Surgical treatment for obstructive sleep apnea: effect on sleep architecture.

Drug induced sleep endoscopy Obstructive sleep apnea Sleep stages Surgery

Journal

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 09 05 2023
accepted: 26 06 2023
pubmed: 5 7 2023
medline: 5 7 2023
entrez: 5 7 2023
Statut: ppublish

Résumé

Investigate the effect of surgical treatment of obstructive sleep apnea syndrome (OSA) on sleep architecture. Observational retrospective analysis of polysomnographic data of adults diagnosed with OSA, submitted to surgical treatment. Median (25-75th percentile) was used to present the data. Data were available for 76 adults, 55 men and 21 women, with median age of 49.0 years (41.0-62.0), body mass index of 27.3 kg/m This study aims to show the impact of OSA treatment, not only on respiratory events but also on other polysomnographic data often underestimated. Upper airway surgeries have shown to be effective in sleep architecture improvements. There is a trend for sleep distribution normalization, with increase of time spend in profound sleep.

Identifiants

DOI: 10.1007/s00405-023-08093-8 PMID: 37405452
pubmed: 37405452
doi: 10.1007/s00405-023-08093-8
pii: 10.1007/s00405-023-08093-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

5059-5065

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

Barone DA, Krieger AC (2015) The function of sleep. AIMS Neuroscience 2:71–90. https://doi.org/10.3934/Neuroscience.2015.2.71
doi: 10.3934/Neuroscience.2015.2.71
Le Bon O (2020) Relationships between REM and NREM in the NREM-REM sleep cycle: a review on competing concepts. Sleep Med 70:6–16. https://doi.org/10.1016/j.sleep.2020.02.004
doi: 10.1016/j.sleep.2020.02.004 pubmed: 32179430
Kamphuis J, Lancel M, Koolhaas JM et al (2015) Deep sleep after social stress: NREM sleep slow-wave activity is enhanced in both winners and losers of a conflict. Brain Behav Immun 47:149–154. https://doi.org/10.1016/j.bbi.2014.12.022
doi: 10.1016/j.bbi.2014.12.022 pubmed: 25585138
Colrain IM, Black J, Siegel LC, Bogan RK et al (2013) A multicenter evaluation of oral pressure therapy for the treatment of obstructive sleep apnea. Sleep Med 14(9):830–837. https://doi.org/10.1016/j.sleep.2013.05.009
doi: 10.1016/j.sleep.2013.05.009 pubmed: 23871259 pmcid: 3932027
Bohorquez D, Mahmoud AF, Yu JL, Thaler ER (2019) Upper airway stimulation therapy and sleep architecture in patients with obstructive sleep apnea. Laryngoscope 00:1–5. https://doi.org/10.1002/lary.28057
doi: 10.1002/lary.28057
Hofauer B, Philip P, Wirth M et al (2017) Effects of upper-airway stimulation on sleep architecture in patients with obstructive sleep apnea. Sleep Breath 21:901–908. https://doi.org/10.1007/s11325-017-1519-0
doi: 10.1007/s11325-017-1519-0 pubmed: 28567688
Shahveisi K, Jalali A, Moloudi MR et al (2018) Research paper: Sleep architecture in patients with primary snoring and obstructive sleep apnea. Basic Clin Neurosci 9(2):147–156. https://doi.org/10.29252/NIRP.BCN.9.2.147
doi: 10.29252/NIRP.BCN.9.2.147 pubmed: 29967674 pmcid: 6026090
Powell ED, Gay PC, Ojile JM, Litinski M et al (2012) A pilot study assessing adherence to auto-bilevel following a poor initial encounter with CPAP. J Clin Sleep Med 8:43–47. https://doi.org/10.5664/jcsm.1658
doi: 10.5664/jcsm.1658 pubmed: 22334808 pmcid: 3266339
Aloia MS, Stanchina M, Arnedt JT, Malhotra A et al (2005) Treatment adherence and outcomes in flexible vs standard continuous positive airway pressure therapy. Chest 127:2085–2093. https://doi.org/10.1378/chest.127.6.2085
doi: 10.1378/chest.127.6.2085 pubmed: 15947324
Quan SF, Budhiraja R, Kushida CA (2018) Associations between sleep quality, sleep architecture and sleep disordered breathing and memory after continuous positive airway pressure in patients with obstructive sleep apnea in the apnea positive pressure long-term efficacy study (APPLES). Sleep Sci 11(4):231–238. https://doi.org/10.5935/1984-0063.20180037
doi: 10.5935/1984-0063.20180037 pubmed: 30746040 pmcid: 6361302
McArdle N, Douglas NJ (2001) Effect of continuous positive airway pressure on sleep architecture in the sleep apnea-hypopnea syndrome: a randomized controlled trial. Am J Respir Crit Care Med 164:1459–1463. https://doi.org/10.1164/ajrccm.164.8.2008146
doi: 10.1164/ajrccm.164.8.2008146 pubmed: 11704596
Vito A, Llatas MC, Vanni A, Bosi M et al (2014) European position paper on drug-induced sedation endoscopy (DISE). Sleep Breath 18(3):453–465. https://doi.org/10.1007/s11325-014-0989-6
