Karataylı-Özgürsoy Selmin, Demireller Alp
Department of Otolaryngology, Dr. Sami Ulus Children's Hospital, Merkez-Altındağ, Ankara, Turkey.
Ear Nose Throat J. 2012 Aug;91(8):358-64.
We report our experience with hyoid suspension surgery in patients with obstructive sleep apnea (OSA) diagnosed on the basis of polysomnographic criteria. We conducted a prospective, observational study of 20 patients--18 males and 2 females, aged 15 to 52 years (mean: 42.1)--who were treated at our tertiary care center. All patients underwent hyoid suspension surgery and uvulopalatopharyngoplasty (UPPP) in a single session. Postoperative success was defined as either (1) a reduction in the apnea-hypopnea index (AHI) from 20 or higher to less than 20 or (2) a reduction in AHI of at least 50%. Postoperative follow-up polysomnography indicated that surgery was successful in 18 of 20 patients (90%). No important complications were observed. We conclude that hyoid suspension surgery is an effective procedure with low morbidity for the treatment of OSA in selected patients with hypopharyngeal obstruction. We believe it is a good option for those patients who will not or cannot tolerate therapy with continuous positive airway pressure.
我们报告了依据多导睡眠图标准诊断为阻塞性睡眠呼吸暂停（OSA）患者的舌骨悬吊手术经验。我们对在我们三级医疗中心接受治疗的20例患者进行了一项前瞻性观察研究，其中18例男性，2例女性，年龄在15至52岁之间（平均42.1岁）。所有患者均在一次手术中接受了舌骨悬吊手术和悬雍垂腭咽成形术（UPPP）。术后成功定义为：（1）呼吸暂停低通气指数（AHI）从20或更高降至低于20；或（2）AHI降低至少50%。术后随访多导睡眠图显示，20例患者中有18例（90%）手术成功。未观察到重大并发症。我们得出结论，对于因下咽梗阻而选择的OSA患者，舌骨悬吊手术是一种有效的手术，发病率低。我们认为，对于那些不愿意或不能耐受持续气道正压通气治疗的患者来说，这是一个很好的选择。
