Critical analysis of the results of surgery in the treatment of snoring, upper airway resistance syndrome (UARS), and obstructive sleep apnea (OSA)

Sleep

Volumn 19, Issue 9 SUPPL., 1996, Pages

  Pépin, Jean Louis ^a   Veale, Dan ^a   Mayer, Pierre ^b   Bettega, Georges ^a   Wuyam, Bernard ^a   Lévy, Patrick ^a  

^a GRENOBLE UNIVERSITY HOSPITAL   (France)

^b CENTRE HOSPITALIER DE L UNIVERSITÉ DE MONTRÉAL   (Canada)

Author keywords

Meta analysis; Obstructive sleep apnea; Snoring; Surgery; Upper airway resistance syndrome

Indexed keywords

ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FOLLOW UP; HUMAN; META ANALYSIS; PATIENT COMPLIANCE; POLYSOMNOGRAPHY; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SLEEP APNEA SYNDROME; SLEEP DISORDER; SNORING; TREATMENT OUTCOME; UPPER RESPIRATORY TRACT OBSTRUCTION; UVULOPALATOPHARYNGOPLASTY;

EID: 0030497630     PISSN: 01618105     EISSN: None     Source Type: Journal    
DOI: 10.1093/sleep/19.suppl_9.s90     Document Type: Article

References (92)

