A comparison of the outcomes of tonsillectomy and expansion sphincter pharyngoplasty operations in patients with obstructive sleep apnea.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-07-20 DOI:10.1080/08869634.2024.2381811

Gokhan Toptas, Sumeyra Doluoglu, Musa Altas, Ilker Akyıldız, Murad Mutlu, Guleser Saylam

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Abstract

Objective: To compare the efficacy of tonsillectomy and expansion sphincter pharyngoplasty (ESP) in the surgical treatment of obstructive sleep apnea (OSA).

Methods: OSA patients with Friedman grade III-IV tonsil hypertrophy diagnosed with polysomnography were separated into two groups according to the surgery performed, as the classic tonsillectomy group (Group 1) and the ESP group (Group 2). The primary endpoint of the study was to determine the Apnea-Hypopnea Index (AHI) value.

Results: Group 1 comprised 24 patients with median preoperative AHI of 19.7 and postoperative AHI of median 11.8 (p = .0001). Group 2 comprised 29 patients with median preoperative AHI of 25.1 and postoperative AHI of median 16.3 (p = .0001). Nine (37.5%) of the 24 patients in Group 1 accepted as cure (79.1%). Eight (27.5%) of the 29 patients in Group 2 accepted as cure (72.4%).

Conclusion: There was no superiority of ESP over tonsillectomy in patients with lateral pharyngeal obstruction.

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阻塞性睡眠呼吸暂停患者扁桃体切除术和扩张括约肌咽成形术的疗效比较。

目的比较扁桃体切除术和扩张括约肌咽成形术（ESP）在阻塞性睡眠呼吸暂停（OSA）手术治疗中的疗效：通过多导睡眠图确诊为弗里德曼 III-IV 级扁桃体肥大的 OSA 患者根据手术方式分为两组，即经典扁桃体切除术组（第 1 组）和 ESP 组（第 2 组）。研究的主要终点是确定呼吸暂停-低通气指数（AHI）值：结果：第一组有 24 名患者，术前 AHI 中位数为 19.7，术后 AHI 中位数为 11.8（p = .0001）。第 2 组有 29 名患者，术前 AHI 中位数为 25.1，术后 AHI 中位数为 16.3（p = .0001）。第 1 组的 24 名患者中有 9 名（37.5%）接受治愈（79.1%）。第 2 组的 29 名患者中有 8 名（27.5%）接受治愈（72.4%）：结论：在咽侧梗阻患者中，ESP疗效并不优于扁桃体切除术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.