Palate Surgery for Obstructive Sleep Apnea: a 17-year Meta-analysis

Overview

Journal Eur Arch Otorhinolaryngol

Specialty Otorhinolaryngology

Date 2018 May 27

PMID 29802464

Citations 9

Authors

Kenny Peter Pang

Guillermo Plaza

Peter M Baptista J

Carlos Oconnor Reina

Yiong Huak Chan

Kathleen A Pang

Edward B Pang

Cybil Mei Zhi Wang

Brian Rotenberg

Affiliations

Soon will be listed here.

Abstract

Objectives: Systematic review of palate surgery for the treatment of OSA.

Methods: Independent searches to identify publications relevant to OSA treatment and upper airway palate surgery. All relevant studies published between January 2001 and February 2018 were included. Inclusion criteria were adult patients, documented airway evaluation methods and absent hypopharyngeal collapse. Outcomes included success rates of treatment, AHI, Epworth scale, QOL and snoring VAS.

Results: Fifty-nine papers with a total of 2715 patients, UPPP accounted for 16.7% of all the procedures. Evident differentiation progressing from 2001 to 2018, from 2001 to 2010, the percentage of UPPP procedures were 25.67%, from 2011 to 2018, there were only 12.6% of UPPP procedures. The average follow up was 8.18 months. Meta-analysis on the AHI change for all procedures, showed the fixed effect AHI per follow-up (FU) month change was 1.45 (95% CI 1.33, 1.8), p < 0.001; while for ESS, the fixed effect AHI per FU month change was 0.61 (95% CI 0.56, 0.66), p < 0.001. The mean decrease in AHI was from 35.66 to 13.91 (p < 0.001). The mean decrease in ESS was from 11.65 to 5.08 (p < 0.001). The mean AHI change was 19.9 (p < 0.001). The mean ESS change was 5.8 (p < 0.001). The overall pooled success rate was 67.5%. Meta-analysis of the procedures, showed that the respective mean AHI reduction was 24.7 for the anterior palatoplasty (p = 0.015), 19.8 for the lateral/expansion pharyngoplasty (p = 0.046), and 17.2 for the uvulopalatopharyngoplasty (p = 0.360).

Conclusions: Better understanding of the upper airway and objective airway evaluation diagnostic techniques and innovative palate surgeries have improved success rates of OSA surgery.

Citing Articles

A Review of a Recent Meta-Analysis Study on Obstructive Sleep Apnea.

Choi B, Kim J, Cho J J Rhinol. 2024; 29(3):134-140.

PMID: 39664309 PMC: 11524374. DOI: 10.18787/jr.2022.00422.

Sleep Apnea Syndrome (SAS) Clinical Practice Guidelines 2020.

Akashiba T, Inoue Y, Uchimura N, Ohi M, Kasai T, Kawana F Sleep Biol Rhythms. 2024; 20(1):5-37.

PMID: 38469064 PMC: 10900032. DOI: 10.1007/s41105-021-00353-6.

Comparative Efficacy of Velopharyngeal Surgery Techniques for Obstructive Sleep Apnea: A Systematic Review.

Vlad A, Stefanescu C, Stefan I, Zainea V, Hainarosie R Medicina (Kaunas). 2023; 59(6).

PMID: 37374351 PMC: 10305140. DOI: 10.3390/medicina59061147.

Nasopharyngeal tube effects on alleviating sleep hypoxemia during the first night following velopharyngeal surgery in patients with obstructive sleep apnea syndrome.

Zhang J, Guan S, Zhang C, Du X, Li T, Xiao S J Clin Sleep Med. 2022; 19(2):303-308.

PMID: 36263860 PMC: 9892732. DOI: 10.5664/jcsm.10252.

International Consensus Statement on Obstructive Sleep Apnea.

Chang J, Goldberg A, Alt J, Mohammed A, Ashbrook L, Auckley D Int Forum Allergy Rhinol. 2022; 13(7):1061-1482.

PMID: 36068685 PMC: 10359192. DOI: 10.1002/alr.23079.

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