Please use this identifier to cite or link to this item: http://ir.swu.ac.th/jspui/handle/123456789/15009
Title: Radiofrequency surgery for the treatment of obstructive sleep apnea: Short-term and long-term results
Authors: Neruntarat C.
Chantapant S.
Keywords: anesthetic agent
antibiotic agent
ice
paracetamol
steroid
adult
antibiotic therapy
apnea
article
aspiration
body mass
case study
controlled study
cryotherapy
dysphagia
female
follow up
human
major clinical study
male
mouth disease
oxygen saturation
palate
palate disease
polysomnography
postoperative complication
postoperative pain
radiofrequency ablation
rating scale
recurrent disease
sleep apnea syndrome
snoring
steroid therapy
swelling
tertiary health care
tongue
treatment failure
treatment outcome
ulcer
Adult
Catheter Ablation
Female
Humans
Logistic Models
Male
Middle Aged
Pain Measurement
Postoperative Complications
Sleep Apnea, Obstructive
Statistics, Nonparametric
Treatment Outcome
Issue Date: 2009
Abstract: Objective: To compare the short-term and long-term results in patients undergoing radiofrequency (RF) for obstructive sleep apnea (OSA). Study Design: Case series and planned data collection. Setting: Tertiary referral center. Subjects and Methods: A study was undertaken on 72 OSA patients with palatal and tongue base obstruction based on radiography and physical findings. Multilevel RF was conducted to reduce the tissue. Results: Patients had a mean age of 35.8 ± 10.9 years and a mean body mass index (BMI) of 28.8 ± 2.4 kg/m2. The mean follow-up was 14.2 ± 1.8 months, with a range of 12 to 16 months. Mean baseline apnea-hypopnea index (AHI), short-term AHI, and long-term AHI were 35.6 ± 9.2, 12.5 ± 4.8, and 16.8 ± 3.2, respectively. Mean baseline lowest oxygen saturation (LSAT), short-term LSAT, and long-term LSAT were 85.6 ± 3.4 percent, 88.7 ± 2.9 percent, and 88.2 ± 1.7 percent, respectively. The change in BMI was significantly different in the patients with and without recurrence (2.8 ± 1.8 vs 0.3 ± 0.2 kg/m2, P < 0.01). Forty (55.6%) patients had long-term success, and eight (16.7%) patients with short-term success failed in the long term. Serious complications were not encountered. Conclusion: RF is a minimally invasive and effective procedure that results in long-term success for patients with a relatively low BMI and mild to moderate OSA without nasal obstruction. However, a recommendation concerning weight control and a regular follow-up are important because some patients will relapse in the long term. © 2009 American Academy of Otolaryngology-Head and Neck Surgery Foundation.
URI: https://www.scopus.com/inward/record.uri?eid=2-s2.0-70449633085&doi=10.1016%2fj.otohns.2009.09.028&partnerID=40&md5=ab19fedf08768fed77f157bb0b757480
http://ir.swu.ac.th/jspui/handle/123456789/15009
ISSN: 1945998
Appears in Collections:Scopus 1983-2021

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