1. Schechtman KB, Sher AE, Piccirillo JE Methodological and statistical problems in sleep apnea research: the literature on uvulopalatopharyngoplasty. Sleep 1995;18:659-66.
2. Sher AE, Schechtman KB, Piccirillo JE The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome. Sleep 1996;19:156-77.
3. Braitman LE. Confidence intervals for reporting results of clinical trials. Ann Intern Med 1991;114:515-7.
4. American Sleep Disorders Association. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances. Sleep 1995;18:511-3.
5. Smith PL, Gold AV, Meyrs DA, Haponik EF, Bleecker ER. Weight loss in mildly to moderately obese patients with obstructive sleep apnea. Ann intern Med 1985;103:850-5.
6. Pasquali R, Colella P, Cirignotta F, et al. Treatment of obese patients with obstructive sleep apnoea syndrome (OSAS): effect of weight loss and interference of otorhinolaryngoiatric pathology, Int J Obesity 1990;14:207-17.
7. Sullivan CE, Berthon-Jones M, Issa FG, Eves L. Reversal of obstructive sleep apnea by continuous positive airway pressure applied through the nose, Lancet 1981;1:862-5.
8. American Thoracic Society. Indications and standards for use of nasal continuous positive airway pressure (CPAP) in sleep apnea syndromes. Am J Respir Crit Care Med 1994;150:1738-45.
9. Guilleminault C, Stoohs R, Clerk A, Cetel M, Maistros P. A cause of excessive daytime sleepiness: the upper airway resistance syndrome. Chest 1993;104:781-7.
10. Lévy P, Pépin JL, Mayer P, Wuyam B, Veale D. Management of simple snoring, upper airway resistance syndrome and moderate sleep apnea syndrome. Sleep 1996;19(Suppl):S101-10.
11. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991;14:540-5.
12. Johns MW. Daytime sleepiness, snoring, and obstructive sleep apnea: the Epworth sleepiness scale. Chest 1993;103:30-6.
13. American Sleep Disorders Association. EEG arousals: scoring rules and examples. A preliminary report from the Sleep Disorders Atlas Task Force of the American Sleep Disorders Association. Sleep 1992; 15:173-84.
14. Miljeteig H, Mateika S, Haight JS, Cole P, Hoffstein V. Subjective and objective assessment of uvulopalatopharyngoplasty for treatment of snoring and obstructive sleep apnea. Am J Respir Crit Care Med 1994;150:1286-90.
15. Moser NJ, Phillips BA, Berry DTR, Harbison L. What is hypopnea, anyway? Chest 1994;105:426-8.
16. Condos R, Norman RG, Krishnasamy I, Peduzzi N, Goldring RM, Rapoport DM. Flow limitation as a non-invasive assessment of residual upper airway resistance during continuous positive airway pressure therapy of obstructive sleep apnea. Am J Respir Crit Care Med 1994;150:475-80.
17. Montserrat JM, Ballester E, Olivi H, et al. Time-course of stepwise CPAP titration: behavior of respiratory and neurological variables. Am J Respir Crit Care Med 1995;152:1854-9.
18. Sforza E, Krieger J. Daytime sleepiness after long-term nasal continuous positive airway pressure (CPAP) treatment in obstructive sleep apnea syndrome. J Neurol Sci 1992;110:21-6.
19. He J, Kryger MH, Zorich FJ, Conway W, Roth T. Mortality and apnea index in obstructive sleep apnea: experience in 385 male patients. Chest 1988;94:9-14.
20. Partinen M, Jamieson A, Guilleminault C. Long term outcome for obstructive sleep apnea syndrome patients: mortality. Chest 1988;94:1200-4.
21. Pépin J-L, Leger P, Veale D, Lange vin B, Robert D, Lévy P. Side effects of nasal continuous positive airway pressure in sleep apnea syndrome: study of 193 patients in two French sleep centers. Chest 1995;107:375-81.
22. Hoffstein V, Viner S, Mateika S, Conway J. Treatment of obstructive sleep apnea with nasal continuous positive airway pressure: patient compliance, perception of benefits and side effects. Am Rev Respir Dis 1992;145:841-5.
23. Kribbs NB, Pack AI, Kline LR, et al. Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea. Am Rev Respir Dis 1993;147:887-95.
