Faculty Collaboration Database

Pharyngeal suspension suture with repose bone screw for obstructive sleep apnea. Otolaryngol Head Neck Surg 2000 Mar;122(3):395-401

Date

03/04/2000

Pubmed ID

10699817

DOI

10.1016/S0194-5998(00)70055-6

Scopus ID

2-s2.0-0034013874 (requires institutional sign-in at Scopus site)   51 Citations

Abstract

OBJECTIVE: Multilevel surgery for obstructive sleep apnea syndrome (OSA) may improve success. This study's goal is to prospectively evaluate the feasibility and short-term subjective effectiveness of a new tongue-suspension technique.

METHODS: A multicenter nonrandomized open enrollment trial used the Repose device to treat tongue obstruction in 39 snoring and OSA patients. Outcomes include 1- and 2-month subjective reports of general health, snoring, and sleep.

RESULTS: Twenty-three patients completed 1 month and 19 completed 2 months of follow-up. In OSA patients, activity level, energy/fatigue, and sleepiness improved. Two-month outcomes were less (activity level, energy/fatigue, and sleepiness). Fewer changes were observed in snorers than in OSA patients. There were 6 complications (18%), including sialadenitis (4), gastrointestinal bleeding (1), and dehydration (1) after the procedure.

CONCLUSION: A pharyngeal suspension suture changes subjective outcomes. Improvement is incomplete. The procedure is nonexcisional, but significant complications may occur. Further evaluation is required to demonstrate effectiveness.

Author List

Woodson BT, Derowe A, Hawke M, Wenig B, Ross EB Jr, Katsantonis GP, Mickelson SA, Bonham RE, Benbadis S

Author

B Tucker Woodson MD Chief, Professor in the Otolaryngology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Bone Screws
Female
Follow-Up Studies
Humans
Hypopharynx
Male
Middle Aged
Pharynx
Polysomnography
Postoperative Complications
Prospective Studies
Sleep Apnea, Obstructive
Suture Techniques
Tongue
Treatment Outcome