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Maniaci, Antonino; Di Luca, Milena; Lechien, Jerome René; Iannella, Giannicola; Grillo, Calogero; Grillo, Caterina Maria; Merlino, Federico; Calvo-Henriquez, Christian; De Vito, Andrea; Magliulo, Giuseppe; Pace, Annalisa; Vicini, Claudio; Cocuzza, Salvatore; Bannò, Vittoria; Pollicina, Isabella; Stilo, Giovanna; Bianchi, Alberto; La Mantia, Ignazio
Sleep & breathing, 12/2022, Letnik: 26, Številka: 4Journal Article
Objectives To compare the efficacy and success rates of lateral pharyngoplasty techniques (LP) vs. uvulopalatopharyngoplasty (UPPP) among adult patients surgically treated for obstructive sleep apnea. Methods A systematic literature review of the last 20 years’ papers was conducted using PubMed/Medline, Embase, Web of Science, Scholar, and the Cochrane Library until April 2021. Only full-text English articles comparing LP and UPPP outcomes in adult patients with objective outcomes were included in the study. Results We included 9 articles for a total of 312 surgically treated patients with OSA. LP techniques for obstructive sleep apnea were used on 186 (60%) subjects, while 126 patients (40%) were treated with UPPP. Both surgical procedures resulted in significant improvements in apnea-hypopnea index (AHI), Epworth Sleepiness Scale (ESS) score, and lowest oxygen saturation (LOS) ( p < 0.001 in all cases). Although better outcomes were reported with lateral pharyngoplasty, the differences were not significant compared to UPPP post-operative results ( p > 0.05 in all cases). Conclusions UPPP and LP are both effective surgical procedures in treating OSA in adults. Although not significant, LPs demonstrated improved post-operative outcomes. However, further evidence comparing the surgical effect on patients with OSA is needed to discriminate post-operative outcomes.
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Vir: Osebne bibliografije
in: SICRIS
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