Barbed suspension pharyngoplasty for treatment of lateral pharyngeal wall and palatal collapse in patients affected by OSAHS

We enrolled patients affected by obstructive sleep apnea–hypopnea syndrome, having the main site of obstruction at the palatal and lateral pharyngeal walls, who refused or failed to tolerate CPAP therapy and underwent non-resective pharyngoplasty with barbed sutures between and

Marco Barbieri

2019

Key concepts

Scholarcy highlights

  • We enrolled patients affected by obstructive sleep apnea–hypopnea syndrome, having the main site of obstruction at the palatal and lateral pharyngeal walls, who refused or failed to tolerate CPAP therapy and underwent non-resective pharyngoplasty with barbed sutures between and
  • Twenty-two patients underwent barbed reposition pharyngoplasty and 20 barbed suspension pharyngoplasty. Patients treated with both BRP and BSP achieved significant improvement in polysomnographic parameters: AHI, ODI, t90%, and daily sleepiness tested by the ESS questionnaire
  • Outcomes were comparable in the two groups; patients who underwent BSP had successful treatment in 100% of cases, compared to 86% with BRP, with a cure rate of 40% vs. 18%
  • The research did not involve any animal models; the research involved human participants in accordance with the ethical standards of the institutional and/or national research committees and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards; and informed consent was obtained from all individual participants included in the study
  • Ethical review and approval was not required for this study in accordance with the national and institutional requirements
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