Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment
Giannicola Iannella,
Bianca Vallicelli,
Giuseppe Magliulo,
Giovanni Cammaroto,
Giuseppe Meccariello,
Andrea De Vito,
Antonio Greco,
Stefano Pelucchi,
Rossella Sgarzani,
Ruggero Massimo Corso,
Gloria Napoli,
Giulia Bianchi,
Salvatore Cocuzza,
Antonino Maniaci and
Claudio Vicini
Additional contact information
Giannicola Iannella: Department of ‘Organi di Senso’, University “Sapienza”, Viale dell’Università, 33, 00185 Rome, Italy
Bianca Vallicelli: Department ENT & Audiology, University of Ferrara, Via Savonarola, 9, 44121 Ferrara, Italy
Giuseppe Magliulo: Department of ‘Organi di Senso’, University “Sapienza”, Viale dell’Università, 33, 00185 Rome, Italy
Giovanni Cammaroto: Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini, 34, 47121 Forlì, Italy
Giuseppe Meccariello: Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini, 34, 47121 Forlì, Italy
Andrea De Vito: Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini, 34, 47121 Forlì, Italy
Antonio Greco: Department of ‘Organi di Senso’, University “Sapienza”, Viale dell’Università, 33, 00185 Rome, Italy
Stefano Pelucchi: Department ENT & Audiology, University of Ferrara, Via Savonarola, 9, 44121 Ferrara, Italy
Rossella Sgarzani: Department of Emergency, Burn Center, Bufalini Hospital, Azienda USL della Romagna, viale Giovanni Ghirotti, 286, 47521 Cesena, Italy
Ruggero Massimo Corso: Intensive Care Unit, Morgagni-Pierantoni Hospital, AUSL of Romagna, Via Carlo Forlanini, 34, 47121 Forlì, Italy
Gloria Napoli: Department ENT & Audiology, University of Ferrara, Via Savonarola, 9, 44121 Ferrara, Italy
Giulia Bianchi: Department ENT & Audiology, University of Ferrara, Via Savonarola, 9, 44121 Ferrara, Italy
Salvatore Cocuzza: Department of Otolaryngology, University of Catania, Via S. Sofia, 78, 95125 Catania, Italy
Antonino Maniaci: Department of Otolaryngology, University of Catania, Via S. Sofia, 78, 95125 Catania, Italy
Claudio Vicini: Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini, 34, 47121 Forlì, Italy
IJERPH, 2020, vol. 17, issue 5, 1-11
Abstract:
Background : The purpose of this study was to evaluate long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome (OSAS) treatment using a specific questionnaire, the Palate Postoperative Problem Score (PPOPS). Methods : 140 patients who underwent barbed reposition pharyngoplasty (BRP) surgery in the Morgagni Pierantoni Hospital of Forlì, Italy were enrolled in the study. Postoperative outcomes were evaluated in a short- and long-term follow-up using the PPOPS questionnaire. The average period of follow-up was 26 months. All patients received the PPOPS questionnaire by telephone in a period between April and August 2019. Results : 51% of patients complained of swallowing problems after surgery. In 91% of cases, the problem cleared up spontaneously. At the time of the interview, only 9% of patients had a residual swallowing difficult. At the time of PPOPS evaluation, rhinolalia was observed in 8% of patients, whereas nose regurgitation was present in 2% of patients. In 20% of patients, the foreign body sensation was present during follow-up. The value of apnea–hypopnea index (AHI) reduced from the preoperative value of 31.5 to the postoperative value of 11.4. Conclusions : BRP surgery proved to be an effective technique, appreciated by the majority of patients. Use of the PPOPS questionnaire has demonstrated that the BRP technique seems to ensure efficacy and lower morbidity, with few complications after surgery.
Keywords: obstructive sleep apnea; pharyngoplasty; barbed reposition pharyngoplasty; questionnaire; obstructive sleep apnea surgery (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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Citations: View citations in EconPapers (2)
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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:5:p:1542-:d:325902
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