doi: 10.1007/s11325-014-0989-6 pubmed: 24859484
Croft CB, Pringle M (1991) Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea. Clin Otolaryngol Allied Sci 16:504–509. https://doi.org/10.1111/j.1365-2273.1991.tb02103.x
doi: 10.1111/j.1365-2273.1991.tb02103.x pubmed: 1742903
Vito A, Agnoletti V, Zani G, Corso RM et al (2016) The importance of drug-induced sedation endoscopy (D.I.S.E.) techniques in surgical decision making: conventional versus target controlled infusion techniques—a prospective randomized controlled study and a retrospective surgical outcomes analysis. Eur Arch Otorhinolaryngol 274(5):2307–2317. https://doi.org/10.1007/s00405-016-4447-x
doi: 10.1007/s00405-016-4447-x
Ward FW, Buysse D, Redline S et al (1999) Sleep-related breathing disordered in adults: recommendations for syndrome definition and measurement techniques in clinical research. the report of an American Academy of Sleep medicine Task Force. Sleep 22:667–689. https://doi.org/10.1093/sleep/22.5.667
doi: 10.1093/sleep/22.5.667
Berry R, Brooks R, Gamaldo C et al (2016) The AASM Manual for the Scoring of Sleep and Associated Events. American Academy of Sleep Medicine
Vicini C et al (2015) Barbed reposition pharyngoplasty (BRP) for OSAHS: a feasibility, safety, efficacy and teachability pilot study. “We are on the giant’s shoulders.” Eur Arch Otorhinolaryngol 272:3065–3070. https://doi.org/10.1007/s00405-015-3628-3
doi: 10.1007/s00405-015-3628-3 pubmed: 25864183
McEvoy RD, Antic NA, Heeley E et al (2016) CPAP for prevention of cardiovascular events in obstructive sleep apena. N Engl J Med 375:919–931. https://doi.org/10.1056/NEJMoa1606599
doi: 10.1056/NEJMoa1606599 pubmed: 27571048
Bosco G, Morato M, Pérez-Martín N et al (2021) One-stage multilevel surgery for treatment of obstructive sleep apnea syndrome. J Clin Med 10(21):4822. https://doi.org/10.3390/jcm10214822
doi: 10.3390/jcm10214822 pubmed: 34768341 pmcid: 8584839
Mackay S, Carney AS, Catcheside PG et al (2020) Effect of multilevel upper airway surgery vs medical management on the apnea-hypopnea index and patient-reported daytime sleepiness among patients with moderate or severe obstructive sleep apnea. JAMA 324(12):1168–1179. https://doi.org/10.1001/jama.2020.14265
doi: 10.1001/jama.2020.14265 pubmed: 32886102 pmcid: 7489419
Loredo JS, Ancoli-Israel S, Kim E-J et al (2006) Effect of continuous positive airway pressure versus supplemental oxygen on sleep quality in obstructive sleep apnea: a placebo-CPAP-controlled study. Sleep 29:564–571. https://doi.org/10.1093/sleep/29.4.564
doi: 10.1093/sleep/29.4.564 pubmed: 16676791
Sun X, Yi H, Cao Z et al (2009) Reorganization of sleep architecture after surgery for OSAHS. Acta Otolaryngol 128:1242–1247. https://doi.org/10.1080/00016480801935509
doi: 10.1080/00016480801935509
Kim H, Jung HR, Kim JB et al (2022) Autonomic dysfunction in sleep disorders: from neurobiological basis to potential therapeutic approaches. J Clin Neurol 18(2):140–151. https://doi.org/10.3988/jcn.2022.18.2.140
doi: 10.3988/jcn.2022.18.2.140 pubmed: 35274834 pmcid: 8926769
Pilon et al (2018) Autonomic nervous system, daytime functioning and sleep architecture in patients with insomnia associated with obstructive sleep apnea. J Sleep Res 27(4):e12642
Pase MP, Himali JJ, Grima NA et al (2017) Sleep architecture and the risk of incident dementia in the community. Neurology 89(12):1244–1250. https://doi.org/10.1212/WNL.0000000000004373
doi: 10.1212/WNL.0000000000004373 pubmed: 28835407 pmcid: 5606917
Décousus et al (2018) Sleep disorders, cognitive impairment and dementia: a systematic review and meta-analysis. Sleep Med Rev 42:156–164

Auteurs

Joselina Antunes (J)

Department of Otorhinolaryngology, Head and Neck Surgery, Professor Doutor Fernando Fonseca Hospital, IC19, 2720-276, Amadora, Portugal. Joselinarant@gmail.com.
ORCID: 0000-0003-2706-332X

João Órfão (J)

Department of Otorhinolaryngology, Head and Neck Surgery, Professor Doutor Fernando Fonseca Hospital, IC19, 2720-276, Amadora, Portugal.

João Rito (J)

Department of Otorhinolaryngology, Head and Neck Surgery, Professor Doutor Fernando Fonseca Hospital, IC19, 2720-276, Amadora, Portugal.

Cristina Adónis (C)

Department of Otorhinolaryngology, Head and Neck Surgery, Professor Doutor Fernando Fonseca Hospital, IC19, 2720-276, Amadora, Portugal.

Filipe Freire (F)

Department of Otorhinolaryngology, Head and Neck Surgery, Professor Doutor Fernando Fonseca Hospital, IC19, 2720-276, Amadora, Portugal.

Classifications MeSH