline Glossectomy in Management of Hypopharyngeal Obstruction in Obstructive Sleep Apnea Patients

Details

Type

Article

Created At

22 Jan 2023