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Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy

BACKGROUND: The purpose of this study was to evaluate the efficacy of sleep endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy in patients with sleep disordered breathing (SDB), including polysomnography (PSG) and swallowing outcomes. METHODS: A retrospective review was performe...

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Autores principales: Maksimoski, Matthew, Maurrasse, Sarah E., Hoff, Stephen R., Lavin, Jennifer, Valika, Taher, Thompson, Dana M., Ida, Jonathan B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8919563/
https://www.ncbi.nlm.nih.gov/pubmed/35287751
http://dx.doi.org/10.1186/s40463-022-00562-0
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author Maksimoski, Matthew
Maurrasse, Sarah E.
Hoff, Stephen R.
Lavin, Jennifer
Valika, Taher
Thompson, Dana M.
Ida, Jonathan B.
author_facet Maksimoski, Matthew
Maurrasse, Sarah E.
Hoff, Stephen R.
Lavin, Jennifer
Valika, Taher
Thompson, Dana M.
Ida, Jonathan B.
author_sort Maksimoski, Matthew
collection PubMed
description BACKGROUND: The purpose of this study was to evaluate the efficacy of sleep endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy in patients with sleep disordered breathing (SDB), including polysomnography (PSG) and swallowing outcomes. METHODS: A retrospective review was performed of all patients undergoing simultaneous lingual tonsillectomy and epiglottopexy over the study period. PSG objective measures were recorded pre- and postoperatively, along with demographic data, comorbidities, and descriptive data of swallowing dysfunction in the postoperative setting. RESULTS: A total of 24 patients met inclusion criteria for consideration, with 13 having valid pre- and postoperative PSG data. Successful surgery was achieved in 84.6% of patients, with no difference based on presence of medical comorbidities including Trisomy 21. Median reduction in obstructive apnea–hypopnea index (oAHI) with the procedure was 69.9%. Four patients (16.7%) had postoperative concern for dysphagia, but all objective swallowing evaluations were normal and no dietary modifications were necessary. CONCLUSION: Combination lingual tonsillectomy and epiglottopexy in indicated patients has a high rate of success in this single-institutional study without new dysphagia in this population. These procedures are amenable to a combination surgery in appropriately selected patients determined by sleep state endoscopy in the setting of SDB evaluated with drug-induced sleep endoscopy. GRAPHICAL ABSTRACT: [Image: see text]
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spelling pubmed-89195632022-03-16 Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy Maksimoski, Matthew Maurrasse, Sarah E. Hoff, Stephen R. Lavin, Jennifer Valika, Taher Thompson, Dana M. Ida, Jonathan B. J Otolaryngol Head Neck Surg Original Research Article BACKGROUND: The purpose of this study was to evaluate the efficacy of sleep endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy in patients with sleep disordered breathing (SDB), including polysomnography (PSG) and swallowing outcomes. METHODS: A retrospective review was performed of all patients undergoing simultaneous lingual tonsillectomy and epiglottopexy over the study period. PSG objective measures were recorded pre- and postoperatively, along with demographic data, comorbidities, and descriptive data of swallowing dysfunction in the postoperative setting. RESULTS: A total of 24 patients met inclusion criteria for consideration, with 13 having valid pre- and postoperative PSG data. Successful surgery was achieved in 84.6% of patients, with no difference based on presence of medical comorbidities including Trisomy 21. Median reduction in obstructive apnea–hypopnea index (oAHI) with the procedure was 69.9%. Four patients (16.7%) had postoperative concern for dysphagia, but all objective swallowing evaluations were normal and no dietary modifications were necessary. CONCLUSION: Combination lingual tonsillectomy and epiglottopexy in indicated patients has a high rate of success in this single-institutional study without new dysphagia in this population. These procedures are amenable to a combination surgery in appropriately selected patients determined by sleep state endoscopy in the setting of SDB evaluated with drug-induced sleep endoscopy. GRAPHICAL ABSTRACT: [Image: see text] BioMed Central 2022-03-14 /pmc/articles/PMC8919563/ /pubmed/35287751 http://dx.doi.org/10.1186/s40463-022-00562-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Original Research Article
Maksimoski, Matthew
Maurrasse, Sarah E.
Hoff, Stephen R.
Lavin, Jennifer
Valika, Taher
Thompson, Dana M.
Ida, Jonathan B.
Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy
title Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy
title_full Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy
title_fullStr Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy
title_full_unstemmed Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy
title_short Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy
title_sort pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8919563/
https://www.ncbi.nlm.nih.gov/pubmed/35287751
http://dx.doi.org/10.1186/s40463-022-00562-0
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