keyword
https://read.qxmd.com/read/38539319/laryngomalacia-and-obstructive-sleep-apnea-in-children-from-diagnosis-to-treatment
#1
REVIEW
Luca Cerritelli, Andrea Migliorelli, Alessio Larini, Andrea Catalano, Alberto Caranti, Chiara Bianchini, Andrea Ciorba, Francesco Stomeo, Claudio Vicini, Stefano Pelucchi
The aim of this review is to investigate the state of the art among the association between Obstructive sleep apnea (OSA) and laryngomalacia, analyzing the epidemiology, the diagnostic tools, and the possible treatments available to affected patients. Laryngomalacia, characterized by the malacic consistency of the epiglottis with a tendency to collapse during inspiratory acts, producing a characteristic noise known as stridor, is a common condition in infants and particularly in those affected by prematurity, genetic diseases, craniofacial anomalies, and neurological problems...
February 25, 2024: Children
https://read.qxmd.com/read/38538515/surgical-management-of-pediatric-obstructive-sleep-apnea-beyond-t-a-tongue-base-and-larynx
#2
REVIEW
Matthew Maksimoski, Carol Li
Pediatric patients with persistent obstructive sleep apnea (OSA) after adenotonsillectomy often have additional sites of upper airway obstruction such as the tongue base or larynx. Sleep endoscopy and cross-sectional, dynamic imaging can be used to direct the surgical management of persistent OSA. The tongue base is one of the most common sites of obstruction in children with persistent OSA, especially for patients with Trisomy 21. Lingual tonsillectomy, tongue suspension, and/or posterior midline glossectomy may be used to address lingual tonsil hypertrophy and tongue base obstruction...
March 26, 2024: Otolaryngologic Clinics of North America
https://read.qxmd.com/read/38532145/the-alarming-rate-of-malnutrition-after-single-anastomosis-sleeve-ileal-bypass-a-single-centre-experience
#3
JOURNAL ARTICLE
Ala Wafa, Ahmad Bashir, Ricardo V Cohen, Ashraf Haddad
BACKGROUND: Single anastomosis sleeve ileal (SASI) bypass is a modification of sleeve gastrectomy with transit bipartition (SG + TB). This study aims to assess the safety and efficacy of SASI as a primary metabolic and bariatric surgery (MBS). METHODS: This is a retrospective case series of 30 patients who underwent SASI bypass from January to December 2021. All patients completed at least 12 months of follow-up. RESULTS: Among the 30 patients, 93...
March 27, 2024: Obesity Surgery
https://read.qxmd.com/read/38531753/comorbid-insomnia-and-sleep-apnea-challenges-and-treatments
#4
REVIEW
Kathleen M Sarber, Reena Dhanda Patil
Insomnia and obstructive sleep apnea (OSA) are 2 of the most prevalent sleep disorders and frequently co-occur. Cognitive behavioral therapy for insomnia is the first line treatment for insomnia and has been shown to improve compliance with positive airway pressure therapy. Other alternatives to OSA treatment may have higher acceptance in those with comorbid insomnia and sleep apnea (COMISA). Surgery, particularly hypoglossal nerve stimulation, appears to be well tolerated and may improve insomnia in those with COMISA...
March 26, 2024: Otolaryngologic Clinics of North America
https://read.qxmd.com/read/38515989/effects-of-different-treatments-on-metabolic-syndrome-in-patients-with-obstructive-sleep-apnea-a-meta-analysis
#5
Jianing Liu, Jiahuan Xu, Shibo Guan, Wei Wang
BACKGROUND: Obstructive sleep apnea (OSA) and metabolic syndrome (MetS) often coexist, and the causal relationship between them is not yet clear; treatments for OSA include continuous positive airway pressure (CPAP), mandibular advancement device (MAD), surgery, and lifestyle intervention and so on. However, the effects of different treatments on metabolic syndrome in OSA patients are still under debate. OBJECTIVES: Review the effects of different treatments on metabolic syndrome in OSA patients by meta-analysis...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38509834/the-effect-of-surgical-therapy-for-obstructive-sleep-apnea-on-blood-pressure-and-peripheral-arterial-tonometry
#6
JOURNAL ARTICLE
Akshay Tangutur, Yi Cai, Everett G Seay, Erica R Thaler, Brendan T Keenan, Raj C Dedhia
OBJECTIVE: To determine the effect of upper airway surgery on cardiovascular function in patients with obstructive sleep apnea (OSA). STUDY DESIGN: A prospective, self-controlled study from 2018 to 2023. SETTING: Two academic medical centers. METHODS: Seventy-four patients underwent surgery for OSA, including: tonsillectomy, adenoidectomy, epiglottidectomy, modified uvulopalatopharyngoplasty, maxillary expansion, and maxillomandibular advancement...