24. Kribbs NB, Pack AI, Kline LR, et al. Effects of one night without nasal CPAP treatment on sleep and sleepiness in patients with obstructive sleep apnea. Am Rev Respir Dis 1993;147: 1162-8.
25. Rauscher H, Formanek D, Zwick H. Nasal continuous positive airway pressure for nonapneic snoring? Chest 1995;107:58-61.
26. Anand VK, Ferguson PW, Schoen LS. Obstructive sleep apnea: a comparison of continuous positive airway pressure and surgical treatment. Otolaryngol Head Neck Surg 1991;105:382-90.
27. Blakley BW, Maisel RH, Mahowald M, Ettinger M. Sleep parameters after surgery for obstructive sleep apnea. Otolaryngol Head Neck Surg 1986;95:23-8.
28. deBerry-Borowiecki B, Kukwa AA, Blanks RHI. Indications for palatopharyngoplasty. Arch Otolaryngol 1985;111:659-63.
29. Burgess LP, Derderian SS, Morin GV, Gonzalez C, Zajtchuk JT. Postoperative risk following uvulopalatopharyngoplasty for obstructive sleep apnea. Otolaryngol Head Neck Surg 1992;106: 81-6.
30. Caldarelli DD, Cartwright RD, Lilie JK. Obstructive sleep apnea: variations in surgical management. Laryngoscope 1985;95: 1070-3.
31. Caldarelli DD, Cartwright RD, Lilie JK. Severity of sleep apnea as a predictor of successful treatment by palatopharyngoplasty. Laryngoscope 1986;96:945-7.
32. Davis JA, Fine ED, Maniglia AJ. Uvulopalatopharyngosplasty for obstructive sleep apnea in adults: clinical correlation with polysomnographic results. Ear Nose Throat J 1993;72:63-6.
33. Fujita S, Conway WA, Zorick FJ, et al. Evaluation of the effectiveness of uvulopalatopharyngoplasty. Laryngoscope 1985;95: 70-4.
34. Gislason T, Lindholm C-E, Almqvist M, et al. Uvulopalatopharyngolasty in sleep apnea syndrome: predictors of results. Arch Otolaryngol Head Neck Surg 1988;114:45-51.
35. Harmon JD, Chaudhary BA. Uvulopalatoplasty and obstructive sleep apnea. South Med J 1986;79:197-200.
36. Hudgel DW, Harasick T, Katz RL, Witt WJ, Abelson TI. Uvulopalatopharyngoplasty in obstructive apnea: value of preoperative localization of site of upper airways narrowing during sleep. Am Rev Respir Dis 1991;143:942-6.
37. Katsantonis GP, Maas CS, Walsh JK. The predictive efficacy of the Müller maneuver in uvulopalatopharyngoplasty. Larynoscope 1989;99:677-80.
38. Katsantonis GP, Miyazaki S, Walsh JK. Effects of uvulopalatopharyngoplasty on sleep architecture and patterns of obstructed breathing. Laryngoscope 1990;100:1068-72.
39. Kimmelman CP, Levine SB, Shore ET, Millman RP. Uvulopalatopharyngoplasty: a comparison of two techniques. Laryngoscope 1985;95:1488-90.
40. Klonoff H, Fleetham J, Taylor R, Clark C. Treatment outcome of obstructive sleep apnea: physiological and neuropsychological concomitants. J Nerv Ment Dis 1987;175:208-12.
41. Larsson S-G, Gislason T, Lindholm CE. Computed tomography of the oropharynx in obstructive sleep apnea. Acta Radiologica 1988;29:401-5.
42. Larsson H, Carlsson-Nordlander B, Svanborg E. Long-time follow-up after UPPP for obstructive sleep apnea syndrome: results of sleep apnea recordings and subjective evaluation 6 months and 2 years after surgery. Acta Otolaryngol (Stockh) 1991; 111(3):582-90.
43. Lusk RP. How I do it. Head and neck and plastic surgery: a targeted problem and its solution. Accurate measurement of soft palate resection during uvulopalatopharyngoplasty. Laryngoscope 1986;96:697-8.
44. Macaluso RA, Reams C, Gibson WS, Vrabec DP, Matragrano A. Uvulopalatopharyngoplasty: postoperative management and evaluation of results. Ann Otol Rhinol Laryngol 1989;98:502-7.
45. Maisel RH, Antonelli PJ, Iber C, et al. Uvulopalatopharyngoplasty for obstructive sleep apnea: a community's experience. Laryngoscope 1992;102:604-7.
46. Metes A, Hoffstein V, Mateika S, Cole P, Haight JSJ. Site of airway obstruction in patients with obstructive sleep apnea before and after uvulopalatopharyngoplasty. Laryngoscope 1991; 101:1102-8.
