Giannicola Iannella, Annalisa Pace, Giuseppe Magliulo, Claudio Vicini, Rodolfo Lugo, Olivier M Vanderveken, Nico de Vries, Kenny Pang, Eric Thuler, Ofer Jacobowitz, Michel Burihan Cahali, Joachim T Maurer, Manuele Casale, Antonio Moffa, Fabrizio Salamanca, Federico Leone, Ewa Olszewska, Carlos O'connor Reina, Edilson Zancanella, Paul T Hoff, Peter Baptista, Ahmed Yassin Bahgat, Madeline J L Ravesloot, Peter van Maanen, Andrew Goldberg, Marina Carrasco, Vikas K Agrawal, Jerome R Lechien, Andrea De Vito, Giovanni Cammaroto, Armando De Virgilio, Antonio Greco, Patrizia Mancini, Tiziano Perrone, Steve Amado, Uri Alkan, Ryan Chin Taw Cheong, Aurelio D'Ecclesia, Dorina Galantai, Anand RajuAnand, Christian Calvo-Henriquez, Salvatore Cocuzza, Michele Arigliani, Alberto Maria Saibene, Rosario Marchese Aragona, Antonino Maniaci
{"title":"国际专家共识声明：阻塞性睡眠呼吸暂停的手术失败。","authors":"Giannicola Iannella, Annalisa Pace, Giuseppe Magliulo, Claudio Vicini, Rodolfo Lugo, Olivier M Vanderveken, Nico de Vries, Kenny Pang, Eric Thuler, Ofer Jacobowitz, Michel Burihan Cahali, Joachim T Maurer, Manuele Casale, Antonio Moffa, Fabrizio Salamanca, Federico Leone, Ewa Olszewska, Carlos O'connor Reina, Edilson Zancanella, Paul T Hoff, Peter Baptista, Ahmed Yassin Bahgat, Madeline J L Ravesloot, Peter van Maanen, Andrew Goldberg, Marina Carrasco, Vikas K Agrawal, Jerome R Lechien, Andrea De Vito, Giovanni Cammaroto, Armando De Virgilio, Antonio Greco, Patrizia Mancini, Tiziano Perrone, Steve Amado, Uri Alkan, Ryan Chin Taw Cheong, Aurelio D'Ecclesia, Dorina Galantai, Anand RajuAnand, Christian Calvo-Henriquez, Salvatore Cocuzza, Michele Arigliani, Alberto Maria Saibene, Rosario Marchese Aragona, Antonino Maniaci","doi":"10.1007/s11325-024-03162-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Upper airway (UA) surgery is commonly employed in the treatment of patients with obstructive sleep apnea (OSA). The intricate pathophysiology of OSA, variability in sites and patterns of UA collapse, and the interaction between anatomical and non-anatomical factors in individual patients may contribute to possible surgical failures. This clinical consensus statement aims to identify areas of agreement among a development group comprising international experts in OSA surgery, regarding the appropriate definition, predictive factors in patients, and management of surgical failure in OSA treatment.</p><p><strong>Methods: </strong>A clinical consensus statement (CCS) was developed using the Delphi method by a panel of 35 contributors from various countries. A systematic literature review adhering to PRISMA guidelines was conducted. A survey consisting of 60 statements was then formulated and presented to the experts.</p><p><strong>Results: </strong>Following two rounds of the Delphi process, consensus or strong consensus was achieved on 36 items, while 24 items remained without consensus. Specifically, 5 out of 10 statements reached consensus regarding on the 'Definition of Surgical Success/Failure after OSA Surgery'. Regarding the 'Predictive Factors of Surgical Failure in OSA Surgery', consensus was reached on 10 out of 13 statements. In the context of the 'Diagnostic Workup in OSA Surgery', consensus was achieved on 9 out of 13 statements. Lastly, in 'Treatment in Surgical Failure Cases', consensus was reached on 12 out of 24 statements.</p><p><strong>Conclusion: </strong>The management of OSA after surgical failure presents a significant clinical challenge for sleep specialists. This CCS provides valuable guidance for defining, preventing, and addressing surgical failures in the treatment of OSA syndrome.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":" ","pages":"2601-2616"},"PeriodicalIF":2.1000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567991/pdf/","citationCount":"0","resultStr":"{\"title\":\"International expert consensus statement: surgical failure in obstructive sleep apnea.\",\"authors\":\"Giannicola Iannella, Annalisa Pace, Giuseppe Magliulo, Claudio Vicini, Rodolfo Lugo, Olivier M Vanderveken, Nico de Vries, Kenny Pang, Eric Thuler, Ofer Jacobowitz, Michel Burihan Cahali, Joachim T Maurer, Manuele Casale, Antonio Moffa, Fabrizio Salamanca, Federico Leone, Ewa Olszewska, Carlos O'connor Reina, Edilson Zancanella, Paul T Hoff, Peter Baptista, Ahmed Yassin Bahgat, Madeline J L Ravesloot, Peter van Maanen, Andrew Goldberg, Marina Carrasco, Vikas K Agrawal, Jerome R Lechien, Andrea De Vito, Giovanni Cammaroto, Armando De Virgilio, Antonio Greco, Patrizia Mancini, Tiziano Perrone, Steve Amado, Uri Alkan, Ryan Chin Taw Cheong, Aurelio D'Ecclesia, Dorina Galantai, Anand RajuAnand, Christian Calvo-Henriquez, Salvatore