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Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment

Background: The purpose of this study was to evaluate long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome (OSAS) treatment using a specific questionnaire, the Palate Postoperative Problem Score (PPOPS). Methods: 140 patients who underwent barbed rep...

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Autores principales: Iannella, Giannicola, Vallicelli, Bianca, Magliulo, Giuseppe, Cammaroto, Giovanni, Meccariello, Giuseppe, De Vito, Andrea, Greco, Antonio, Pelucchi, Stefano, Sgarzani, Rossella, Corso, Ruggero Massimo, Napoli, Gloria, Bianchi, Giulia, Cocuzza, Salvatore, Maniaci, Antonino, Vicini, Claudio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084807/
https://www.ncbi.nlm.nih.gov/pubmed/32121007
http://dx.doi.org/10.3390/ijerph17051542
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author Iannella, Giannicola
Vallicelli, Bianca
Magliulo, Giuseppe
Cammaroto, Giovanni
Meccariello, Giuseppe
De Vito, Andrea
Greco, Antonio
Pelucchi, Stefano
Sgarzani, Rossella
Corso, Ruggero Massimo
Napoli, Gloria
Bianchi, Giulia
Cocuzza, Salvatore
Maniaci, Antonino
Vicini, Claudio
author_facet Iannella, Giannicola
Vallicelli, Bianca
Magliulo, Giuseppe
Cammaroto, Giovanni
Meccariello, Giuseppe
De Vito, Andrea
Greco, Antonio
Pelucchi, Stefano
Sgarzani, Rossella
Corso, Ruggero Massimo
Napoli, Gloria
Bianchi, Giulia
Cocuzza, Salvatore
Maniaci, Antonino
Vicini, Claudio
author_sort Iannella, Giannicola
collection PubMed
description Background: The purpose of this study was to evaluate long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome (OSAS) treatment using a specific questionnaire, the Palate Postoperative Problem Score (PPOPS). Methods: 140 patients who underwent barbed reposition pharyngoplasty (BRP) surgery in the Morgagni Pierantoni Hospital of Forlì, Italy were enrolled in the study. Postoperative outcomes were evaluated in a short- and long-term follow-up using the PPOPS questionnaire. The average period of follow-up was 26 months. All patients received the PPOPS questionnaire by telephone in a period between April and August 2019. Results: 51% of patients complained of swallowing problems after surgery. In 91% of cases, the problem cleared up spontaneously. At the time of the interview, only 9% of patients had a residual swallowing difficult. At the time of PPOPS evaluation, rhinolalia was observed in 8% of patients, whereas nose regurgitation was present in 2% of patients. In 20% of patients, the foreign body sensation was present during follow-up. The value of apnea–hypopnea index (AHI) reduced from the preoperative value of 31.5 to the postoperative value of 11.4. Conclusions: BRP surgery proved to be an effective technique, appreciated by the majority of patients. Use of the PPOPS questionnaire has demonstrated that the BRP technique seems to ensure efficacy and lower morbidity, with few complications after surgery.
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spelling pubmed-70848072020-03-24 Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment Iannella, Giannicola Vallicelli, Bianca Magliulo, Giuseppe Cammaroto, Giovanni Meccariello, Giuseppe De Vito, Andrea Greco, Antonio Pelucchi, Stefano Sgarzani, Rossella Corso, Ruggero Massimo Napoli, Gloria Bianchi, Giulia Cocuzza, Salvatore Maniaci, Antonino Vicini, Claudio Int J Environ Res Public Health Article Background: The purpose of this study was to evaluate long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome (OSAS) treatment using a specific questionnaire, the Palate Postoperative Problem Score (PPOPS). Methods: 140 patients who underwent barbed reposition pharyngoplasty (BRP) surgery in the Morgagni Pierantoni Hospital of Forlì, Italy were enrolled in the study. Postoperative outcomes were evaluated in a short- and long-term follow-up using the PPOPS questionnaire. The average period of follow-up was 26 months. All patients received the PPOPS questionnaire by telephone in a period between April and August 2019. Results: 51% of patients complained of swallowing problems after surgery. In 91% of cases, the problem cleared up spontaneously. At the time of the interview, only 9% of patients had a residual swallowing difficult. At the time of PPOPS evaluation, rhinolalia was observed in 8% of patients, whereas nose regurgitation was present in 2% of patients. In 20% of patients, the foreign body sensation was present during follow-up. The value of apnea–hypopnea index (AHI) reduced from the preoperative value of 31.5 to the postoperative value of 11.4. Conclusions: BRP surgery proved to be an effective technique, appreciated by the majority of patients. Use of the PPOPS questionnaire has demonstrated that the BRP technique seems to ensure efficacy and lower morbidity, with few complications after surgery. MDPI 2020-02-27 2020-03 /pmc/articles/PMC7084807/ /pubmed/32121007 http://dx.doi.org/10.3390/ijerph17051542 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Iannella, Giannicola
Vallicelli, Bianca
Magliulo, Giuseppe
Cammaroto, Giovanni
Meccariello, Giuseppe
De Vito, Andrea
Greco, Antonio
Pelucchi, Stefano
Sgarzani, Rossella
Corso, Ruggero Massimo
Napoli, Gloria
Bianchi, Giulia
Cocuzza, Salvatore
Maniaci, Antonino
Vicini, Claudio
Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment
title Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment
title_full Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment
title_fullStr Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment
title_full_unstemmed Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment
title_short Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment
title_sort long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome treatment
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084807/
https://www.ncbi.nlm.nih.gov/pubmed/32121007
http://dx.doi.org/10.3390/ijerph17051542
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