Five-Year Subjective Outcomes of Obstructive Sleep Apnea Surgery: A Multiinstitutional Study
ObjectivesTo evaluate the effect of obstructive sleep apnea (OSA) surgery on long-term (5-year) subjective outcomes, including sleep disordered breathing (SDB) symptoms and other complications, in patients with OSA.MethodsWe enrolled patients who underwent diagnostic polysomnography for OSA between...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2015-12-01
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| Series: | Clinical and Experimental Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.e-ceo.org/upload/pdf/ceo-8-370.pdf |
| _version_ | 1811271939021340672 |
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| author | Ji Ho Choi Seung Hoon Lee Jae Hoon Cho Sung Wan Kim Kyu Sup Cho Soo Kweon Koo Tae-Bin Won Jeong-Whun Kim Hyo Yeol Kim Yoo Suk Kim Yoo-Sam Chung Chae-Seo Rhee |
| author_facet | Ji Ho Choi Seung Hoon Lee Jae Hoon Cho Sung Wan Kim Kyu Sup Cho Soo Kweon Koo Tae-Bin Won Jeong-Whun Kim Hyo Yeol Kim Yoo Suk Kim Yoo-Sam Chung Chae-Seo Rhee |
| author_sort | Ji Ho Choi |
| collection | DOAJ |
| description | ObjectivesTo evaluate the effect of obstructive sleep apnea (OSA) surgery on long-term (5-year) subjective outcomes, including sleep disordered breathing (SDB) symptoms and other complications, in patients with OSA.MethodsWe enrolled patients who underwent diagnostic polysomnography for OSA between January 2006 and December 2006 in ten hospitals. Patients either were treated for OSA or were not treated for OSA. All patients completed a brief telephone survey regarding their SDB signs and symptoms (e.g., snoring, apnea, nocturnal arousals, and daytime sleepiness), positive airway pressure (PAP) compliance, and any adverse effects of either the surgery or PAP. A positive subjective outcome for either surgery or no treatment was taken to be the alleviation of apnea, defined as a ≥50% increase in score. A positive subjective outcome (compliance) for PAP was defined as a PAP usage of ≥4 hours per night and ≥5 days per week.ResultsA total of 229 patients were included in this study. Patients were divided into three groups: a surgery group (n=87), a PAP group (n=68), and a control (untreated) group (n=74). The surgery group exhibited significant improvement in all SDB symptoms compared with the control group. The long-term subjective outcomes of the surgery (52.9%) and PAP (54.4%) groups were significantly better than those of the control group (25.0%). The subjective outcome of the surgery group was not significantly different from that of the PAP group. The overall surgical complication rate was 23.0% (20 of 87) in the surgery group, and 55.0% (22 of 40) of all patients with PAP experienced adverse effects.ConclusionThe extent of SDB symptoms was consistently improved in patients with OSA at 5 years postsurgery. Information about the potential long-term subjective outcomes should be provided to patients when considering surgery. |
| first_indexed | 2024-04-12T22:31:13Z |
| format | Article |
| id | doaj.art-fdb6ccec26e14950ba880c1cf50ffd68 |
| institution | Directory Open Access Journal |
| issn | 1976-8710 2005-0720 |
| language | English |
| last_indexed | 2024-04-12T22:31:13Z |
| publishDate | 2015-12-01 |
| publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
| record_format | Article |
| series | Clinical and Experimental Otorhinolaryngology |
