Effects and side-effects of surgery for snoring and obstructive sleep apnea - A systematic review

Sleep

Volumn 32, Issue 1, 2009, Pages 27-36

  Franklin, Karl A ^a,b   Anttila, Heidi ^c   Axelsson, Susanna ^d   Gislason, Thorarinn ^e   Maasilta, Paula ^f   Myhre, Kurt I ^g,h   Rehnqvist, Nina ^d,i  

^a UMEÅ UNIVERSITY HOSPITAL   (Sweden)

^b DANDERYD HOSPITAL   (Sweden)

^c NATIONAL PUBLIC HEALTH INSTITUTE   (Finland)

^d Swedish Council on Technology Assessment in Health Care   (Sweden)

^e LANDSPITALI UNIVERSITY HOSPITAL   (Iceland)

^f HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

^g Norwegian Health Services Research Centre   (Norway)

^h Clinic for Allergy and Pulmonology   (Norway)

ⁱ KAROLINSKA INSTITUTE   (Sweden)

Author keywords

Adverse effects; Meta analysis; Sleep apnea syndromes; Snoring; Surgery

Indexed keywords

ARTICLE; COCHRANE LIBRARY; CONSERVATIVE TREATMENT; DAYTIME SOMNOLENCE; DYSPHAGIA; DYSPHONIA; HUMAN; MEDLINE; OBSERVATIONAL STUDY; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; QUALITY OF LIFE; RADIOFREQUENCY ABLATION; SLEEP APNEA SYNDROME; SNORING; SYSTEMATIC REVIEW; TASTE DISORDER; THROAT DISEASE; TREATMENT OUTCOME; UVULOPALATOPHARYNGOPLASTY; VOICE CHANGE; ADULT; ELECTROSURGERY; LOW LEVEL LASER THERAPY; PALATE; PHARYNX; RANDOMIZED CONTROLLED TRIAL; REVIEW; SOFT PALATE; SOMNOLENCE;

ADULT; DISORDERS OF EXCESSIVE SOMNOLENCE; ELECTROSURGERY; HUMANS; LASER THERAPY; PALATE, SOFT; PHARYNX; POSTOPERATIVE COMPLICATIONS; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SLEEP APNEA, OBSTRUCTIVE; SNORING; TREATMENT OUTCOME; UVULA;

EID: 61549121402     PISSN: 01618105     EISSN: 15509109     Source Type: Journal    
DOI: None     Document Type: Article

References (99)

1. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999;22:667-89.
2. Whitney CW, Enright PL, Newman AB, Bonekat W, Foley D, Quan SF. Correlates of daytime sleepiness in 4578 elderly persons: the Cardiovascular Health Study. Sleep 1998;21:27-36.
3. Zielinski J, Zgierska A, Polakowska M, et al. Snoring and excessive daytime somnolence among Polish middle-aged adults. Eur Respir J 1999;14:946-50.
4. Yaggi HK, Concato J, Kernan WN, Lichtman JH, Brass LM, Mohsenin V. Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med 2005;353:2034-41.
5. Sahlin C, Sandberg O, Gustafson Y, et al. Obstructive sleep apnea is a risk factor for death in patients with stroke: a 10-year follow-up. Arch Intern Med 2008;168:297-301.
6. Valham F, Mooe T, Rabben T, Stenlund H, Wiklund U, Franklin KA. Increased risk of stroke in patients with coronary artery disease and sleep apnea: a 10-year follow-up. Circulation 2008;118:955-60.
7. Young T, Finn L, Peppard PE, et al. Sleep disordered breathing and mortality: eighteen-year follow-up of the Wisconsin sleep cohort. Sleep 2008;31:1071-8.
8. Marshall NS, Wong KK, Liu PY, Cullen SR, Knuiman MW, Grunstein RR. Sleep apnea as an independent risk factor for all-cause mortality: the Busselton Health Study. Sleep 2008;31:1079-85.
9. Fujita S, Conway W, Zorick F, Roth T. Surgical correction of anatomic azbnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981;89:923-34.
10. Littner M, Kushida CA, Hartse K, et al. Practice parameters for the use of laser-assisted uvulopalatoplasty: an update for 2000. Sleep 2001;24:603-19.
11. Sundaram S, Bridgman SA, Lim J, Lasserson TJ. Surgery for obstructive sleep apnoea. Cochrane Database Syst Rev. 2005:CD001004.
12. Elshaug AG, Moss JR, Southcott AM, Hiller JE. Redefining success in airway surgery for obstructive sleep apnea: a meta analysis and synthesis of the evidence. Sleep 2007;30:461-7.
13. SBU. Obstructive sleep apnoea syndrome. Report of a joint Nordic project. Stockholm: Statens beredning för medicinsk utvärdering (SBU) 2007.
14. Elshaug AG, Moss JR, Hiller JE, Maddern GJ. Upper airway surgery should not be first line treatment for obstructive sleep apnoea in adults. BMJ 2008;336:44-5.
15. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Controlled clinical trials 1996;17:1-12.
16. Lojander J, Maasilta P, Partinen M, Brander PE, Salmi T, Lehtonen H. Nasal-CPAP, surgery, and conservative management for treatment of obstructive sleep apnea syndrome. A randomized study. Chest 1996;110:114-9.
17. Ferguson KA, Heighway K, Ruby RR. A randomized trial of laser-assisted uvulopalatoplasty in the treatment of mild obstructive sleep apnea. Am J Respir Crit Care Med 2003;167:15-9.
18. Woodson BT, Steward DL, Weaver EM, Javaheri S. A randomized trial of temperature-controlled radiofrequency, continuous positive airway pressure, and placebo for obstructive sleep apnea syndrome. Otolaryngol Head Neck Surg 2003;128:848-61.
19. Larrosa F, Hernandez L, Morello A, Ballester E, Quinto L, Montserrat JM. Laser-assisted uvulopalatoplasty for snoring: does it meet the expectations? Eur Respir J 2004;24:66-70.
20. Stuck BA, Sauter A, Hormann K, Verse T, Maurer JT. Radiofrequency surgery of the soft palate in the treatment of snoring. A placebo-controlled trial. Sleep 2005;28:847-50.
21. Kezirian EJ, Weaver EM, Yueh B, et al. Incidence of serious complications after uvulopalatopharyngoplasty. Laryngoscope. 2004;114:450-3.
22. Jaghagen EL, Berggren D, Dahlqvist A, Isberg A. Prediction and risk of dysphagia after uvulopalatopharyngoplasty and uvulopalatoplasty. Acta Otolaryngol. 2004;124:1197-203.
23. 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.
24. Harmon JD, Morgan W, Chaudhary B. Sleep apnea: morbidity and mortality of surgical treatment. South Med J. 1989;82:161-4.
25. Walker RP, Gopalsami C. Laser-assisted uvulopalatoplasty: postoperative complications. Laryngoscope. 1996;106:834-8.
26. Riley RW, Powell NB, Guilleminault C, Pelayo R, Troell RJ, Li KK. Obstructive sleep apnea surgery: risk management and complications. Otolaryngol Head Neck Surg 1997;117:648-52.
27. Mickelson SA, Hakim I. Is postoperative intensive care monitoring necessary after uvulopalatopharyngoplasty? Otolaryngol Head Neck Surg. 1998;119:352-6.
