Publication: Barbed pharyngoplasty for obstructive sleep apnea: A meta-analysis
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Issued Date
2022
Resource Type
Language
eng
File Type
application/pdf
ISSN
1960709
Rights Holder(s)
Scopus
Bibliographic Citation
American Journal of Otolaryngology - Head and Neck Medicine and Surgery. Vol 43, No.2 (2022)
Suggested Citation
Saenwandee P., Neruntarat C., Saengthong P., Wiriyaamornchai P., Khuancharee K., Sirisomboonwech S., Chuoykwamdee N. Barbed pharyngoplasty for obstructive sleep apnea: A meta-analysis. American Journal of Otolaryngology - Head and Neck Medicine and Surgery. Vol 43, No.2 (2022). doi:10.1016/j.amjoto.2021.103306 Retrieved from: https://hdl.handle.net/20.500.14740/10135
Abstract
Purpose: The purpose of this study was to perform a meta-analysis of barbed pharyngoplasty (BP) in the treatment of obstructive sleep apnea (OSA). Methods: Databases included PubMed, Ovid MEDLINE, Cochrane Library, Web of Science and Scopus, and reference lists. Relevant articles were searched through August 2021, following the PRISMA guidelines. Results: Twenty articles with 762 participants were included. The mean success in BP as a single-level surgery was 85.2% (MD, 95% CI 77.6%, 92.7%). There was a significant reduction of oxygen desaturation index (ODI) of −11.7 (MD 95% CI −16, −7.4). The lowest oxygen saturation (LSAT) improved 8.9% (MD, 95% CI 1.3%, 16.7%). Epworth Sleepiness Scale (ESS) and snoring score significantly decreased −6.8 (MD 95% CI −8.3, −5.2) and −5.3 (MD 95% −7.9, −2.7), respectively. The apnea-hypopnea index (AHI) significantly decreased −23.9 events/h (MD, 95% CI −25.5, −22.9) with a 69% reduction. The mean surgical time was 23 min. A significant improvement of AHI, ODI, ESS, and LSAT was also revealed in BP as a multilevel surgery. Complications included suture extrusion (18%), dysphagia (20%), velopharyngeal insufficiency (15%), and dysgeusia (3%) without serious consequences. The median follow-up period was 6 months, ranged 1 to 26 months. Conclusion: Barbed pharyngoplasty as a single-level or multilevel surgery is a safe and effective procedure with significant objective and subjective outcomes for OSA patients with palatal obstruction. However, randomized clinical controlled trials with multicenter cooperation and long-term study are necessary. © 2021