Plasma Radiofrequency Preceded by Pressure Recording Enhances Success for Treating Sleep‐Related Breathing Disorders

Tvinnereim, Magne; Mitic, S.; Hansen, Rolf K.

doi:10.1097/mlg.0b013e31803250f0

Cited by 30 publications

(18 citation statements)

References 17 publications

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“…In addition, a recent review was evaluated regarding potential additional publications [219]. Studies were excluded if they either did not provide sufficient objective outcome measures [220][221][222] or the baseline AHI was ,5 [223] or 10 [220, 224, 225] and the primary intention was to treat snoring.…”

Section: Search Criteriamentioning

confidence: 99%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

Eur Respir J

311

179

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In view of the high prevalence and the relevant impairment of patients with obstructive sleep apnoea syndrome (OSAS) lots of methods are offered which promise definitive cures for or relevant improvement of OSAS.This report summarises the efficacy of alternative treatment options in OSAS.An interdisciplinary European Respiratory Society task force evaluated the scientific literature according to the standards of evidence-based medicine.Evidence supports the use of mandibular advancement devices in mild to moderate OSAS. Maxillomandibular osteotomy seems to be as efficient as continuous positive airway pressure (CPAP) in patients who refuse conservative treatment. Distraction osteogenesis is usefully applied in congenital micrognathia or midface hypoplasia. There is a trend towards improvment after weight reduction. Positional therapy is clearly inferior to CPAP and long-term compliance is poor. Drugs, nasal dilators and apnoea triggered muscle stimulation cannot be recommended as effective treatments of OSAS at the moment. Nasal surgery, radiofrequency tonsil reduction, tongue base surgery, uvulopalatal flap, laser midline glossectomy, tongue suspension and genioglossus advancement cannot be recommended as single interventions. Uvulopalatopharyngoplasty, pillar implants and hyoid suspension should only be considered in selected patients and potential benefits should be weighed against the risk of long-term side-effects. Multilevel surgery is only a salvage procedure for OSA patients.

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Section: Search Criteriamentioning

confidence: 99%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

Eur Respir J

311

179

View full text Add to dashboard Cite

show abstract

“…Keeping all these facts in mind, we did a literature search on the available diagnostic modalities to aid a more evidence based approach to our practice in management of snoring and sleep apnoea. Tvinnereim [4] has documented use of apneagraph in their study to evaluate the effectivity of coblation palatoplasty in these patients. This certainly looks like an economically attractive, domiciliary investigatory tool, which could help in informing our management practice.…”

Section: Discussionmentioning

confidence: 99%

“…Finding the site of obstruction is the key to successful outcomes in management of snoring. Tvinnereim [4] has demonstrated good objective outcomes following use of coblation device in the region of soft palate.…”

Section: Introductionmentioning

confidence: 99%

“…A variety of procedures have been described to widen and stiffen the upper pharyngeal airway, however, the success rates of these surgeries vary from 40 to 80% [4]. Finding the site of obstruction is the key to successful outcomes in management of snoring.…”

Section: Introductionmentioning

confidence: 99%

“…The apneagraph is a relatively new, useful diagnostic tool, which aids the precise diagnosis of obstructive sleep related breathing disorders and also shows the site of obstruction [4]. It stores and analyses the cardiorespiratory pattern of a patient and simultaneously records changes in pressure at two different sites in the upper airway, thus identifying the segment of airway obstruction during sleep.…”

Section: Introductionmentioning

confidence: 99%

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Can Apneagraphy Change Our Approach in Management of Snoring and Sleep Apnoea?

Achar

Kumar

2011

Indian J Otolaryngol Head Neck Surg

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To evaluate role of overnight domiciliary apneagraph in diagnosing severity of sleep apnoea. Prospective audit of 37 patients with Epworth sleepiness score over ten and all patients with history of sleep apnoea presenting to ENT outpatient clinic investigated with apneagraph. Data analysed initially with pulse oximetry findings alone followed by analysis with full apneagraph findings. Results: Data analysed with pulse oximetry alone showed 31 patients to be simple snorers, but on analysis with apneagraph, 11 of these were shown to be suffering from moderate and one with severe sleep apnoea. There was no correlation between Epworth sleepiness score and severity of sleep apnoea. Conclusion: Management plan can be more evidence based by using apneagraph as a mini sleep study in investigating patients with history of obstructive sleep apnoea. Apneagraph could also be used in diagnosing the level of obstruction in snorers; however, this aspect needs further studying.

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Characteristic Pressure Waveforms Can Distinguish Airway Collapse Patterns in Sleep Apnea Patients: A Pilot Study

Shah,

Mahmoud,

Dedhia

et al. 2024

OTO Open

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ObjectiveTo use pharyngeal pressure recordings to distinguish different upper airway collapse patterns in obstructive sleep apnea (OSA) patients, and to assess whether these pressure recordings correlate with candidacy assessment for hypoglossal nerve stimulator (HGNS) implantation.Study DesignProspective case series.SettingSingle tertiary‐quaternary care academic center.MethodsSubjects with OSA prospectively underwent simultaneous drug‐induced sleep endoscopy (DISE) and transnasal pharyngeal pressure recording with a pressure‐transducing catheter. Pressure was recorded in the nasopharynx and oropharynx, and endoscopic collapse patterns were classified based on site, extent, and direction of collapse. Pressure recordings were classified categorically by waveform shape as well as numerically by inspiratory and expiratory amplitudes and slopes. Waveform shape, amplitude, and slope were then compared with the endoscopic findings.ResultsTwenty‐five subjects with OSA were included. Nasopharyngeal waveform shape was associated with the extent of collapse at the level of the palate (P = .001). Oropharyngeal waveform shape was associated with anatomical site of collapse (P < .001) and direction of collapse (P = .019) below the level of the palate. Pressure amplitudes and slopes were also associated with the extent of collapse at various sites. Waveform shape was also associated with favorable collapse pattern on endoscopy for HGNS implantation (P = .043), as well as surgical candidacy for HGNS (P = .004).ConclusionCharacteristic pharyngeal pressure waveforms are associated with different airway collapse patterns. Pharyngeal pressure is a promising adjunct to DISE in the sleep surgery candidacy evaluation.

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Plasma Radiofrequency Preceded by Pressure Recording Enhances Success for Treating Sleep‐Related Breathing Disorders

Abstract: CAUP preceded by site-specific obstruction diagnosis using pressure recording is a well-tolerated outpatient treatment that is well suited for treating SRBD.

Cited by 30 publications

References 17 publications

Non-CPAP therapies in obstructive sleep apnoea

Non-CPAP therapies in obstructive sleep apnoea

Can Apneagraphy Change Our Approach in Management of Snoring and Sleep Apnoea?

Characteristic Pressure Waveforms Can Distinguish Airway Collapse Patterns in Sleep Apnea Patients: A Pilot Study

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