Hyoid surgery alone for obstructive sleep apnea: A systematic review and meta-analysis

Song, Sungjin A.; Wei, Justin M.; Buttram, Jonathan; Tolisano, Anthony M.; Chang, Edward T.; Liu, Stanley Yung‐Chuan; Certal, Victor; Camacho, Macario

doi:10.1002/lary.25847

Cited by 43 publications

(31 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…HTP, which has proven efficacy, was widely implemented, with several modifications and reports presented. 2-8,11-16,18 The present study supports the concept that surgeries at the HB might widen and support the hypopharyngeal airway space, thus preventing transversal collapse. 1,5,8,10-12…”

Section: Discussionsupporting

confidence: 86%

Expansion Hyoidthyroidpexy: Combined Hyoid Surgery Techniques for Obstructive Sleep Apnea: All in One

Askar

El‐Anwar

Awad

2018

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

We provide expansion hyoidthyroidpexy as a novel surgical procedure for obstructive sleep apnea (OSA) that could combine different techniques of hyoid bone surgery in 1 procedure. This case series included patients with OSA who had an apnea-hypopnea index (AHI) >15 and showed predominant lateral wall hypopharyngeal collapse. In 21 patients, the procedure was performed smoothly without technical difficulties or operative adverse events, resulting in lateral expansion of each horn of the hyoid bone by ≥1 cm without early or late complications. At 6 months postoperatively, both AHI and the mean lowest oxygen saturation level were significantly improved (P < .0001). The new expansion hyoidthyroidpexy technique is a reliable, easy, and effective procedure with good surgical outcomes in patients with OSA. It is feasible to be employed in the protocol of multilevel surgery for OSA.

show abstract

Section: Discussionsupporting

confidence: 86%

Expansion Hyoidthyroidpexy: Combined Hyoid Surgery Techniques for Obstructive Sleep Apnea: All in One

Askar

El‐Anwar

Awad

2018

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…This is consistent with a recent meta-analysis, which showed that AHI is reduced by 38.3% after HMS for OSA. 18 In our study, ESS was unchanged postoperatively; however, the mean preoperative ESS score (8.2) was already within the normal range and therefore less likely to change.…”

Section: Discussioncontrasting

confidence: 47%

Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea

Ong¹,

Buttram²,

Nguyen³

et al. 2017

World j. otorhinolaryngol.-head neck surg.

Self Cite

View full text Add to dashboard Cite

ObjectiveDetermine the effects of hyoid myotomy and suspension (HMS) without concurrent palatal or tongue base sleep surgery for obstructive sleep apnea (OSA).MethodPatients with OSA treated with HMS were identified using CPT code (21685) at an academic and private sleep surgery clinic. Those who underwent concurrent palatal or tongue base sleep surgery were excluded. Outcomes included simultaneous procedures, apnea-hypopnea index (AHI), lowest oxyhemoglobin saturation (LSAT), and Epworth Sleepiness Scale (ESS).ResultsNineteen patients with OSA underwent HMS without palatal or tongue base sleep surgery. The average age at surgery was (55.3 ± 13.5) years with a majority of patients being male (71%). Concurrent procedures included the following: torus mandibularis excision (n = 1), endoscopic sinus surgery (n = 4), septoplasty (n = 10), inferior turbinate reduction (n = 12), and nasal valve repair (n = 2). AHI improved significantly from (39.7 ± 21.2) events/h to (22.6 ± 22.7) events/h after HMS (P < 0.01), which represented a 43% reduction. LSAT significantly increased from (82.2% ± 9.9%) to (86.6% ± 6.2%), P < 0.01. There was no improvement in ESS after surgery (8.2 ± 4.4) to (8.3 ± 5.2), P = 0.904. A subset of patients with severe OSA (AHI > 30 events/h) had an improvement in AHI from (49.9 ± 16.6) events/h to (29.1 ± 24.9) events/h, P < 0.01.ConclusionHMS without palatal or tongue base sleep surgery improves OSA severity. It can be considered as a valid option in the treatment of OSA in appropriately-selected patients.

show abstract

“…The effectiveness of sleep surgery in treating OSA remains controversial 34,47 . Several surgical procedures have been proposed, including nasal surgery, 48,49 uvulopalatopharyngoplasty, 50 pharyngeal surgery, 51 tongue base surgery, 52 multilevel surgery, 53,54 maxillomandibular advancement, 55,56 hyoid surgery, 57 tracheostomy, 58 and hypoglossal nerve stimulation 59,60 . Studies have described disparities in the outcomes of different surgical procedures 61 ; accordingly, the identification of predictive factors for poor outcomes and appropriate selection of patients are critical 62,63 …”

Section: Discussionmentioning

confidence: 99%

Effect of Sleep Surgery on C‐Reactive Protein Levels in Adults With Obstructive Sleep Apnea: A Meta‐Analysis

et al. 2020

View full text Add to dashboard Cite

Objectives/Hypothesis To evaluate associations between sleep surgery and CRP (C‐reactive protein) levels in adults with obstructive sleep apnea (OSA). Study Design Meta‐analysis. Methods Two authors independently searched PubMed, Medline, EMBASE, and Cochrane review databases until July 2019. The keywords used were sleep apnea, OSA, sleep apnea syndromes, surgery, C‐reactive protein (CRP), and inflammatory markers. The effects of sleep surgery on CRP levels were examined using a random‐effects model. Results Nine studies with 277 patients were analyzed (mean age: 46.5 years; 92% men; mean sample size: 30.8 patients). The mean change in the apnea–hypopnea index (AHI) after surgery was significantly reduced by −21.1 (95% confidence interval [CI], −28.4 to −13.7) events/hr. Overall, sleep surgery resulted in a significant reduction of CRP levels in patients with OSA (standardized mean difference [SMD] = −0.39, 95% CI, −0.67 to −0.11). Patients with postoperative AHI reduction >20 events/hr achieved a greater reduction in CRP than those with AHI reduction <20 events/hr (SMD: −0.72 vs. −0.14, P for heterogeneity = .007). According to subgroup analysis, differences in the CRP levels after surgery were nonsignificant in the different countries (i.e., United States vs. other countries), CRP types (i.e., CRP vs. high‐sensitivity CRP), surgical procedures (i.e., pharyngeal surgery vs. other surgical procedures), and follow‐up period (i.e., <6 vs. >6 months). Conclusions Sleep surgery for OSA resulted in a significant reduction of CRP levels in adults. The beneficial effect of surgery on CRP levels is greater in patients with large improvement in OSA (i.e., AHI reduction >20 events/hr) after sleep surgery. Laryngoscope, 131:1180–1187, 2021

show abstract

Hyoid surgery alone for obstructive sleep apnea: A systematic review and meta-analysis

Abstract: NA Laryngoscope, 126:1702-1708, 2016.

Cited by 43 publications

References 28 publications

Expansion Hyoidthyroidpexy: Combined Hyoid Surgery Techniques for Obstructive Sleep Apnea: All in One

Expansion Hyoidthyroidpexy: Combined Hyoid Surgery Techniques for Obstructive Sleep Apnea: All in One

Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea

Effect of Sleep Surgery on C‐Reactive Protein Levels in Adults With Obstructive Sleep Apnea: A Meta‐Analysis

Contact Info

Product

Resources

About