Department of Otolaryngology, Hacettepe University Faculty of Medicine, Sıhhiye, Ankara 06230, Turkey.
Department of Otolaryngology, Hacettepe University Faculty of Medicine, Sıhhiye, Ankara 06230, Turkey.
Auris Nasus Larynx. 2021 Aug;48(4):697-703. doi: 10.1016/j.anl.2020.11.002. Epub 2020 Nov 24.
The aim of this study is to determine the effectiveness of coblation midline glossectomy for obstructive sleep apnea (OSA) when used as an isolated procedure. We also aim to compare the effect of this surgical procedure on supine and non-supine apnea.
The medical records of patients who underwent isolated tongue base surgery as a part of step-wise surgeries between January 2014 and February 2019 are retrospectively reviewed. Pre-operative and post-operative Epworth sleepiness score (ESS), body mass index (BMI), and polysomnographic data, including the apnea-hypopnea index (AHI), oxygen desaturation index (ODI), supine AHI, and non-supine AHI of the patients were compared.
The study included 29 patients (26 male and 3 female). AHI improved significantly, decreasing from 34.9 ± 20.9 to 25.8 ± 17.6. Supine AHI decreased from 62.55 ± 28.23 to 55.18 ± 31.67 post-operatively, but this decrease was not significant. Non-supine AHI decreased significantly from 22.49 ± 24.02 to 14.08 ± 17.46. ESS and ODI also improved significantly.
Coblation midline glossectomy is an effective surgical procedure when applied solely, with a success rate of 52%. Non-supine apnea benefits to a greater degree than supine apnea from this surgical procedure.
本研究旨在确定作为单一手术方法时，使用等离子刀中线舌根切除术治疗阻塞性睡眠呼吸暂停（OSA）的有效性。我们还旨在比较该手术程序对仰卧位和非仰卧位呼吸暂停的影响。
回顾性分析 2014 年 1 月至 2019 年 2 月期间作为逐步手术一部分接受单纯舌基手术的患者的病历。比较患者术前和术后的嗜睡评分（ESS）、体重指数（BMI）和多导睡眠图数据，包括呼吸暂停低通气指数（AHI）、氧减指数（ODI）、仰卧位 AHI 和非仰卧位 AHI。
该研究纳入了 29 名患者（26 名男性和 3 名女性）。AHI 显著改善，从 34.9±20.9 降至 25.8±17.6。仰卧位 AHI 从 62.55±28.23 降至 55.18±31.67，但无统计学意义。非仰卧位 AHI 显著降低，从 22.49±24.02 降至 14.08±17.46。ESS 和 ODI 也显著改善。
等离子刀中线舌根切除术作为单一手术方法是有效的，成功率为 52%。与仰卧位呼吸暂停相比，该手术程序对非仰卧位呼吸暂停的效果更大。
