The effectiveness of different surgical techniques in the treatment of obstructive sleep apnea syndrome. Clinical and polysomnographic outcomes

Abstract

AIM: The aim of this study is to emphasiz technique in the treatment ofe the importance of DISE in the treatment of OSAS and to evaluate the effectiviness of surgical treatment methods in patients who have undergone OSAS Surgery.

MATERIAL AND METHODS: Patients with OSAS were evaluated using preoperative and postoperative Epworth Sleepiness Scale results and preoperative and postoperative sixth month polysomnography (PSG) results. All patients had a DISE preoperatively to assess the upper airway and to decide the surgical approach.

RESULTS: There were 44 men (78.6%) and 12 women (21.4%) included in the study. According to the preoperative the Apnea-hypopnea index (AHI), 19 (33.9%) patients were mild OSAS, 19 (33.9%) were severe OSAS and 18 (32.2%) were moderate OSAS. According to the postoperative AHI, 24 (42.9%) patients had only simple snoring. Postoperatively there were 20 (35.7%) mild OSAS, 7 (12.5%) moderate OSAS and (8.9%) severe OSAS detected. When comparing preoperative and postoperative AHI, the greatest decrease was observed in the combined oropharynx and tongue base surgery group.

CONCLUSIONS: OSAS is a disease caused by multiple levels of obstruction. The results of this study show a small, statistically significant reduction in the AHI after combined oropharynx and tongue base surgery.