scholarly journals Preoperative airway management improved lung function rapidly in pediatric obstructive sleep apnea: A retrospective case series study

2020 ◽  
Author(s):  
Yujuan Yang ◽  
Yu Zhang ◽  
Yanyan Yang ◽  
Xiumei Chen ◽  
Yakui Mou ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Lung Function ◽  
Airway Management ◽  
Case Series ◽  
Retrospective Case ◽  
Retrospective Case Series ◽  
Obstructive Sleep ◽  
Case Series Study ◽  
Series Study

scholarly journals Endoscopic Harmonic Midline Partial Glossectomy in Obstructive Sleep Apnea

2021 ◽  
pp. 98-104
Author(s):  
A. I. Elkawa ◽  
Y. I. Aglan ◽  
M. A. Hagras
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Case Series ◽  
University Hospital ◽  
Obstructive Sleep ◽  
Case Series Study ◽  
Prospective Case Series ◽  
Series Study ◽  
Partial Glossectomy ◽  
Posterior Midline

Aim: Our study was done to evaluate the role of Endoscopic posterior midline partial glossectomy as a surgical modality for the hypopharyngeal collapse in obstructive sleep apnea patients. Study design: Prospective case series study. Place and Duration of Study: Tanta university hospital, otolaryngology department, from October 2017 till March 2019. Methodology: This was a prospective case series study, conducted on 10 patients from 2017 -2019 with tongue base collapse and normal craniofacial angles, the patients were evaluated preoperative and 6 months postoperative subjectively by Epworth sleepiness scale (ESS) and objectively by polysomnography and lateral cephalometry. Results: Our study included 10 patients with age (mean ± SD48.70±4.08), BMI( mean ±SD24.45±1.56), 5 patients showed a significant reduction in AHI with a success rate of 50% with a significant change in ESS and the non-significant changes in cephalometric parameters. Conclusion: Transoral endoscopic posterior midline partial glossectomy can improve the surgical outcomes of obstructive sleep apnea patients.

Topical Triamcinolone on “Sweet Spots” to Block Dynamic Pain after Tonsillectomy and Uvulo-Palato-Pharyngo-Plasty

2020 ◽  
pp. 000348942095360
Author(s):  
Joshua Kuang-Chao Chen ◽  
David M. Niddam ◽  
Tao-Hsin Tung ◽  
Lieber Po-Hung Li
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Case Series ◽  
Retrospective Case ◽  
Average Improvement ◽  
Obstructive Sleep ◽  
Apnea Syndrome ◽  
Sweet Spots

Objectives: Severe pain on swallowing (or dynamic pain) has long been a problem in patients receiving tonsillectomy and uvulopalatopharyngoplasty for the treatment of obstructive sleep apnea syndrome and/or snoring. We have previously verified that dynamic pain after laser-assisted uvulopalatoplasty could immediately be mitigated by local treatments with topical triamcinolone on the “sweet spots” of the wounds. This study aimed to assess the efficacy of applying triamcinolone on “sweet spot” in surgical incisions instead of whole surgical wounds to alleviate dynamic pain of some oropharyngeal surgeries such as tonsillectomy and uvulopalatopharyngoplasty. Methods: This study is a retrospective case series based on chart review of the participants. Forty-five subjects (31 males; 12~68 years, mean 34 years) with obstructive sleep apnea syndrome and/or snoring treated with tonsillectomy or uvulopalatopharyngoplasty were studied. Local treatments were done to sweet spots with triamcinolone on the 1st, 2nd, 3rd, and 7th days after the surgery. Evaluation of dynamic pain relief was performed by using a visual analogous scale. Results: Sweet spots treatment led to instantaneous reduction of dynamic pain. The average improvement level was ≥72% ( P ≤ .002). No gender effect was noted. Conclusion: Dynamic pain after tonsillectomy and uvulopalatopharyngoplasty could immediately be mitigated by local treatments upon sweet spots. Local treatments upon sweet spots were highly suggested to begin early post-operatively and be included in the take-home routines for patients receiving tonsillectomy and uvulopalatopharyngoplasty.

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