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Short-term results of upper airway stimulation in obstructive sleep apnoea patients: the Amsterdam experience.
- Source :
- Journal of Laryngology & Otology; May2020, Vol. 134 Issue 5, p447-452, 6p
- Publication Year :
- 2020
-
Abstract
- Objectives: This paper aimed to: retrospectively analyse single-centre results in terms of surgical success, respiratory outcomes and adverse events after short-term follow up in obstructive sleep apnoea patients treated with upper airway stimulation; and evaluate the correlation between pre-operative drug-induced sleep endoscopy findings and surgical success. Methods: A retrospective descriptive cohort study was conducted, including a consecutive series of obstructive sleep apnoea patients undergoing implantation of an upper airway stimulation system. Results: Forty-four patients were included. The total median Apnoea–Hypopnea Index and oxygen desaturation index significantly decreased from 37.6 to 8.3 events per hour (p < 0.001) and from 37.1 to 15.9 events per hour (p < 0.001), respectively. The surgical success rate was 88.6 per cent, and did not significantly differ between patients with or without complete collapse at the retropalatal level (p = 0.784). The most common therapy-related adverse event reported was (temporary) stimulation-related discomfort. Conclusion: Upper airway stimulation is an effective and safe treatment in obstructive sleep apnoea patients with continuous positive airway pressure intolerance or failure. There was no significant difference in surgical outcome between patients with tongue base collapse with or without complete anteroposterior collapse at the level of the palate. [ABSTRACT FROM AUTHOR]
- Subjects :
- PALATE surgery
SLEEP apnea syndrome treatment
ELECTRIC stimulation
PATIENT aftercare
HUMAN comfort
HYPOGLOSSAL nerve
LONGITUDINAL method
RESEARCH methodology
HEALTH outcome assessment
SLEEP
SUCCESS
POLYSOMNOGRAPHY
RETROSPECTIVE studies
SEVERITY of illness index
ADVERSE health care events
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 00222151
- Volume :
- 134
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Laryngology & Otology
- Publication Type :
- Academic Journal
- Accession number :
- 144299094
- Full Text :
- https://doi.org/10.1017/S0022215120000961