TY - JOUR A2 - Pearson, Jeffrey P. AU - Canzi, Pietro AU - Berardi, Anna AU - Tinelli, Carmine AU - Montevecchi, Filippo AU - Pagella, Fabio AU - Vicini, Claudio AU - Benazzo, Marco PY - 2013 DA - 2013/02/20 TI - Thirteen Years of Hyoid Suspension Experience in Multilevel OSAHS Surgery: The Short-Term Results of a Bicentric Study SP - 263043 VL - 2013 AB - Aims. To evaluate thirteen years of hyoid suspension experience in multilevel OSAHS surgery, for which hyoidthyroidpexia represented the exclusive hypopharyngeal approach applied. Materials and Methods. From 1998 to 2011, a bicentric retrospective study was conducted: all adult patients with a diagnosis of OSAHS were enrolled. Specific eligible criteria were established. Pre-/postoperative data concerning ENT and sleep findings were recorded. Recruited subjects were surveilled for a follow-up range from 6 to 18 months. Results. A total of 590 hyoid suspensions were evaluated, but only 140 patients met the specific inclusion criteria. A success rate of 67% was obtained. No intraoperative adverse events or major complications occurred. Excessive daytime sleepiness was observed in 28% of nonresponders. Despite the homogeneous candidate anatomy, ENT awake findings changed differently after surgery. Statistical analysis revealed multilevel surgery to be more effective when AHI < 30. Postoperative AHI was statistically not influenced by preoperative BMI. Conclusions. Hyoid suspension in multilevel treatment is effective when short-term results are considered. The necessity of a more valuable anatomic-based diagnostic approach is crucial to guide the patient selection. Long-term followups and randomized prospective trials with case-control series are needed to increase the level of evidence of this surgery. SN - 1687-9201 UR - https://doi.org/10.1155/2013/263043 DO - 10.1155/2013/263043 JF - International Journal of Otolaryngology PB - Hindawi Publishing Corporation KW - ER -