Endoscopic Harmonic Midline Partial Glossectomy in Obstructive Sleep Apnea
A. I. Elkawa
*
Department of Otolaryngology Head and Neck Surgery, Tanta University, P. O. Box 31527 Tanta, Egypt.
Y. I. Aglan
Department of Otolaryngology Head and Neck Surgery, Tanta University, P. O. Box 31527 Tanta, Egypt.
M. A. Hagras
Department of Otolaryngology Head and Neck Surgery, Tanta University, P. O. Box 31527 Tanta, Egypt.
*Author to whom correspondence should be addressed.
Abstract
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.
Keywords: Obstructive sleep apnea surgeries, transoral endoscopic, tongue base reduction.