28. Terris DJ, Fincher EF, Hanasono MM, Fee WE, Jr., Adachi K. Conservation of resources: indications for intensive care monitoring after upper airway surgery on patients with obstructive sleep apnea. Laryngoscope. 1998;108:784-8.
29. Hultcrantz E, Johansson K, Bengtson H. The effect of uvulopalatopharyngoplasty without tonsillectomy using local anaesthesia: a prospective long-term follow-up. J Laryngol Otol 1999;113:542-7.
30. Levring-Jäghagen E, Nilsson ME, Isberg A. Persisting dysphagia after uvulopalatoplasty performed with steel scalpel. Laryngoscope 1999;109:86-90.
31. Powell NB, Riley RW, Guilleminault C. Radiofrequency tongue base reduction in sleep-disordered breathing: A pilot study. Otolaryngol Head Neck Surg 1999;120:656-64.
32. Remacle M, Betsch C, Lawson G, Jamart J, Eloy P. A new technique for laser-assisted uvulopalatoplasty: decision-tree analysis and results. Laryngoscope 1999;109:763-8.
33. Boudewyns A, Van De Heyning P. Temperature-controlled radiofrequency tissue volume reduction of the soft palate (somnoplasty) in the treatment of habitual snoring: results of a European multicenter trial. Acta Otolaryngol 2000;120:981-5.
34. Coleman SC, Smith TL. Midline radiofrequency tissue reduction of the palate for bothersome snoring and sleep-disordered breathing: A clinical trial. Otolaryngol Head Neck Surg 2000;122:387-94.
35. Grøntved AM, Karup P. Complaints and satisfaction after uvulopalatopharyngoplasty. Acta Oto-laryngologica 2000;543:190-2.
36. Hagert B, Wikblad K, Odkvist L, Wahren LK. Side effects after surgical treatment of snoring. ORL J Otorhinolaryngol Relat Spec 2000;62:76-80.
37. Hukins CA, Mitchell IC, Hillman DR. Radiofrequency tissue volume reduction of the soft palate in simple snoring. Arch Otolaryngol Head Neck Surg 2000;126:602-6.
38. Li KK, Powell NB, Riley RW, Troell RJ, Guilleminault C. Radiofrequency volumetric reduction of the palate: An extended follow-up study. Otolaryngol Head Neck Surg 2000;122:410-4.
39. Osman EZ, Osborne JE, Hill PD, Lee BW, Hammad Z. Uvulopalatopharyngoplasty versus laser assisted uvulopalatoplasty for the treatment of snoring: an objective randomised clinical trial. Clin Otolaryngol Allied Sci 2000;25:305-10.
40. Back L, Palomaki M, Piilonen A, Ylikoski J. Sleep-disordered breathing: radiofrequency thermal ablation is a promising new treatment possibility. Laryngoscope 2001;111:464-71.
41. Brown DJ, Kerr P, Kryger M. Radiofrequency tissue reduction of the palate in patients with moderate sleep-disordered breathing. J Otolaryngol 2001;30:193-8.
42. Pazos G, Mair EA. Complications of radiofrequency ablation in the treatment of sleep-disordered breathing. Otolaryngol Head Neck Surg 2001;125:462-6; discussion 6-7.
43. Sher AE, Flexon PB, Hillman D, et al. Temperature-controlled radiofrequency tissue volume reduction in the human soft palate. Otolaryngol Head Neck Surg 2001;125:312-8.
44. Stuck BA, Maurer JT, Verse T, Hormann K. Tongue base reduction with temperature-controlled radiofrequency volumetric tissue reduction for treatment of obstructive sleep apnea syndrome. Acta Otolaryngol 2002;122:531-6.
45. Terris DJ, Chen V. Occult mucosal injuries with radiofrequency ablation of the palate. Otolaryngol Head Neck Surg 2001;125:468-72.
46. Woodson BT, Nelson L, Mickelson S, Huntley T, Sher A. A multi-institutional study of radiofrequency volumetric tissue reduction for OSAS. Otolaryngol Head Neck Surg 2001;125:303-11.
47. Haraldsson PO, Karling J, Lysdahl M, Svanborg E. Voice quality after radiofrequency volumetric tissue reduction of the soft palate in habitual snorers. Laryngoscope 2002;112:1260-3.
48. Lysdahl M, Haraldsson PO. Uvulopalatopharyngoplasty versus laser uvulopalatoplasty: prospective long-term follow-up of self-reported symptoms. Acta Otolaryngol 2002;122:752-7.
49. Berger G, Stein G, Ophir D, Finkelstein Y. Is there a better way to do laser-assisted uvulopalatoplasty? Arch Otolaryngol Head Neck Surg 2003;129:447-53.
50. Rombaux P, Hamoir M, Bertrand B, Aubert G, Liistro G, Rodenstein D. Postoperative pain and side effects after uvulopalatopharyngoplasty, laser-assisted uvulopalatoplasty, and radiofrequency tissue volume reduction in primary snoring. Laryngoscope 2003;113:2169-73.
