Publication:
Barbed Reposition Pharyngoplasty versus Expansion Sphincter Pharyngoplasty: A Meta-Analysis

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Issued Date

2021

Resource Type

Review

Language

eng

File Type

application/pdf

ISSN

0023852X

DOI

10.1002/lary.29357

Other identifier(s)

2-s2.0-85097975184

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Laryngoscope. Vol 131, No.6 (2021), p.1420-1428

Suggested Citation

Neruntarat C., Khuancharee K., Saengthong P. Barbed Reposition Pharyngoplasty versus Expansion Sphincter Pharyngoplasty: A Meta-Analysis. Laryngoscope. Vol 131, No.6 (2021), p.1420-1428. doi:10.1002/lary.29357 Retrieved from: https://hdl.handle.net/20.500.14740/7785

Title

Barbed Reposition Pharyngoplasty versus Expansion Sphincter Pharyngoplasty: A Meta-Analysis

Author(s)

Neruntarat C.
 Khuancharee K.
 Saengthong P.

Abstract

Objective: This study was to compare barbed reposition pharyngoplasty (BRP) and expansion sphincter pharyngoplasty (ESP) in the treatment of obstructive sleep apnea (OSA). Methods: Relevant 907 articles were searched from various databases until August 2020, including PubMed, MEDLINE, EMBASE, Cochrane Library, Web of Science and Scopus, and reference lists. Results: Four studies with a total of 208 participants were included. The mean reduction of apnea-hypopnea index (AHI) in the BRP group was 74.03% and the mean reduction of AHI in the ESP group was 60.17%. The mean success rate in the BRP group and the ESP group was 84.96% and 79.87%, respectively. The mean difference (MD) of the change in AHI between groups was not significantly different (MD = −1.24 event/hr, 95% CI [−11.86, 9.36], P =.82). There was no significant difference in postoperative AHI, postoperative Epworth Sleepiness Scale, pain, hospital stay, time to oral diet, and the change in oxygen desaturation index in both groups whereas the analgesic requirement was lower in the BRP group. Operative time was lower in the BRP group (MD = 21.72 minutes, 95% CI [18.85, 24.60], P <.0001). Conclusion: The outcomes in both procedures are comparable in the improvement of OSA with palatal collapse. BRP is superior to ESP in term of surgical time. However, randomized clinical controlled trials with multicenter cooperation and long-term follow-up are essential to further demonstrate the efficacy of these procedures. Laryngoscope, 131:1420–1428, 2021. © 2020 The American Laryngological, Rhinological and Otological Society, Inc.

Subject(s)

Analgesic agent
 Adult
 Apnea hypopnea index
 Barbed reposition pharyngoplasty
 Body mass
 Comparative effectiveness
 Controlled study
 Diet
 Disease severity
 Epworth sleepiness scale
 Expansion sphincter pharyngoplasty
 Female
 Follow up
 Hospitalization
 Human
 Male
 Meta analysis
 Obesity
 Operation duration
 Outcome assessment
 Oxygen desaturation index
 Oxygen saturation
 Palate disease
 Patient selection
 Pharynx reconstruction
 Postoperative pain
 Postoperative period
 Preoperative period
 Priority journal
 Review
 Selection bias
 Sleep disordered breathing
 Systematic review
 Visual analog scale
 Clinical trial (topic)
 Comparative study
 Middle aged
 Palate
 Pharynx
 Procedures
 Prospective study
 Reconstructive surgery
 Retrospective study
 Sleep disordered breathing
 Sphincterotomy
 Treatment outcome
 Adult
 Clinical Trials as Topic
 Female
 Humans
 Male
 Middle Aged
 Operative Time
 Palate
 Pharynx
 Prospective Studies
 Reconstructive Surgical Procedures
 Retrospective Studies
 Sleep Apnea, Obstructive
 Sphincterotomy
 Treatment Outcome

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Organizational Units

Journal Issue

URI

https://hdl.handle.net/20.500.14740/7785

Collections

Scopus: Year 1983-2021

Endorsement

Review

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Referenced By