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Title: Barbed pharyngoplasty for obstructive sleep apnea: A meta-analysis
Authors: Saenwandee P.
Neruntarat C.
Saengthong P.
Wiriyaamornchai P.
Khuancharee K.
Sirisomboonwech S.
Chuoykwamdee N.
Keywords: adult
apnea hypopnea index
barbed pharyngoplasty
Epworth sleepiness scale
follow up
foreign body
globus hystericus
major clinical study
meta analysis
middle aged
mucosal granuloma
operation duration
operative blood loss
oxygen desaturation index
oxygen saturation
palatopharyngeal incompetence
peroperative complication
pharynx reconstruction
postoperative complication
Preferred Reporting Items for Systematic Reviews and Meta-Analyses
sleep disordered breathing
suture extrusion
systematic review
Issue Date: 2022
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
ISSN: 1960709
Appears in Collections:Scopus 2022 (2 Feb)

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