March 21, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38508883/surgical-management-of-pediatric-obstructive-sleep-apnea-beyond-adenotonsillectomy-the-nose-nasopharynx-and-palate
#7
REVIEW
Nicholas R Lenze, Suhas R Bharadwaj, Christina M Baldassari, Erin M Kirkham
While adenotonsillectomy is the primary treatment of pediatric obstructive sleep apnea (OSA), persistent OSA after surgery is common and may be due to residual obstruction at the nose, nasopharynx, and/or palate. Comprehensive evaluation for persistent pediatric OSA ideally includes clinical examination (with or without awake nasal endosocpy) as well as drug-induced sleep endoscopy in order to accurately identify sources of residual obstruction. Depending on the site of obstruction, some of the surgical management options include submucous inferior turbinate resection, septoplasty, adenoidectomy, and expansion sphincter pharyngoplasty...
March 19, 2024: Otolaryngologic Clinics of North America
https://read.qxmd.com/read/38507550/trends-in-blood-mosaicism-and-clinical-phenotype-score-in-patients-with-beckwith-wiedemann-syndrome-evaluated-for-tongue-reduction-surgery
#8
JOURNAL ARTICLE
Dominic J Romeo, Connor S Wagner, Benjamin B Massenburg, Neil Reddy, Meagan Wu, Jinggang J Ng, Madison DeMarchis, Eric C Liao, Jennifer M Kalish, Jesse A Taylor
INTRODUCTION: Most patients with Beckwith-Wiedemann syndrome (BWS) have macroglossia with some requiring tongue reduction surgery (TRS). This study reports correlations between levels of affected cells (mosaicism) and BWS clinical score in patients evaluated for TRS. We also show correlations of clinical score and mosaicism with obstructive sleep apnea (OSA) severity. METHODS: Blood mosaicism levels and BWS clinical score were recorded in patients with macroglossia referred to plastic surgery for evaluation...
March 19, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38480766/a-pilot-observation-using-ultrasonography-and-vowel-articulation-to-investigate-the-influence-of-suspected-obstructive-sleep-apnea-on-upper-airway
#9
JOURNAL ARTICLE
Shumit Saha, Anand Rattansingh, Rosemary Martino, Keerthana Viswanathan, Anamika Saha, Nasim Montazeri Ghahjaverestan, Azadeh Yadollahi
Failure to employ suitable measures before administering full anesthesia to patients with obstructive sleep apnea (OSA) who are undergoing surgery may lead to developing complications after surgery. Therefore, it is very important to screen OSA before performing a surgery, which is currently done by subjective questionnaires such as STOP-Bang, Berlin scores. These questionnaires have 10-36% specificity in detecting sleep apnea, along with no information given on anatomy of upper airway, which is important for intubation...
March 13, 2024: Scientific Reports
https://read.qxmd.com/read/38459431/changes-in-the-nasopharyngeal-and-oropharyngeal-microbiota-in-pediatric-obstructive-sleep-apnea-before-and-after-surgery-a-prospective-study
#10
JOURNAL ARTICLE
Lucheng Fang, Aikebaier Tuohuti, Wanyue Cai, Xiong Chen
OBJECTIVE: To explore the changes and potential mechanisms of microbiome in different parts of the upper airway in the development of pediatric OSA and observe the impact of surgical intervention on oral microbiome for pediatric OSA. METHODS: Before adeno-tonsillectomy, we collected throat swab samples from different parts of the oropharynx and nasopharynx of 30 OSA patients and 10 non-OSA patients and collected throat swab samples from the oropharynx of the above patients one month after the adeno-tonsillectomy...
