Therapeutic Effect of Multilevel Surgery on Laryngopharyngeal Reflux in Obstructive Sleep Apnea Patients: Impact on the Reflux Symptom Index and Reflux Finding Score
Objectives. Our previous study found that multilevel obstructive sleep apnea (OSA) surgery mitigated laryngopharyngeal reflux (LPR) symptoms in terms of the reflux symptom index (RSI), but no studies have investigated the impact of OSA surgery on laryngoscopic parameters. The aim of this study was t...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Otorhinolaryngology-Head and Neck Surgery
2022-11-01
|
| Series: | Clinical and Experimental Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://e-ceo.org/upload/pdf/ceo-2022-00563.pdf |
| _version_ | 1828176159460818944 |
|---|---|
| author | Bokhyun Song Yong Gi Jung Sang Duk Hong Eun Kyu Lee Byung Kil Kim Song I Park Sung Ha Jung Gwanghui Ryu Hyo Yeol Kim |
| author_facet | Bokhyun Song Yong Gi Jung Sang Duk Hong Eun Kyu Lee Byung Kil Kim Song I Park Sung Ha Jung Gwanghui Ryu Hyo Yeol Kim |
| author_sort | Bokhyun Song |
| collection | DOAJ |
| description | Objectives. Our previous study found that multilevel obstructive sleep apnea (OSA) surgery mitigated laryngopharyngeal reflux (LPR) symptoms in terms of the reflux symptom index (RSI), but no studies have investigated the impact of OSA surgery on laryngoscopic parameters. The aim of this study was to examine the clinical outcome of LPR improvement following OSA surgery, with a focus on both the RSI and the reflux finding score (RFS). Methods. Prospectively collected data from 28 patients who underwent multilevel OSA surgery from 2017 to 2021 were retrospectively analyzed. Patients were asked to complete the RSI questionnaire and underwent a laryngoscopic examination to evaluate the RFS before and after surgery. Age, height, weight, body mass index (BMI), and polysomnography data before and after surgery were also reviewed. Results. After surgery, the total RSI and RFS decreased significantly from 11.96±8.40 to 7.68±6.82 (P=0.003) and from 6.57±3.49 to 3.21±1.87 (P<0.001). The positive rates of RSI and RFS decreased from 28.6% to 17.9% and 32.1% to 0%, respectively. Significant improvements were found in the RSI subdomains of throat clearing, throat mucus, breathing difficulty, troublesome cough, and heartburn sensation, while all RFS subdomains except granuloma improved significantly. In subgroup analyses, no significant differences were found between subgroups based on age, OSA severity, or BMI. Conclusion. OSA surgery has the potential to alleviate both LPR symptoms and laryngoscopic results. Additional research integrating more objective techniques and novel treatment strategies is required to better comprehend the clinical impact of OSA surgery on LPR. |
| first_indexed | 2024-04-12T04:39:37Z |
| format | Article |
| id | doaj.art-01b2f0f3d57a43e2927291c2c7abbf87 |
| institution | Directory Open Access Journal |
| issn | 1976-8710 2005-0720 |
| language | English |
| last_indexed | 2024-04-12T04:39:37Z |
| publishDate | 2022-11-01 |
| publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
| record_format | Article |
| series | Clinical and Experimental Otorhinolaryngology |
| spelling | doaj.art-01b2f0f3d57a43e2927291c2c7abbf872022-12-22T03:47:42ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202022-11-0115434635310.21053/ceo.2022.00563831Therapeutic Effect of Multilevel Surgery on Laryngopharyngeal Reflux in Obstructive Sleep Apnea Patients: Impact on the Reflux Symptom Index and Reflux Finding ScoreBokhyun Song0Yong Gi Jung1Sang Duk Hong2Eun Kyu Lee3Byung Kil Kim4Song I Park5Sung Ha Jung6Gwanghui Ryu7Hyo Yeol Kim8 Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaObjectives. Our previous study found that multilevel obstructive sleep apnea (OSA) surgery mitigated laryngopharyngeal reflux (LPR) symptoms in terms of the reflux symptom index (RSI), but no studies have investigated the impact of OSA surgery on laryngoscopic parameters. The aim of this study was to examine the clinical outcome of LPR improvement following OSA surgery, with a focus on both the RSI and the reflux finding score (RFS). Methods. Prospectively collected data from 28 patients who underwent multilevel OSA surgery from 2017 to 2021 were retrospectively