51. Said B, Strome M. Long-term results of radiofrequency volumetric tissue reduction of the palate for snoring. Ann Otol Rhinol Laryngol 2003;112:276-9.
52. Kim JA, Lee JJ, Jung HH. Predictive factors of immediate postoperative complications after uvulopalatopharyngoplasty. Laryngoscope 2005;115:1837-40.
53. Pavelec V, Polenik P. Use of Er,Cr:YSGG versus standard lasers in laser assisted uvulopalatoplasty for treatment of snoring. Laryngoscope 2006;116:1512-6.
54. Li HY, Lee LA, Wang PC, et al. Taste disturbance after uvulopalatopharyngoplasty for obstructive sleep apnea. Otolaryngol Head Neck Surg 2006;134:985-90.
55. Katsantonis GP, Friedman WH, Krebs FJ 3rd, Walsh JK. Nasopharyngeal complications following uvulopalatopharyngoplasty. Laryngoscope 1987;97:309-14.
56. Croft CB, Golding-Wood DG. Uses and complications of uvulopalatopharyngoplasty. The J Laryngol Otol 1990;104:871-5.
57. Fairbanks DN. Uvulopalatopharyngoplasty complications and avoidance strategies. Otolaryngol Head Neck Surg 1990;102:239-45.
58. Carenfelt C, Haraldsson PO. Frequency of complications after uvulopalatopharyngoplasty. Lancet 1993;341:437.
59. Stepnick DW. Management of total nasopharyngeal stenosis following UPPP. Ear Nose Throat J 1993;72:86-90.
60. Haavisto L, Suonpaa J. Complications of uvulopalatopharyngoplasty. Clin Otolaryngol Allied Sci 1994;19:243-7.
61. Jackson IT, Kenedy D. Surgical management of velopharyngeal insufficiency following uvulopalatopharyngoplasty: report of three cases. Plast Reconstr Surg 1997;99:1151-3.
62. Lee WC, Skinner DW, Prichard AJ. Complications of palatoplasty for snoring or sleep apnoea. J Laryngol Otol 1997;111:1151-4.
63. Coleman JA, Jr. Laser-assisted uvulopalatoplasty: long-term results with a treatment for snoring. Ear Nose Throat J 1998;77:22-4, 6-9, 32-4.
64. Isberg A, Levring-Jäghagen E, Dahlström M, Dahlqvist Å. Persistent dysphagia after laser uvulopalatoplasty: a videoradiographic study of pharyngeal function. Acta Otolaryngol 1998;118:870-4.
65. O'Reilly BF, Simpson DC. A comparison of conservative, radical and laser palatal surgery for snoring. J R Coll Surg Edinb 1998;43:194-5.
66. Pinczower EF. Globus sensation after laser-assisted uvulopalatoplasty. Am J Otolaryngol 1998;19:107-8.
67. Powell NB, Riley RW, Troell RJ, Li K, Blumen MB, Guilleminault C. Radiofrequency volumetric tissue reduction of the palate in subjects with sleep-disordered breathing. Chest 1998;113:1163-74.
68. Tytherleigh MG, Thomas MA, Connolly AA, Bridger MW. Patients' and partners' perceptions of uvulopalatopharyngoplasty for snoring. J Otolaryngol 1999;28:73-5.
69. Tegelberg Å, Wilhelmsson B, Walker-Engström ML, et al. Effects and adverse events of a dental appliance for treatment of obstructive sleep apnoea. Swed Dent J 1999;23:117-26.
70. Andsberg U, Jessen M. Eight years of follow-up - uvulopalatopharyngoplasty combined with midline glossectomy as a treatment for obstructive sleep apnoea syndrome. Acta Otolaryngologica 2000;543:175-8.
71. Emery BE, Flexon PB. Radiofrequency volumetric tissue reduction of the soft palate: a new treatment for snoring. Laryngoscope 2000;110:1092-8.
72. Ferguson M, Smith TL, Zanation AM, Yarbrough WG. Radiofrequency tissue volume reduction: multilesion vs single-lesion treatments for snoring. Arch Otolaryngol Head Neck Surg 2001;127:1113-8.
73. Blumen MB, Dahan S, Fleury B, Hausser-Hauw C, Chabolle F. Radiofrequency ablation for the treatment of mild to moderate obstructive sleep apnea. Laryngoscope 2002;112:2086-92.
74. Finkelstein Y, Stein G, Ophir D, Berger R, Berger G. Laser-assisted uvulopalatoplasty for the management of obstructive sleep apnea: myths and facts. Arch Otolaryngol Head Neck Surg 2002;128:429-34.
75. Walker-Engstrom ML, Tegelberg A, Wilhelmsson B, Ringqvist I. 4-year follow-up of treatment with dental appliance or uvulopalatopharyngoplasty in patients with obstructive sleep apnea: a randomized study. Chest 2002;121:739-46.
76. Fischer Y, Khan M, Mann WJ. Multilevel temperature-controlled radiofrequency therapy of soft palate, base of tongue, and tonsils in adults with obstructive sleep apnea. Laryngoscope 2003;113:1786-91.