| spelling | doaj.art-fdb6ccec26e14950ba880c1cf50ffd682022-12-22T03:13:59ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202015-12-018437037510.3342/ceo.2015.8.4.370397Five-Year Subjective Outcomes of Obstructive Sleep Apnea Surgery: A Multiinstitutional StudyJi Ho Choi0Seung Hoon Lee1Jae Hoon Cho2Sung Wan Kim3Kyu Sup Cho4Soo Kweon Koo5Tae-Bin Won6Jeong-Whun Kim7Hyo Yeol Kim8Yoo Suk Kim9Yoo-Sam Chung10Chae-Seo Rhee11Deptartment of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.Deptartment of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.Deptartment of Otorhinolaryngology-Head and Neck Surgery, Konkuk University College of Medicine, Seoul, Korea.Deptartment of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul, Korea. Deptartment of Otorhinolaryngology, Pusan National University School of Medicine, Busan, Korea.Deptartment of Otorhinolaryngology, Busan St. Mary's Medical Center, Busan, Korea.Deptartment of Otorhinolaryngology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.Deptartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.Deptartment of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Deptartment of Otolaryngology, Ajou University School of Medicine, Suwon, Korea.Deptartment of Otolaryngology, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.Deptartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ObjectivesTo evaluate the effect of obstructive sleep apnea (OSA) surgery on long-term (5-year) subjective outcomes, including sleep disordered breathing (SDB) symptoms and other complications, in patients with OSA.MethodsWe enrolled patients who underwent diagnostic polysomnography for OSA between January 2006 and December 2006 in ten hospitals. Patients either were treated for OSA or were not treated for OSA. All patients completed a brief telephone survey regarding their SDB signs and symptoms (e.g., snoring, apnea, nocturnal arousals, and daytime sleepiness), positive airway pressure (PAP) compliance, and any adverse effects of either the surgery or PAP. A positive subjective outcome for either surgery or no treatment was taken to be the alleviation of apnea, defined as a ≥50% increase in score. A positive subjective outcome (compliance) for PAP was defined as a PAP usage of ≥4 hours per night and ≥5 days per week.ResultsA total of 229 patients were included in this study. Patients were divided into three groups: a surgery group (n=87), a PAP group (n=68), and a control (untreated) group (n=74). The surgery group exhibited significant improvement in all SDB symptoms compared with the control group. The long-term subjective outcomes of the surgery (52.9%) and PAP (54.4%) groups were significantly better than those of the control group (25.0%). The subjective outcome of the surgery group was not significantly different from that of the PAP group. The overall surgical complication rate was 23.0% (20 of 87) in the surgery group, and 55.0% (22 of 40) of all patients with PAP experienced adverse effects.ConclusionThe extent of SDB symptoms was consistently improved in patients with OSA at 5 years postsurgery. Information about the potential long-term subjective outcomes should be provided to patients when considering surgery.http://www.e-ceo.org/upload/pdf/ceo-8-370.pdfObstructive Sleep ApneaSurgerySigns and SymptomsTreatment Outcome |
| spellingShingle | Ji Ho Choi Seung Hoon Lee Jae Hoon Cho Sung Wan Kim Kyu Sup Cho Soo Kweon Koo Tae-Bin Won Jeong-Whun Kim Hyo Yeol Kim Yoo Suk Kim Yoo-Sam Chung Chae-Seo Rhee Five-Year Subjective Outcomes of Obstructive Sleep Apnea Surgery: A Multiinstitutional Study Clinical and Experimental Otorhinolaryngology Obstructive Sleep Apnea Surgery Signs and Symptoms Treatment Outcome |
| title | Five-Year Subjective Outcomes of Obstructive Sleep Apnea Surgery: A Multiinstitutional Study |
| title_full | Five-Year Subjective Outcomes of Obstructive Sleep Apnea Surgery: A Multiinstitutional Study |
| title_fullStr | Five-Year Subjective Outcomes of Obstructive Sleep Apnea Surgery: A Multiinstitutional Study |
| title_full_unstemmed | Five-Year Subjective Outcomes of Obstructive Sleep Apnea Surgery: A Multiinstitutional Study |
| title_short | Five-Year Subjective Outcomes of Obstructive Sleep Apnea Surgery: A Multiinstitutional Study |
| title_sort | five year subjective outcomes of obstructive sleep apnea surgery a multiinstitutional study |
| topic | Obstructive Sleep Apnea Surgery Signs and Symptoms Treatment Outcome |
| url | http://www.e-ceo.org/upload/pdf/ceo-8-370.pdf |
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