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03.01.2022 | Sleep Breathing Physiology and Disorders • Review

Lateral pharyngoplasty vs. traditional uvulopalatopharyngoplasty for patients with OSA: systematic review and meta-analysis

verfasst von: Antonino Maniaci, Milena Di Luca, Jerome René Lechien, Giannicola Iannella, Calogero Grillo, Caterina Maria Grillo, Federico Merlino, Christian Calvo-Henriquez, Andrea De Vito, Giuseppe Magliulo, Annalisa Pace, Claudio Vicini, Salvatore Cocuzza, Vittoria Bannò, Isabella Pollicina, Giovanna Stilo, Alberto Bianchi, Ignazio La Mantia

Erschienen in: Sleep and Breathing | Ausgabe 4/2022

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Abstract

Objectives

To compare the efficacy and success rates of lateral pharyngoplasty techniques (LP) vs. uvulopalatopharyngoplasty (UPPP) among adult patients surgically treated for obstructive sleep apnea.

Methods

A systematic literature review of the last 20 years’ papers was conducted using PubMed/Medline, Embase, Web of Science, Scholar, and the Cochrane Library until April 2021. Only full-text English articles comparing LP and UPPP outcomes in adult patients with objective outcomes were included in the study.

Results

We included 9 articles for a total of 312 surgically treated patients with OSA. LP techniques for obstructive sleep apnea were used on 186 (60%) subjects, while 126 patients (40%) were treated with UPPP. Both surgical procedures resulted in significant improvements in apnea-hypopnea index (AHI), Epworth Sleepiness Scale (ESS) score, and lowest oxygen saturation (LOS) (p < 0.001 in all cases). Although better outcomes were reported with lateral pharyngoplasty, the differences were not significant compared to UPPP post-operative results (p > 0.05 in all cases).

Conclusions

UPPP and LP are both effective surgical procedures in treating OSA in adults. Although not significant, LPs demonstrated improved post-operative outcomes. However, further evidence comparing the surgical effect on patients with OSA is needed to discriminate post-operative outcomes.

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Titel: Lateral pharyngoplasty vs. traditional uvulopalatopharyngoplasty for patients with OSA: systematic review and meta-analysis
verfasst von: Antonino Maniaci
Milena Di Luca
Jerome René Lechien
Giannicola Iannella
Calogero Grillo
Caterina Maria Grillo
Federico Merlino
Christian Calvo-Henriquez
Andrea De Vito
Giuseppe Magliulo
Annalisa Pace
Claudio Vicini
Salvatore Cocuzza
Vittoria Bannò
Isabella Pollicina
Giovanna Stilo
Alberto Bianchi
Ignazio La Mantia
Publikationsdatum: 03.01.2022
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 4/2022
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-021-02520-y

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Lateral pharyngoplasty vs. traditional uvulopalatopharyngoplasty for patients with OSA: systematic review and meta-analysis