Evaluation of multiple surgeries as therapeutic options for Obstructive Sleep Apnea Syndrome

Davi Knoll Ribeiro*, José Antonio Pinto, Rodrigo Kohler, Heloisa dos Santos Sobreira Nunes and Andre Freitas da Silva Cavallini

Obstructive Sleep Apnea Syndrome (OSAS) is a chronic disease characterized by repeated airfl ow

obstruction in the upper airway. Location of obstructive site is essential for proper surgical planning.

Objective: To evaluate the success rate of multiple surgeries, in various combinations, in the

treatment of Moderate and Severe OSAS.

Methods: Fifty patients with moderate and severe OSAS subjected to multiple surgeries for treatment

were studied, and the laboratory values of pre -and postoperative polysomnography were analyzed.

Results: Considering the reduce AHI from an average of 47.9 events / hour (± 23.30) preoperatively to

a mean postoperative value of 19.82 events / hour (± 21.16) in cases of moderate OSAS, AHI was reduced

from 22.89 to 18.50 events / hour. In severe cases of OSAS, the AHI reduced from 58.62 to 20.38 events

/ hour.

Conclusion: Several combinations of multiple surgeries for OSAS are valid for the treatment -resistant

patients using CPAP alternatives. The success rate is signifi cantly better in severe cases than in mild

ones. Among the surgeries, craniofacial surgery contributed to improve postoperative AHI and showed a

greater reduction than in patients not undergoing this technique.

Keywords:

Published on: Oct 25, 2018 Pages: 73-78

Full Text PDF Full Text HTML DOI: 10.17352/2455-1759.000080
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