Lateral Pharyngoplasty Vs. Traditional Uvulopalatopharyngoplasty for Patients With OSA: Systematic Review and Meta-analysis

Overview

Journal Sleep Breath

Publisher Springer

Date 2022 Jan 3

PMID 34978022

Citations 16

Authors

Antonino Maniaci

Milena Di Luca

Jerome Rene Lechien

Giannicola Iannella

Calogero Grillo

Caterina Maria Grillo

Federico Merlino

Christian Calvo-Henriquez

Andrea De Vito

Giuseppe Magliulo

Annalisa Pace

Claudio Vicini

Salvatore Cocuzza

Vittoria Banno

Isabella Pollicina

Giovanna Stilo

Alberto Bianchi

Ignazio La Mantia

Affiliations

Soon will be listed here.

Abstract

Objectives: To compare the efficacy and success rates of lateral pharyngoplasty techniques (LP) vs. uvulopalatopharyngoplasty (UPPP) among adult patients surgically treated for obstructive sleep apnea.

Methods: A systematic literature review of the last 20 years' papers was conducted using PubMed/Medline, Embase, Web of Science, Scholar, and the Cochrane Library until April 2021. Only full-text English articles comparing LP and UPPP outcomes in adult patients with objective outcomes were included in the study.

Results: We included 9 articles for a total of 312 surgically treated patients with OSA. LP techniques for obstructive sleep apnea were used on 186 (60%) subjects, while 126 patients (40%) were treated with UPPP. Both surgical procedures resulted in significant improvements in apnea-hypopnea index (AHI), Epworth Sleepiness Scale (ESS) score, and lowest oxygen saturation (LOS) (p < 0.001 in all cases). Although better outcomes were reported with lateral pharyngoplasty, the differences were not significant compared to UPPP post-operative results (p > 0.05 in all cases).

Conclusions: UPPP and LP are both effective surgical procedures in treating OSA in adults. Although not significant, LPs demonstrated improved post-operative outcomes. However, further evidence comparing the surgical effect on patients with OSA is needed to discriminate post-operative outcomes.

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