ORIGINAL ARTICLE
Year : 2018 | Volume
: 31 | Issue : 1 | Page : 244--249
Hyoid suspension versus laser midline glossectomy in the management of obstructive sleep apnea
Omar A Elbanhawy1, Ibrahim A Abd Elshafy1, Yasir A Khaleel1, Rana H Elhelbawy2, Ahmed F Abd Elhameed3 1 Department of Otolaryngology, Faculty of Medicine, Menoufia University, Menoufia, Egypt 2 Department of Chest Diseases, Faculty of Medicine, Menoufia University, Menoufia, Egypt 3 Department of Otolaryngology, Shebin El-Kom Teaching Hospital, Shebin El-Kom, Egypt
Correspondence Address:
Ahmed F Abd Elhameed Department of Otolaryngology, Shebin El-Kom Teaching Hospital, Yassin Abd-Alghafar Street, Shebin El-Kom Egypt
Background
The base of the tongue�and the hypopharynx are the major sites of obstruction in up to 50% of patients with obstructive sleep apnea�(OSA) possibly explaining the cause of failure in palatal surgery. Hyoid suspension and laser midline glossectomy can be used as a surgical treatment for tongue base and hypopharyngeal collapse.
Objective
The aim of this study was to compare hyoid suspension type�I and laser midline glossectomy in the management of OSA as regards safety, efficiency, and postoperative morbidity and mortality.
Patients and methods
In this study, 30�patients were diagnosed as having OSA by means of polysomnography with retrolingual collapse using Muller maneuver. Fifteen patients were operated upon using hyoid suspension type�I and the other 15�patients were operated upon using laser midline glossectomy.
Results
In hyoid suspension type�I, the incidence of responder patients�[50% or more reduction in their apnea–hypopnea index�(AHI) plus reduction in the AHI below 20] was 66.67%, with reduction in the AHI by 77.2%, and the incidence of nonresponder patients was 33.33%, with reduction in the AHI by 36.17%. However, in midline laser glossectomy, the incidence of responder patients was 53.34% with reduction in the AHI by 73.87%, and the incidence of nonresponder patients was 46.67% with reduction in the AHI by 40.79%. Complications were higher in laser midline glossectomy compared with hyoid suspension type�I.
Conclusion
Our data indicate that hyoid suspension type�I may be safer and more effective with lesser morbidity compared with laser midline glossectomy.
How to cite this article:
Elbanhawy OA, Abd Elshafy IA, Khaleel YA, Elhelbawy RH, Abd Elhameed AF. Hyoid suspension versus laser midline glossectomy in the management of obstructive sleep apnea.Menoufia Med J 2018;31:244-249
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How to cite this URL:
Elbanhawy OA, Abd Elshafy IA, Khaleel YA, Elhelbawy RH, Abd Elhameed AF. Hyoid suspension versus laser midline glossectomy in the management of obstructive sleep apnea. Menoufia Med J [serial online] 2018 [cited 2024 Mar 29 ];31:244-249
Available from: http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2018;volume=31;issue=1;spage=244;epage=249;aulast=Elbanhawy;type=0 |
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