Cocuzza, Michele Arigliani, Alberto Maria Saibene, Rosario Marchese Aragona, Antonino Maniaci\",\"doi\":\"10.1007/s11325-024-03162-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Upper airway (UA) surgery is commonly employed in the treatment of patients with obstructive sleep apnea (OSA). The intricate pathophysiology of OSA, variability in sites and patterns of UA collapse, and the interaction between anatomical and non-anatomical factors in individual patients may contribute to possible surgical failures. This clinical consensus statement aims to identify areas of agreement among a development group comprising international experts in OSA surgery, regarding the appropriate definition, predictive factors in patients, and management of surgical failure in OSA treatment.</p><p><strong>Methods: </strong>A clinical consensus statement (CCS) was developed using the Delphi method by a panel of 35 contributors from various countries. A systematic literature review adhering to PRISMA guidelines was conducted. A survey consisting of 60 statements was then formulated and presented to the experts.</p><p><strong>Results: </strong>Following two rounds of the Delphi process, consensus or strong consensus was achieved on 36 items, while 24 items remained without consensus. Specifically, 5 out of 10 statements reached consensus regarding on the 'Definition of Surgical Success/Failure after OSA Surgery'. Regarding the 'Predictive Factors of Surgical Failure in OSA Surgery', consensus was reached on 10 out of 13 statements. In the context of the 'Diagnostic Workup in OSA Surgery', consensus was achieved on 9 out of 13 statements. Lastly, in 'Treatment in Surgical Failure Cases', consensus was reached on 12 out of 24 statements.</p><p><strong>Conclusion: </strong>The management of OSA after surgical failure presents a significant clinical challenge for sleep specialists. This CCS provides valuable guidance for defining, preventing, and addressing surgical failures in the treatment of OSA syndrome.</p>\",\"PeriodicalId\":21862,\"journal\":{\"name\":\"Sleep and Breathing\",\"volume\":\" \",\"pages\":\"2601-2616\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567991/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sleep and Breathing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11325-024-03162-6\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/9/23 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep and Breathing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11325-024-03162-6","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/23 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
International expert consensus statement: surgical failure in obstructive sleep apnea.
Purpose: Upper airway (UA) surgery is commonly employed in the treatment of patients with obstructive sleep apnea (OSA). The intricate pathophysiology of OSA, variability in sites and patterns of UA collapse, and the interaction between anatomical and non-anatomical factors in individual patients may contribute to possible surgical failures. This clinical consensus statement aims to identify areas of agreement among a development group comprising international experts in OSA surgery, regarding the appropriate definition, predictive factors in patients, and management of surgical failure in OSA treatment.
Methods: A clinical consensus statement (CCS) was developed using the Delphi method by a panel of 35 contributors from various countries. A systematic literature review adhering to PRISMA guidelines was conducted. A survey consisting of 60 statements was then formulated and presented to the experts.
Results: Following two rounds of the Delphi process, consensus or strong consensus was achieved on 36 items, while 24 items remained without consensus. Specifically, 5 out of 10 statements reached consensus regarding on the 'Definition of Surgical Success/Failure after OSA Surgery'. Regarding the 'Predictive Factors of Surgical Failure in OSA Surgery', consensus was reached on 10 out of 13 statements. In the context of the 'Diagnostic Workup in OSA Surgery', consensus was achieved on 9 out of 13 statements. Lastly, in 'Treatment in Surgical Failure Cases', consensus was reached on 12 out of 24 statements.
Conclusion: The management of OSA after surgical failure presents a significant clinical challenge for sleep specialists. This CCS provides valuable guidance for defining, preventing, and addressing surgical failures in the treatment of OSA syndrome.
期刊介绍：
The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep.
Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.
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