Upper airway stimulation: Fewer complications, ED presentations, readmissions, and increased surgical success.
Adult
Electric Stimulation Therapy
/ methods
Emergency Medical Services
Emergency Service, Hospital
Female
Humans
Male
Middle Aged
Patient Readmission
Postoperative Complications
/ epidemiology
Retrospective Studies
Robotic Surgical Procedures
/ methods
Sleep Apnea, Obstructive
/ surgery
Treatment Outcome
Velopharyngeal Sphincter
/ surgery
Complication rates
Complications
Obstructive sleep apnea
Readmissions
Surgical success
TORS
Upper airway stimulation
Journal
American journal of otolaryngology
ISSN: 1532-818X
Titre abrégé: Am J Otolaryngol
Pays: United States
ID NLM: 8000029
Informations de publication
Date de publication:
Historique:
received:
04
03
2021
accepted:
30
03
2021
pubmed:
18
4
2021
medline:
15
12
2021
entrez:
17
4
2021
Statut:
ppublish
Résumé
Evaluate the rate of complications, readmissions, emergency department presentations, and surgical success rates amongst three standard surgical treatment options for obstructive sleep apnea: upper airway stimulation, transoral robotic surgery, and expansion sphincter pharyngoplasty. Retrospective cohort. Tertiary care center. Patients were included who were aged ≥18 years old and underwent upper airway stimulation, transoral robotic surgery, or expansion sphincter pharyngoplasty between January 2011 and May 2020. 345 patients were identified: 58% (n = 201) underwent upper airway stimulation, 10% (n = 35) underwent transoral robotic surgery, and 32% (n = 109) patients underwent expansion sphincter pharyngoplasty. There were 22 emergency department presentations and 19 readmissions, most of which were experienced by patients receiving transoral robotic surgery (six emergencies, seven readmissions) and expansion sphincter pharyngoplasty (12 emergencies, 11 readmissions). Patients with upper airway stimulation had four emergencies and one readmission. Only 2% of the upper airway stimulation cohort had a complication, whereas this was 20% and 12% for the transoral robotic surgery and expansion sphincter pharyngoplasty cohorts, respectively. Patients experienced the highest surgical success rate with upper airway stimulation (69%), whereas patients who received transoral robotic surgery and expansion sphincter pharyngoplasty had success rates of 50% and 51%, respectively. Treating obstructive sleep apnea with upper airway stimulation led to lower rates of complications, emergency department presentations, and readmissions in this series. In those for whom upper airway stimulation is appropriate, it may be more effective in successfully treating obstructive sleep apnea than transoral robotic surgery and expansion sphincter pharyngoplasty.
Identifiants
pubmed: 33865205
pii: S0196-0709(21)00136-8
doi: 10.1016/j.amjoto.2021.103035
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
103035Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.