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Title: Barbed Reposition Pharyngoplasty versus Expansion Sphincter Pharyngoplasty: A Meta-Analysis
Authors: Neruntarat C.
Khuancharee K.
Saengthong P.
Keywords: analgesic agent
apnea hypopnea index
barbed reposition pharyngoplasty
body mass
comparative effectiveness
controlled study
disease severity
Epworth sleepiness scale
expansion sphincter pharyngoplasty
follow up
meta analysis
operation duration
outcome assessment
oxygen desaturation index
oxygen saturation
palate disease
patient selection
pharynx reconstruction
postoperative pain
postoperative period
preoperative period
priority journal
selection bias
sleep disordered breathing
systematic review
visual analog scale
clinical trial (topic)
comparative study
middle aged
prospective study
reconstructive surgery
retrospective study
sleep disordered breathing
treatment outcome
Clinical Trials as Topic
Middle Aged
Operative Time
Prospective Studies
Reconstructive Surgical Procedures
Retrospective Studies
Sleep Apnea, Obstructive
Treatment Outcome
Issue Date: 2021
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.
ISSN: 0023852X
Appears in Collections:Scopus 1983-2021

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