Prospective multicentre study on barbed reposition pharyngoplasty standing alone or as a part of multilevel surgery for sleep apnoea

F Montevecchi, G Meccariello, E Firinu, M S Rashwan, M Arigliani, M De Benedetto, A Palumbo, Y Bahgat, A Bahgat, R Lugo Saldana, A Marzetti, L Pignataro, M Mantovani, V Rinaldi, M Carrasco, F Freire, I Delgado, F Salamanca, A Bianchi, M OnerciP Agostini, L Romano, M Benazzo, P Baptista, F Salzano, I Dallan, S Nuzzo, C Vicini

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES: The aim of this study was to demonstrate in a prospective multicentre study that Barbed Reposition Pharyngoplasty (BRP) procedure is safe and effective in management of obstructive sleep apnoea/hypopnea syndrome (OSAHS) patients.

DESIGN: Prospective study.

SETTING: Multicentre study.

PARTICIPANTS: Patients suffering from obstructive sleep apnoea.

MAIN OUTCOMES MEASURES: Values of postoperative apnoea-hypopnea index (AHI), oxygen desaturation index (ODI), epworth sleepiness scale (ESS).

RESULTS: 111 Barbed Reposition Pharyngoplasty procedures standing alone or as a part of multilevel surgery for OSAHS, performed between January and September 2016, were analysed in 15 different centres. The average hospitalisation period was 2.5 ± 0.5 days. The mean patient age was 46.3 ± 10.5 years. The average body mass index at the time of the procedure was 27.9 ± 3.2, and the majority of the patients were men (83%). The mean preoperative and postoperative apnoea/hypopnea index was 33.4 ± 19.5 and 13.5 ± 10.3, respectively (P < .001). The mean preoperative and postoperative ESS score was 10.2 ± 4.5 and 6.1 ± 3.6, respectively (P < .001). The mean preoperative and postoperative ODI were 29.6 ± 20.7 and 12.7 ± 10.8, respectively (P < .001).

CONCLUSIONS: Patients undergoing BRP standing alone or as part of a multilevel approach for the treatment of OSAHS have a reasonable expectation for success with minimal morbidity.

Original languageEnglish
Pages (from-to)483-488
Number of pages6
JournalClinical Otolaryngology
Volume43
Issue number2
DOIs
Publication statusPublished - Apr 2018

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