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

Clin Otolaryngol. 2018 Apr;43(2):483-488. doi: 10.1111/coa.13001. Epub 2017 Nov 6.

Abstract

Objectives: The 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.

Design: Prospective study.

Setting: Multicentre study.

Participants: Patients suffering from obstructive sleep apnoea.

Main outcomes measures: Values of postoperative apnoea-hypopnea index (AHI), oxygen desaturation index (ODI), epworth sleepiness scale (ESS).

Results: 111 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).

Conclusions: Patients 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.

Keywords: complication; pharyngoplasty; sleep apnoea; surgery; technique.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Body Mass Index
  • Female
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Pharynx / surgery*
  • Prospective Studies
  • Sleep Apnea, Obstructive / surgery*
  • Treatment Outcome