March 8, 2024: BMC Microbiology
https://read.qxmd.com/read/38457003/obstructive-sleep-apnea-the-effect-of-bariatric-surgery-after-five-years-a-prospective-multicenter-trial
#11
JOURNAL ARTICLE
Pipsa Peromaa-Haavisto, Markku Luostarinen, Risto Juusela, Henri Tuomilehto, Jyrki Kössi
BACKGROUND: The prevalence of obstructive sleep apnea (OSA) is high among the bariatric surgery candidates. Obesity is the most important individual risk factor for OSA. The aim of this study was to investigate the effect of a laparoscopic Roux-en-Y gastric bypass (LRYGB) on OSA 5 years after the surgery. PATIENTS AND METHODS: In this prospective multicenter study, standard overnight cardiorespiratory recording was conducted to 150 patients at baseline prior to bariatric surgery...
March 8, 2024: Obesity Surgery
https://read.qxmd.com/read/38451037/defining-the-shape-of-the-mylohyoid-muscle-a-morphometric-imaging-study
#12
JOURNAL ARTICLE
Linda C Magaña, Barton F Branstetter, Ryan J Soose
OBJECTIVES: Implantable hypoglossal nerve stimulation (HNS) therapy is an evolving therapeutic alternative for patients with refractory obstructive sleep apnea (OSA). The muscular anatomy of this region has implications for surgical access through this zone as well as positioning and anchoring of hardware in this area. The purpose of this study was to radiologically describe the topography of the mylohyoid muscle and adjacent structures across a wide age spectrum. METHODS: We retrospectively evaluated computed tomography scans of the neck in 102 patients who were imaged for reasons unrelated to the floor of mouth or submental space...
March 7, 2024: Laryngoscope
https://read.qxmd.com/read/38440629/barbed-suspension-bridge-pharyngoplasty-introducing-a-novel-technique-for-barbed-pharyngoplasty
#13
JOURNAL ARTICLE
Vikas K Agrawal, Rahul R Gupta
Surgical management of Obstructive Sleep Apnea (OSA) and Snoring has undergone many major and minor changes over a period of last decade. The most common surgical approach for OSA is uvulopalatopharyngoplasty (Stuck et al. in Sleep Med 50:152-165, 2018). The main goals of treatment of OSA are to decrease the risk of deleterious health effects and improve quality of sleep (Evans et al. in Otolaryngol Clin North Am 53: 319-328, 2020). Since bimanual surgical techniques in the depth of oral cavity have been tricky, search for a less demanding & easy to learn technique is always on...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38440610/an-evaluation-of-obstructive-sleep-apnea-patient-s-quality-of-life-following-continuous-positive-airway-pressure-and-uvulopalatopharyngoplasty
#14
JOURNAL ARTICLE
Arezu Najafi, Moin Ala, Amin Amali, Nafiseh Hivechi, Reihaneh Heidari, Yousef Mokary
AIMS: Obstructive sleep apnea (OSA) is characterized by episodic sleep state-dependent upper airway collapse. OSA can markedly decrease quality of life (QoL) and productivity. Continuous Positive Airway Pressure (CPAP) has been used as an effective treatment for OSA. Recently, uvulopalatopharyngoplasty (UPPP) treatment has emerged as effective management among patients with OSA, especially non-adherent ones to conventional therapies such as CPAP. Our aim was to determine whether CPAP and UPPP treatment could improve the quality of life in patients with moderate OSA...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38440565/understanding-correlation-of-polysomnography-parameters-with-drug-induced-sleep-endoscopy-in-obstructive-sleep-apnea
#15
JOURNAL ARTICLE
Sampurna Ghosh, Srinivas Kishore
The aim of this study was to analyze drug-induced sleep endoscopy (DISE) findings performed in 64 patients and to evaluate the association of DISE findings with PSG parameters. This retrospective, single center, observational study included patients with obstructive sleep apnoea (OSA) who have undergone DISE as part of surgical planning. DISE was performed using dexmedetomidine infusion. The data were documented as per VOTE (velum, oropharynx, tongue base and epiglottis) classification. The patient characteristics and level 2 Polysomnography (PSG) findings were analyzed with DISE findings...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38440506/knowledge-and-attitudes-of-obstructive-sleep-apnea-among-jordanian-otolaryngologists-a-cross-sectional-study
