Prospective multicentre study on barbed reposition pharyngoplasty standing alone or as a part of multilevel surgery for sleep apnoea

• DOI: 10.1111/coa.13001
• Publication Date: 2017-10-05T14:02:46Z
• Authors: F. Montevecchi; G. Meccariello; E. Firinu; M. S. Rashwan; M. Arigliani; M. De Benedetto; A. Palumbo; Y. Bahgat; A. Bahgat; R. Lugo Saldana; A. Marzetti; L. Pignataro; M. Mantovani; V. Rinaldi; M. Carrasco; F. Freire; I. Delgado; F. Salamanca; A. Bianchi; M. Onerci; P. Agostini; L. Romano; M. Benazzo; P. Baptista; F. Salzano; I. Dallan; S. Nuzzo; C. Vicini
• Keywords: Adult; Male; Sleep Apnea, Obstructive; pharyngoplasty; complication; technique; Length of Stay; Middle Aged; Body Mass Index; surgery; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; 617; Humans; Pharynx; complication; pharyngoplasty; sleep apnoea; surgery; technique; Female; complication; pharyngoplasty; sleep apnoea; surgery; technique; Adult; Body Mass Index; Female; Humans; Length of Stay; Male; Middle Aged; Pharynx; Prospective Studies; Sleep Apnea, Obstructive; Treatment Outcome; Prospective Studies; sleep apnoea

ObjectivesThe aim of this study was to demonstrate in a prospective multicentre study that Barbed Reposition Pharyngoplasty (BRP) procedure is safe and effective in management of obstructive sleep apnoea/hypopnea syndrome (OSAHS) patients.DesignProspective study.SettingMulticentre study.ParticipantsPatients suffering from obstructive sleep apnoea.Main outcomes measuresValues of postoperative apnoea‐hypopnea index (AHI), oxygen desaturation index (ODI), epworth sleepiness scale (ESS).Results111 Barbed Reposition Pharyngoplasty procedures standing alone or as a part of multilevel surgery for OSAHS, performed between January and September 2016, were analysed in 15 different centres. The average hospitalisation period was 2.5 ± 0.5 days. The mean patient age was 46.3 ± 10.5 years. The average body mass index at the time of the procedure was 27.9 ± 3.2, and the majority of the patients were men (83%). The mean preoperative and postoperative apnoea/hypopnea index was 33.4 ± 19.5 and 13.5 ± 10.3, respectively (P < .001). The mean preoperative and postoperative ESS score was 10.2 ± 4.5 and 6.1 ± 3.6, respectively (P < .001). The mean preoperative and postoperative ODI were 29.6 ± 20.7 and 12.7 ± 10.8, respectively (P < .001).ConclusionsPatients undergoing BRP standing alone or as part of a multilevel approach for the treatment of OSAHS have a reasonable expectation for success with minimal morbidity.