47. O'Leary MJ, Millman RP. How I do it. Head and neck and plastic surgery: a targeted problem and its solution. Technical modifications of uvulopalatopharyngoplasty: the role of the palatopharyngeus. Laryngoscope 1991;101:1332-5.
48. Philip-Joel F, Rey M, Triglia JM, et al. Uvulopalatopharyngoplasty in snorers with sleep apneas: predictive value of presurgical polysomnography. Respiration 1991;58:100-5.
49. Polo O, Brissaud L, Fraga J, Déjean Y, Billiard M. Partial upper airway obstruction in sleep after uvulopalatopharyngoplasty. Arch Otolaryngol Head Neck Surg 1989;115:1350-4.
50. Regestein QR, Ferber R, Johnson TS, Murawski BJ, Strome M. Relief of sleep apnea by revision of the adult upper airway: a review of clinical experience. Arch Otolaryngol Head Neck Surg 198;114:1109-13.
51. Reimao R, Lemmi H, Akiskal H, Cocke E. Obstructive sleep apnea treated with uvulopalatopharyngoplasty: a systematic follow-up study. South Med J 1986;79:1064-6.
52. Riley R, Guilleminault C, Powell N, Simmons FB. Palatopharyngoplasty failure, cephalometric roentgenograms, and obstructive sleep apnea. Otolaryngol Head Neck Surg 1985;93:240-3.
53. Ryan CF, Dickson RI, Lowe AA, Blokmanis A, Fleetham JA. Upper airway measurements predict response to uvulopalatopharyngoplasty in obstructive sleep apnea. Laryngoscope 1990;100:248-53.
54. Saunders NA, Vandeleur T, Deves J, et al. Uvulopalatopharyngoplasty as a treatment for snoring. Med J Aust 1989ic;150:177-82.
55. Schwartz AR, Schubert N, Rothman W, et al. Effect of uvulopalatopharyngoplasty on upper airway collapsability in obstructive sleep apnea. Am Rev Respir Dis 1992;145:527-32.
56. Shepard JW Jr, Thawley SE. Evaluation of the upper airway by computerized tomography in patients undergoing uvulopalatopharyngoplasty for obstructive sleep apnea. Am Rev Respir Dis 1989;140:711-6.
57. Sher AE, Thorpy MJ, Shprintzen RJ, Spielman AJ, Burack B, McGregor PA. Predictive value of Muller maneuver in selection of patients for uvulopalatopharyngoplasty. Laryngoscope 1985;95:1483-7.
58. Simmons FB, Guilleminault C, Silvestri R. Snoring, and some obstructive sleep apnea, can be cured by oropharyngeal surgery: palatopharyngoplasty. Arch Otolaryngol 1983;109:503-7.
59. Walker EB, Frith RW, Harding DA, Cant BR. Uvulopalatopharyngoplasty in severe idiopathic obstructive sleep apnea syndrome. Thorax 1989;44:205-8.
60. Wetmore SJ, Scrima L, Snyderman NL, Hiller FC. Postoperative evaluation of sleep apnea after uvulopalatopharyngoplasty. Laryngoscope 1986;96:738-41.
61. Zohar Y, Finkelstein Y, Talmi YP, Bar-Ilan Y. Uvulopalatopharyngoplasty: evaluation of postoperative complications, sequelae, and results. Laryngoscope 1991;101:775-9.
62. Zorick FJ, Roehrs T, Conway W, Potts G, Roth T. Response to CPAP and UPPP in apnea. Henry Ford Hosp Med J 1990;38: 223-6.
63. Launois SH, Feroah TR, Campbell WN, et al. Site of pharyngeal narrowing predicts outcome of surgery for obstructive sleep apnea. Am Rev Respir Dis 1993;147:182-9.
64. Sanders MH, Costantino JP, Johnson JT. Polysomnography early after uvulopalatopharyngoplasty as a predictor of late postoperative results. Chest 1990;97:913-9.
65. Aboussouan LS, Golish GA, Wood BG, et al. Dynamic pharyngoscopy in predicting outcome of uvulopalatopharyngoplasty for moderate and severe obstructive sleep apnea. Chest 1995;107:946-51.
66. Hoffstein V. How and why should we stabilize the upper airway? Sleep 1996;Suppl 19:S57-60.
67. Katsantonis GP, Friedman WH, Rosenblum BN, Walsh JK. The surgical treatment of snoring: a patient's perspective. Laryngoscope 1990;100:138-40.
68. Levin BC, Becker GD. Uvulopalatopharyngoplasty for snoring: long term results. Laryngoscope 1994;104:1150-2.