analyzed. Patients were asked to complete the RSI questionnaire and underwent a laryngoscopic examination to evaluate the RFS before and after surgery. Age, height, weight, body mass index (BMI), and polysomnography data before and after surgery were also reviewed. Results. After surgery, the total RSI and RFS decreased significantly from 11.96±8.40 to 7.68±6.82 (P=0.003) and from 6.57±3.49 to 3.21±1.87 (P<0.001). The positive rates of RSI and RFS decreased from 28.6% to 17.9% and 32.1% to 0%, respectively. Significant improvements were found in the RSI subdomains of throat clearing, throat mucus, breathing difficulty, troublesome cough, and heartburn sensation, while all RFS subdomains except granuloma improved significantly. In subgroup analyses, no significant differences were found between subgroups based on age, OSA severity, or BMI. Conclusion. OSA surgery has the potential to alleviate both LPR symptoms and laryngoscopic results. Additional research integrating more objective techniques and novel treatment strategies is required to better comprehend the clinical impact of OSA surgery on LPR.http://e-ceo.org/upload/pdf/ceo-2022-00563.pdflaryngopharyngeal refluxobstructive sleep apneasurgery |
| spellingShingle | Bokhyun Song Yong Gi Jung Sang Duk Hong Eun Kyu Lee Byung Kil Kim Song I Park Sung Ha Jung Gwanghui Ryu Hyo Yeol Kim Therapeutic Effect of Multilevel Surgery on Laryngopharyngeal Reflux in Obstructive Sleep Apnea Patients: Impact on the Reflux Symptom Index and Reflux Finding Score Clinical and Experimental Otorhinolaryngology laryngopharyngeal reflux obstructive sleep apnea surgery |
| title | Therapeutic Effect of Multilevel Surgery on Laryngopharyngeal Reflux in Obstructive Sleep Apnea Patients: Impact on the Reflux Symptom Index and Reflux Finding Score |
| title_full | Therapeutic Effect of Multilevel Surgery on Laryngopharyngeal Reflux in Obstructive Sleep Apnea Patients: Impact on the Reflux Symptom Index and Reflux Finding Score |
| title_fullStr | Therapeutic Effect of Multilevel Surgery on Laryngopharyngeal Reflux in Obstructive Sleep Apnea Patients: Impact on the Reflux Symptom Index and Reflux Finding Score |
| title_full_unstemmed | Therapeutic Effect of Multilevel Surgery on Laryngopharyngeal Reflux in Obstructive Sleep Apnea Patients: Impact on the Reflux Symptom Index and Reflux Finding Score |
| title_short | Therapeutic Effect of Multilevel Surgery on Laryngopharyngeal Reflux in Obstructive Sleep Apnea Patients: Impact on the Reflux Symptom Index and Reflux Finding Score |
| title_sort | therapeutic effect of multilevel surgery on laryngopharyngeal reflux in obstructive sleep apnea patients impact on the reflux symptom index and reflux finding score |
| topic | laryngopharyngeal reflux obstructive sleep apnea surgery |
| url | http://e-ceo.org/upload/pdf/ceo-2022-00563.pdf |
| work_keys_str_mv | AT bokhyunsong therapeuticeffectofmultilevelsurgeryonlaryngopharyngealrefluxinobstructivesleepapneapatientsimpactontherefluxsymptomindexandrefluxfindingscore AT yonggijung therapeuticeffectofmultilevelsurgeryonlaryngopharyngealrefluxinobstructivesleepapneapatientsimpactontherefluxsymptomindexandrefluxfindingscore AT sangdukhong therapeuticeffectofmultilevelsurgeryonlaryngopharyngealrefluxinobstructivesleepapneapatientsimpactontherefluxsymptomindexandrefluxfindingscore AT eunkyulee therapeuticeffectofmultilevelsurgeryonlaryngopharyngealrefluxinobstructivesleepapneapatientsimpactontherefluxsymptomindexandrefluxfindingscore AT byungkilkim therapeuticeffectofmultilevelsurgeryonlaryngopharyngealrefluxinobstructivesleepapneapatientsimpactontherefluxsymptomindexandrefluxfindingscore AT songipark therapeuticeffectofmultilevelsurgeryonlaryngopharyngealrefluxinobstructivesleepapneapatientsimpactontherefluxsymptomindexandrefluxfindingscore AT sunghajung therapeuticeffectofmultilevelsurgeryonlaryngopharyngealrefluxinobstructivesleepapneapatientsimpactontherefluxsymptomindexandrefluxfindingscore AT gwanghuiryu therapeuticeffectofmultilevelsurgeryonlaryngopharyngealrefluxinobstructivesleepapneapatientsimpactontherefluxsymptomindexandrefluxfindingscore AT hyoyeolkim therapeuticeffectofmultilevelsurgeryonlaryngopharyngealrefluxinobstructivesleepapneapatientsimpactontherefluxsymptomindexandrefluxfindingscore |