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

Author

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  • Giannicola Iannella

    (Department of ‘Organi di Senso’, University “Sapienza”, Viale dell’Università, 33, 00185 Rome, Italy
    Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini, 34, 47121 Forlì, Italy)

  • Bianca Vallicelli

    (Department ENT & Audiology, University of Ferrara, Via Savonarola, 9, 44121 Ferrara, Italy)

  • Giuseppe Magliulo

    (Department of ‘Organi di Senso’, University “Sapienza”, Viale dell’Università, 33, 00185 Rome, Italy)

  • Giovanni Cammaroto

    (Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini, 34, 47121 Forlì, Italy)

  • Giuseppe Meccariello

    (Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini, 34, 47121 Forlì, Italy)

  • Andrea De Vito

    (Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini, 34, 47121 Forlì, Italy)

  • Antonio Greco

    (Department of ‘Organi di Senso’, University “Sapienza”, Viale dell’Università, 33, 00185 Rome, Italy)

  • Stefano Pelucchi

    (Department ENT & Audiology, University of Ferrara, Via Savonarola, 9, 44121 Ferrara, Italy)

  • Rossella Sgarzani

    (Department of Emergency, Burn Center, Bufalini Hospital, Azienda USL della Romagna, viale Giovanni Ghirotti, 286, 47521 Cesena, Italy)

  • Ruggero Massimo Corso

    (Intensive Care Unit, Morgagni-Pierantoni Hospital, AUSL of Romagna, Via Carlo Forlanini, 34, 47121 Forlì, Italy)

  • Gloria Napoli

    (Department ENT & Audiology, University of Ferrara, Via Savonarola, 9, 44121 Ferrara, Italy)

  • Giulia Bianchi

    (Department ENT & Audiology, University of Ferrara, Via Savonarola, 9, 44121 Ferrara, Italy)

  • Salvatore Cocuzza

    (Department of Otolaryngology, University of Catania, Via S. Sofia, 78, 95125 Catania, Italy)

  • Antonino Maniaci

    (Department of Otolaryngology, University of Catania, Via S. Sofia, 78, 95125 Catania, Italy)

  • Claudio Vicini

    (Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini, 34, 47121 Forlì, Italy
    Department ENT & Audiology, University of Ferrara, Via Savonarola, 9, 44121 Ferrara, Italy)

Abstract

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.

Suggested Citation

  • Giannicola Iannella & Bianca Vallicelli & Giuseppe Magliulo & Giovanni Cammaroto & Giuseppe Meccariello & Andrea De Vito & Antonio Greco & Stefano Pelucchi & Rossella Sgarzani & Ruggero Massimo Corso , 2020. "Long-Term Subjective Outcomes of Barbed Reposition Pharyngoplasty for Obstructive Sleep Apnea Syndrome Treatment," IJERPH, MDPI, vol. 17(5), pages 1-11, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1542-:d:325902
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    References listed on IDEAS

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    1. Giannicola Iannella & Claudio Vicini & Antonella Polimeni & Antonio Greco & Riccardo Gobbi & Filippo Montevecchi & Andrea De Vito & Giuseppe Meccariello & Giovanni Cammaroto & Giovanni D’Agostino & An, 2019. "Laryngopharyngeal Reflux Diagnosis in Obstructive Sleep Apnea Patients Using the Pepsin Salivary Test," IJERPH, MDPI, vol. 16(11), pages 1-10, June.
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    Cited by:

    1. Giannicola Iannella & Giuseppe Magliulo & Antonio Greco & Marco de Vincentiis & Massimo Ralli & Antonino Maniaci & Annalisa Pace & Claudio Vicini, 2022. "Obstructive Sleep Apnea Syndrome: From Symptoms to Treatment," IJERPH, MDPI, vol. 19(4), pages 1-3, February.
    2. Giulio Gasparini & Gianmarco Saponaro & Mattia Todaro & Gabriele Ciasca & Lorenzo Cigni & Piero Doneddu & Camillo Azzuni & Enrico Foresta & Paolo De Angelis & Giorgio Barbera & Roberta Gaia Parcianell, 2021. "Functional Upper Airway Space Endoscopy: A Prognostic Indicator in Obstructive Sleep Apnea Treatment with Mandibular Advancement Devices," IJERPH, MDPI, vol. 18(5), pages 1-12, March.

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