69. Doghramji K, Jabourian ZH, Pilla M, Farole A, Lindholm RN. Predictors of outcome for uvulopalatopharyngoplasty. Laryngoscope 1995;105:311-4.
70. Haraldsson PO, Carenfelt C, Lysdahl M, Tingvall C. Does uvulopalatopharyngoplasty inhibit automobile accidents? Laryngoscope 1995;105:657-61.
71. Haraldsson PO, Carenfelt C, Lysdahl M, Tornros J. Long term effect of uvulopalatopharyngoplasty on driving performance. Arch Otolaryngol Head Neck Surg 1995;121:90-4.
72. Shepard JW, Thawley SE. Localization of upper airway collapse during sleep in patients with obstructive sleep apnea. Am Rev Respir Dis 1990;141:1350-5.
73. Woodson BT, Wooten MR. Manometric and endoscopic localization of airway obstruction after uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1994;111:38-43.
74. Skatvedt O. Continuous pressure measurements in the pharynx and oesophagus during sleep in patients with obstructive sleep apnea syndrome. Laryngoscope 1992;102:1275-80.
75. Langin T, Pépin JL, Baranton-Cantin H, Righini C, Reyt E, Lévy P. Upper airway in snorers and moderate sleep apnea after uvulopalatopharyngoplasty (UPPP). Eur Respir J 1996;9:154S.
76. Janson C, Hillerdal G, Larsson L, et al. Excessive daytime sleepiness and fatigue in nonapnoeic snorers: improvement after UPPP. Eur Respir J 1994;7:845-9.
77. De Baker W, Van de Heyning P. Is the role of UPPP in non apnoeic snorers underestimated? [Editorial] Eur Respir J 1994;7:843-4.
78. Keenan SP, Burt H, Ryan CF, Fleetham JA. Long-term survival of patients with obstructive sleep apnea treated by uvulopalatopharyngoplasty or nasal CPAP. Chest 1994;105:155-9.
79. Rodenstein D, Collard P, Aubert G. OSA treatment UPPP vs NCPAP Chest 1995;107:584-5.
80. American Sleep Disorders Association. Practice parameters for the use of laser-assisted uvulopalatoplasty. Sleep 1994;17: 744-8.
81. Lu SJ, Chang SY, Shiao GM. Comparison between short-term and long-term post-operative evaluation of sleep apnoea after uvulopalatopharyngoplasty. J Laryngol Otol 1995;109:308-12.
82. Larsson LH, Carlsson-Nordlander B, Svanborg E. Four-year follow-up after uvulopalatopharyngoplasty in 50 unselected patients with obstructive sleep apnea syndrome. Laryngoscope 1994;104:1362-8.
83. Haavisto L, Suonpaa J. Complications of uvulopalatopharyngoplasty. Clin Otolaryngol 1994;19:243-7.
84. Esclamado RM, Glenn MG, McCulloch TM, Cummings CW. Perioperative complications and risk factors in the surgical treatment of obstructive sleep apnea syndrome. Laryngoscope 1989; 99:1125-9.
85. Rennotte MT, Baele P, Aubert G, Rodenstein DO. Nasal continuous positive airway pressure in the perioperative management of patients with obstructive sleep apnea submitted to surgery. Chest 1995;107:367-74.
86. Séries F, St Pierre S, Carrier G. Surgical correction of nasal obstruction in the treatment of mild sleep apnoea: importance of cephalometry in predicting outcome. Thorax 1993;48:360-3.
87. Sher AE. The role of maxillomandibular surgery for treating obstructive sleep apnea. Sleep 1996;19(Suppl):S88-9.
88. Riley RW, Powell NB, Guilleminault C. Obstructive sleep apnea syndrome: a review of 306 consecutively treated surgical patients. Otolaryngol Head Neck Surg 1993;108:117-25.
89. Riley RW, Powell NB, Guilleminault C. Obstructive sleep apnea and the hyoid: a revised surgical procedure. Otolaryngol Head Neck Surg 1994;111:717-21.
90. Johnson NT, Chinn J. Uvulopalatopharyngoplasty and inferior sagittal mandibular osteotomy with genioglossus advancement for treatment of obstructive sleep apnea. Chest 1994;105:278-83.
91. Waite PD, Wooten V, Lachner JH, et al. Maxillomandibular advancement surgery in 23 patients with obstructive sleep apnea syndrome. J Oral Maxillofacial Surg 1989;47:1256-61.
92. Hochban W, Brandenburg U, Peter JH. Surgical treatment of obstructive sleep apnea by maxillomandibular advancement. Sleep 1994;17:624-9.