1 Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt.
Otolaryngol Head Neck Surg. 2019 Feb;160(2):355-358. doi: 10.1177/0194599818815658. Epub 2018 Dec 4.
We provide expansion hyoidthyroidpexy as a novel surgical procedure for obstructive sleep apnea (OSA) that could combine different techniques of hyoid bone surgery in 1 procedure. This case series included patients with OSA who had an apnea-hypopnea index (AHI) >15 and showed predominant lateral wall hypopharyngeal collapse. In 21 patients, the procedure was performed smoothly without technical difficulties or operative adverse events, resulting in lateral expansion of each horn of the hyoid bone by ≥1 cm without early or late complications. At 6 months postoperatively, both AHI and the mean lowest oxygen saturation level were significantly improved ( P < .0001). The new expansion hyoidthyroidpexy technique is a reliable, easy, and effective procedure with good surgical outcomes in patients with OSA. It is feasible to be employed in the protocol of multilevel surgery for OSA.
我们提供扩张悬雍垂甲状腺固定术作为一种治疗阻塞性睡眠呼吸暂停（OSA）的新手术方法，该方法可在 1 个手术中结合不同的悬雍垂骨手术技术。该病例系列包括 AHI＞15 且显示出明显的侧壁咽后塌缩的 OSA 患者。在 21 例患者中，手术顺利进行，无技术困难或手术不良事件，导致每个悬雍垂的角部扩张≥1cm，无早期或晚期并发症。术后 6 个月，AHI 和平均最低血氧饱和度水平均显著改善（P＜0.0001）。新的扩张悬雍垂甲状腺固定术是一种可靠、简单、有效的手术方法，对 OSA 患者具有良好的手术效果。它在 OSA 的多水平手术方案中是可行的。
