Giannicola Iannella1,2, Bianca Vallicelli3, Giuseppe Magliulo1, Giovanni Cammaroto2, Giuseppe Meccariello2, Andrea De Vito2, Antonio Greco1, Stefano Pelucchi3, Rossella Sgarzani4, Ruggero Massimo Corso5, Gloria Napoli3, Giulia Bianchi3, Salvatore Cocuzza6, Antonino Maniaci6, Claudio Vicini2,3. 1. Department of 'Organi di Senso', University "Sapienza", Viale dell'Università, 33, 00185 Rome, Italy. 2. Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini, 34, 47121 Forlì, Italy. 3. Department ENT & Audiology, University of Ferrara, Via Savonarola, 9, 44121 Ferrara, Italy. 4. Department of Emergency, Burn Center, Bufalini Hospital, Azienda USL della Romagna, viale Giovanni Ghirotti, 286, 47521 Cesena, Italy. 5. Intensive Care Unit, Morgagni-Pierantoni Hospital, AUSL of Romagna, Via Carlo Forlanini, 34, 47121 Forlì, Italy. 6. Department of Otolaryngology, University of Catania, Via S. Sofia, 78, 95125 Catania, Italy.
Abstract
Background: The purpose of this study was to evaluate long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome (OSAS) treatment using a specific questionnaire, the Palate Postoperative Problem Score (PPOPS). Methods: 140 patients who underwent barbed reposition pharyngoplasty (BRP) surgery in the Morgagni Pierantoni Hospital of Forlì, Italy were enrolled in the study. Postoperative outcomes were evaluated in a short- and long-term follow-up using the PPOPS questionnaire. The average period of follow-up was 26 months. All patients received the PPOPS questionnaire by telephone in a period between April and August 2019. Results: 51% of patients complained of swallowing problems after surgery. In 91% of cases, the problem cleared up spontaneously. At the time of the interview, only 9% of patients had a residual swallowing difficult. At the time of PPOPS evaluation, rhinolalia was observed in 8% of patients, whereas nose regurgitation was present in 2% of patients. In 20% of patients, the foreign body sensation was present during follow-up. The value of apnea-hypopnea index (AHI) reduced from the preoperative value of 31.5 to the postoperative value of 11.4. Conclusions: BRP surgery proved to be an effective technique, appreciated by the majority of patients. Use of the PPOPS questionnaire has demonstrated that the BRP technique seems to ensure efficacy and lower morbidity, with few complications after surgery.
Background: The purpose of this study was to evaluate long-term subjective outcomes of barbed reposition pharyngoplasty for obstructive sleep apnea syndrome (OSAS) treatment using a specific questionnaire, the Palate Postoperative Problem Score (PPOPS). Methods: 140 patients who underwent barbed reposition pharyngoplasty (BRP) surgery in the Morgagni Pierantoni Hospital of Forlì, Italy were enrolled in the study. Postoperative outcomes were evaluated in a short- and long-term follow-up using the PPOPS questionnaire. The average period of follow-up was 26 months. All patients received the PPOPS questionnaire by telephone in a period between April and August 2019. Results: 51% of patients complained of swallowing problems after surgery. In 91% of cases, the problem cleared up spontaneously. At the time of the interview, only 9% of patients had a residual swallowing difficult. At the time of PPOPS evaluation, rhinolalia was observed in 8% of patients, whereas nose regurgitation was present in 2% of patients. In 20% of patients, the foreign body sensation was present during follow-up. The value of apnea-hypopnea index (AHI) reduced from the preoperative value of 31.5 to the postoperative value of 11.4. Conclusions: BRP surgery proved to be an effective technique, appreciated by the majority of patients. Use of the PPOPS questionnaire has demonstrated that the BRP technique seems to ensure efficacy and lower morbidity, with few complications after surgery.
Authors: Shi Nee Tan; Jong-Min Kim; Jisun Kim; Chung Man Sung; Hong Chan Kim; Jongho Lee; Sang Chul Lim; David P White; Hyung Chae Yang; D Andrew Wellman Journal: PLoS One Date: 2022-05-24 Impact factor: 3.752
Authors: Giannicola Iannella; Giuseppe Magliulo; Cristina Anna Maria Lo Iacono; Irene Claudia Visconti; Jerome R Lechien; Tiziano Perrone; Giovanni Cammaroto; Giuseppe Meccariello; Antonino Maniaci; Salvatore Cocuzza; Milena Di Luca; Andrea De Vito; Chiara Martone; Antonella Polimeni; Antonio Greco; Marco de Vincentiis; Massimo Ralli; Annalisa Pace; Giampiero Gulotta; Stefano Pelucchi; Angelo Eplite; Claudio Vicini Journal: J Clin Med Date: 2022-04-23 Impact factor: 4.964
Authors: Giannicola Iannella; Giuseppe Magliulo; Antonio Greco; Marco de Vincentiis; Massimo Ralli; Antonino Maniaci; Annalisa Pace; Claudio Vicini Journal: Int J Environ Res Public Health Date: 2022-02-21 Impact factor: 3.390
Authors: Giulio Gasparini; Gianmarco Saponaro; Mattia Todaro; Gabriele Ciasca; Lorenzo Cigni; Piero Doneddu; Camillo Azzuni; Enrico Foresta; Paolo De Angelis; Giorgio Barbera; Roberta Gaia Parcianello; Horia Vasile Hreniuc; Alessandro Moro Journal: Int J Environ Res Public Health Date: 2021-03-01 Impact factor: 3.390