#16
JOURNAL ARTICLE
Ebraheem Albazee, Lina Almahmoud, Dua'a Shaout, Sara Abu-Ghazal, Mohammad Alnifise, Sarya Swed, Ahmed Aljabali, Mohammed Amir Rais, Amro A El-Sakka, Amjed Adnan Tarifi
UNLABELLED: Obstructive sleep apnea (OSA) is a common sleep-related breathing disorder that affects almost one billion individuals worldwide. An estimated 16.8% of adults in Jordan have been diagnosed with OSA. Given the importance of management of OSA by otolaryngologists, we assessed the knowledge and attitudes of Jordanian otolaryngologists in managing OSA in adult and pediatric patients. A survey, conducted anonymously online, was sent present otolaryngology residents and specialist in Jordan, in the English language...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38440456/polysomnographic-assessment-on-osahs-outcomes-in-patients-with-nasal-obstruction-undergoing-septoplasty-with-partial-inferior-turbinectomy
#17
JOURNAL ARTICLE
H A Manjunatha, K B Prashanth, Syeda Muskaan, D Prateeksha, Sahil Arora, Yogeshwari P Hiremath
UNLABELLED: The relationship between nasal obstruction and obstructive sleep apnea has raised interest among otolaryngologists since years. There are studies that suggest that surgical correction of nasal obstruction improves sleep quality and reduces symptoms of sleep apnea. This lead to our study to understand the effect of nasal surgery on obstructive sleep apnea hypopnea syndrome (OSAHS). AIM: To assess the effect of nasal surgery in improvement in Obstructive Sleep Apnoea Hypopnoea Syndrome in patients with nasal obstruction by Polysomnography (PSG)...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38433693/-the-relationship-between-birth-weight-and-obstructive-sleep-apnea-in-children
#18
JOURNAL ARTICLE
Zhe Deng, Guixiang Wang, Yuwei Hou, Yujie Liu, Yanxia Xu, Ying Xu, Dongjie Seng, Fugen Han, Jing Zhao
Objective: To study the relationship between children's birth weight and obstructive sleep apnea(OSA). Methods: The sleep data and birth information of children who underwent polysomnography in the Department of Otorhinolaryngology-Head and Neck Surgery of Henan Children's Hospital from October 2020 to July 2022 were retrospectively analyzed. The data of OSA detection rate, OSA severity, sleep structure and respiratory parameters in different birth weight groups were analyzed. Results: A total of 2 778 children met the inclusion criteria, including 1 833 males and 945 females...
March 2024: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://read.qxmd.com/read/38426572/comparison-of-epworth-sleepiness-scale-and-osa-18-scores-with-polysomnography-in-children
#19
JOURNAL ARTICLE
Beatrice R Bacon, Amanda B Hassinger, Gaayathri Varavenkataraman, Erin Gould, Nick Sahlollbey, Michele M Carr
OBJECTIVE: Our goal is to determine if there is a correlation between Modified Epworth Sleepiness Scale (M-ESS) scores, obstructive sleep apnea (OSA)-18 scores, and polysomnography (PSG) outcomes in children. STUDY DESIGN: Retrospective chart review. SETTING: Pediatric otolaryngology clinic. METHODS: Charts of consecutive children presenting from July 2021 to July 2023 were reviewed. Demographics, body mass index (BMI), BMI Z score, M-ESS score, OSA-18 score, PSG results, and sleep apnea severity were included...
March 1, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38424691/the-impact-of-hypoglossal-nerve-stimulation-on-secondary-health-outcomes
#20
JOURNAL ARTICLE
Cecilia G Freeman, Ryan Durgham, Emily Ren, Keith R Conti, Heather Yeakel, Timothy Fan, David M Brown, Jason F Ohlstein, Jarrod A Keeler
Objectives: Obstructive sleep apnea (OSA) is a prevalent sleep disorder that can increase the risk of hypertension, diabetes, obesity, and cardiovascular diseases. Hypoglossal nerve stimulation (HGNS) is an alternative therapy for OSA in patients who cannot tolerate continuous positive airway pressure. Understanding the impact of HGNS on blood pressure, hemoglobin A1C (A1C), and body mass index (BMI) currently remains limited. Methods: A retrospective review study of HGNS outcomes at a single practice from January 2020 to November 2022 was conducted...
February 29, 2024: Ear, Nose, & Throat Journal
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