77. Gessler EM, Bondy PC. Respiratory complications following tonsillectomy/UPPP: is step-down monitoring necessary? Ear Nose Throat J 2003;82:628-32.
78. Isono S, Shimada A, Tanaka A, Ishikawa T, Nishino T, Konno A. Effects of uvulopalatopharyngoplasty on collapsibility of the retropalatal airway in patients with obstructive sleep apnea. Laryngoscope 2003;113:362-7.
79. Li HY, Li KK, Chen NH, Wang PC. Modified uvulopalatopharyngoplasty: The extended uvulopalatal flap. Am J Otolaryngol 2003;24:311-6.
80. Riley RW, Powell NB, Li KK, Weaver EM, Guilleminault C. An adjunctive method of radiofrequency volumetric tissue reduction of the tongue for OSAS. Otolaryngol Head Neck Surg 2003;129:37-42.
81. Stuck BA, Starzak K, Verse T, Hormann K, Maurer JT. Complications of temperature-controlled radiofrequency volumetric tissue reduction for sleep-disordered breathing. Acta Otolaryngol 2003;123:532-5.
82. Tatla T, Sandhu G, Croft CB, Kotecha B. Celon radiofrequency thermo-ablative palatoplasty for snoring - a pilot study. J Laryngol Otol 2003;117:801-6.
83. Kamel UF. Hypogeusia as a complication of uvulopalatopharyngoplasty and use of taste strips as a practical tool for quantifying hypogeusia. Acta Otolaryngol 2004;124:1235-6.
84. Kania RE, Schmitt E, Petelle B, Meyer B. Radiofrequency soft palate procedure in snoring: influence of energy delivered. Otolaryngol Head Neck Surg 2004;130:67-72.
85. Kieff DA, Busaba NY. Same-day discharge for selected patients undergoing combined nasal and palatal surgery for obstructive sleep apnea. Ann Otol Rhinol Laryngol 2004;113:128-31.
86. Madani M. Complications of laser-assisted uvulopalatopharyngoplasty (LA-UPPP) and radiofrequency treatments of snoring and chronic nasal congestion: a 10-year review of 5,600 patients. J Oral Maxillofac Surg 2004;62:1351-62.
87. Uppal S, Nadig S, Jones C, Nicolaides AR, Coatesworth AP. A prospective single-blind randomized-controlled trial comparing two surgical techniques for the treatment of snoring: laser palatoplasty versus uvulectomy with punctate palatal diathermy. Clin Otolaryngol Allied Sci 2004;29:254-63.
88. Jones LM, Guillory VL, Mair EA. Total nasopharyngeal stenosis: treatment with laser excision, nasopharyngeal obturators, and topical mitomycin-c. Otolaryngol Head Neck Surg 2005;133:795-8.
89. Kezirian EJ, Powell NB, Riley RW, Hester JE. Incidence of complications in radiofrequency treatment of the upper airway. Laryngoscope 2005;115:1298-304.
90. Spiegel JH, Raval TH. Overnight hospital stay is not always necessary after uvulopalatopharyngoplasty. Laryngoscope 2005;115:167-71.
91. Hathaway B, Johnson JT. Safety of uvulopalatopharyngoplasty as outpatient surgery. Otolaryngol Head Neck Surg 2006;134:542-4.
92. Herzog M, Schmidt A, Metz T, et al. Pseudoaneurysm of the lingual artery after temperature-controlled radiofrequency tongue base reduction: a severe complication. Laryngoscope 2006;116:665-7.
93. Iyngkaran T, Kanagalingam J, Rajeswaran R, Georgalas C, Kotecha B. Long-term outcomes of laser-assisted uvulopalatoplasty in 168 patients with snoring. J Laryngol Otol 2006;120:932-8.
94. Pang KP. Identifying patients who need close monitoring during and after upper airway surgery for obstructive sleep apnoea. J Laryngol Otol 2006;120:655-60.
95. Roosli C, Schneider S, Hausler R. Long-term results and complications following uvulopalatopharyngoplasty in 116 consecutive patients. Eur Arch Otorhinolaryngol 2006;263:754-8.
96. Dahlqvist J, Dahlqvist A, Marklund M, Berggren D, Stenlund H, Franklin KA. Physical findings in the upper airways related to obstructive sleep apnea in men and women. Acta Otolaryngol 2007;127:623-30.
97. Marti S, Sampol G, Munoz X, et al. Mortality in severe sleep apnoea/hypopnoea syndrome patients: impact of treatment. Eur Respir J 2002;20:1511-8.
98. Weaver EM, Maynard C, Yueh B. Survival of veterans with sleep apnea: continuous positive airway pressure versus surgery. Otolaryngol Head Neck Surg 2004;130:659-65.
99. Atkins D, Best D, Briss PA, et al. Grading quality of evidence and strength of recommendations. BMJ Clinical research ed 2004;328:1490.