Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy
© 2022. The Author(s)..
BACKGROUND: The purpose of this study was to evaluate the efficacy of sleep endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy in patients with sleep disordered breathing (SDB), including polysomnography (PSG) and swallowing outcomes.
METHODS: A retrospective review was performed of all patients undergoing simultaneous lingual tonsillectomy and epiglottopexy over the study period. PSG objective measures were recorded pre- and postoperatively, along with demographic data, comorbidities, and descriptive data of swallowing dysfunction in the postoperative setting.
RESULTS: A total of 24 patients met inclusion criteria for consideration, with 13 having valid pre- and postoperative PSG data. Successful surgery was achieved in 84.6% of patients, with no difference based on presence of medical comorbidities including Trisomy 21. Median reduction in obstructive apnea-hypopnea index (oAHI) with the procedure was 69.9%. Four patients (16.7%) had postoperative concern for dysphagia, but all objective swallowing evaluations were normal and no dietary modifications were necessary.
CONCLUSION: Combination lingual tonsillectomy and epiglottopexy in indicated patients has a high rate of success in this single-institutional study without new dysphagia in this population. These procedures are amenable to a combination surgery in appropriately selected patients determined by sleep state endoscopy in the setting of SDB evaluated with drug-induced sleep endoscopy.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2022 |
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Erschienen: |
2022 |
Enthalten in: |
Zur Gesamtaufnahme - volume:51 |
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Enthalten in: |
Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale - 51(2022), 1 vom: 14. März, Seite 11 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Maksimoski, Matthew [VerfasserIn] |
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Links: |
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Themen: |
Airway obstruction |
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Anmerkungen: |
Date Completed 16.03.2022 Date Revised 18.03.2022 published: Electronic Citation Status MEDLINE |
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doi: |
10.1186/s40463-022-00562-0 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM338184880 |
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500 | |a Date Revised 18.03.2022 | ||
500 | |a published: Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a © 2022. The Author(s). | ||
520 | |a BACKGROUND: The purpose of this study was to evaluate the efficacy of sleep endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy in patients with sleep disordered breathing (SDB), including polysomnography (PSG) and swallowing outcomes | ||
520 | |a METHODS: A retrospective review was performed of all patients undergoing simultaneous lingual tonsillectomy and epiglottopexy over the study period. PSG objective measures were recorded pre- and postoperatively, along with demographic data, comorbidities, and descriptive data of swallowing dysfunction in the postoperative setting | ||
520 | |a RESULTS: A total of 24 patients met inclusion criteria for consideration, with 13 having valid pre- and postoperative PSG data. Successful surgery was achieved in 84.6% of patients, with no difference based on presence of medical comorbidities including Trisomy 21. Median reduction in obstructive apnea-hypopnea index (oAHI) with the procedure was 69.9%. Four patients (16.7%) had postoperative concern for dysphagia, but all objective swallowing evaluations were normal and no dietary modifications were necessary | ||
520 | |a CONCLUSION: Combination lingual tonsillectomy and epiglottopexy in indicated patients has a high rate of success in this single-institutional study without new dysphagia in this population. These procedures are amenable to a combination surgery in appropriately selected patients determined by sleep state endoscopy in the setting of SDB evaluated with drug-induced sleep endoscopy | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Airway obstruction | |
650 | 4 | |a Airway surgery | |
650 | 4 | |a DISE | |
650 | 4 | |a Evidence-based medicine | |
650 | 4 | |a Obstructive sleep apnea | |
650 | 4 | |a Sleep disordered breathing | |
700 | 1 | |a Maurrasse, Sarah E |e verfasserin |4 aut | |
700 | 1 | |a Hoff, Stephen R |e verfasserin |4 aut | |
700 | 1 | |a Lavin, Jennifer |e verfasserin |4 aut | |
700 | 1 | |a Valika, Taher |e verfasserin |4 aut | |
700 | 1 | |a Thompson, Dana M |e verfasserin |4 aut | |
700 | 1 | |a Ida, Jonathan B |e verfasserin |4 aut | |
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