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 -