Expansion pharyngoplasty for treatment of snoring and obstructive sleep apnea
Dawaba, A., 𝑴𝒆𝒌𝒉𝒆𝒎𝒂𝒓, S., Alkholy, T., 𝒁𝒊𝒅𝒂𝒏, . (2022). Expansion pharyngoplasty for treatment of snoring and obstructive sleep apnea. EKB Journal Management System, 3(1), 67-74. doi: 10.21608/jram.2021.86392.1129
Alyaa H Dawaba; S𝒂𝒚𝒆𝒅 M 𝑴𝒆𝒌𝒉𝒆𝒎𝒂𝒓; Tawfik A Alkholy; 𝑴𝒐𝒉𝒂𝒎𝒎𝒆𝒅 F 𝒁𝒊𝒅𝒂𝒏. "Expansion pharyngoplasty for treatment of snoring and obstructive sleep apnea". EKB Journal Management System, 3, 1, 2022, 67-74. doi: 10.21608/jram.2021.86392.1129
Dawaba, A., 𝑴𝒆𝒌𝒉𝒆𝒎𝒂𝒓, S., Alkholy, T., 𝒁𝒊𝒅𝒂𝒏, . (2022). 'Expansion pharyngoplasty for treatment of snoring and obstructive sleep apnea', EKB Journal Management System, 3(1), pp. 67-74. doi: 10.21608/jram.2021.86392.1129
Dawaba, A., 𝑴𝒆𝒌𝒉𝒆𝒎𝒂𝒓, S., Alkholy, T., 𝒁𝒊𝒅𝒂𝒏, . Expansion pharyngoplasty for treatment of snoring and obstructive sleep apnea. EKB Journal Management System, 2022; 3(1): 67-74. doi: 10.21608/jram.2021.86392.1129

Expansion pharyngoplasty for treatment of snoring and obstructive sleep apnea

Journal of Recent Advances in Medicine
Article 9, Volume 3, Issue 1, January 2022, Page 67-74  XML PDF (974.36 K)
Document Type: Original Article
DOI: 10.21608/jram.2021.86392.1129
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Authors
Alyaa H Dawaba email 1; S𝒂𝒚𝒆𝒅 M 𝑴𝒆𝒌𝒉𝒆𝒎𝒂𝒓2; Tawfik A Alkholy2; 𝑴𝒐𝒉𝒂𝒎𝒎𝒆𝒅 F 𝒁𝒊𝒅𝒂𝒏2
1Otorhinolaryngology Department, AlRahmaniyah Central Hospital, Behara, Egypt
2Otorhinolaryngology Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt
Abstract
Background: Obstructive sleep apnea is defined as “five or more respiratory events (apneas, hypopneas) in combination with severe daytime somnolence, waking with gasping, choking, or breath-holding.”
Objective: to investigate the importance of anterolateral pharyngoplasty in the management of obstructive sleep apnea by increasing pharyngeal airspace and decreasing palatal and lateral pharyngeal wall collapse.
Methodology: A prospective interventional study included 30 patients over the age of 18 who were suffering from symptoms suggestive of obstructive sleep apnea; each patient was assessed by history, polysomnography, and a cahali VI lateral pharyngoplasty, with the patients being followed-up for six months after the procedure.
Results: There was statistically significant reduction of sleeping index postoperatively compared to preoperatively (51.27 ± 5.71 vs. 37.53 ± 2.64). There was statistically significant reduction of apnea hypopnea index postoperatively compared to preoperatively (27.77 ±  9.55  vs. 21.33 ± 8.07 ). There was statistically significant reduction of Epworth sleepiness scale postoperatively compared to preoperatively (2.40 ± 0.72  vs. 0.83 ± 0.70 ).
Conclusion: Cahali VI lateral pharyngoplasty can be used as a stand-alone treatment for all OSA patients.
Keywords
Obstructive sleep apnea; polysomnography; lateral pharyngoplasty
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