Evaluation of multiple surgeries as therapeutic options for Obstructive Sleep Apnea Syndrome

• Main Authors: Davi Knoll Ribeiro (Author), José Antonio Pinto (Author), Rodrigo Kohler (Author), Heloisa dos Santos Sobreira Nunes (Author), Andre Freitas da Silva Cavallini (Author)
• Format: Book
• Published: Archives of Otolaryngology and Rhinology - Peertechz Publications, 2018-10-25.
• Subjects: Research Article
• Online Access: Connect to this object online.

<p>Obstructive Sleep Apnea Syndrome (OSAS) is a chronic disease characterized by repeated airfl ow</p><p>obstruction in the upper airway. Location of obstructive site is essential for proper surgical planning.</p><p>Objective: To evaluate the success rate of multiple surgeries, in various combinations, in the</p><p>treatment of Moderate and Severe OSAS.</p><p>Methods: Fifty patients with moderate and severe OSAS subjected to multiple surgeries for treatment</p><p>were studied, and the laboratory values of pre -and postoperative polysomnography were analyzed.</p><p>Results: Considering the reduce AHI from an average of 47.9 events / hour (± 23.30) preoperatively to</p><p>a mean postoperative value of 19.82 events / hour (± 21.16) in cases of moderate OSAS, AHI was reduced</p><p>from 22.89 to 18.50 events / hour. In severe cases of OSAS, the AHI reduced from 58.62 to 20.38 events</p><p>/ hour.</p><p>Conclusion: Several combinations of multiple surgeries for OSAS are valid for the treatment -resistant</p><p>patients using CPAP alternatives. The success rate is signifi cantly better in severe cases than in mild</p><p>ones. Among the surgeries, craniofacial surgery contributed to improve postoperative AHI and showed a</p><p>greater reduction than in patients not undergoing this technique.</p>