Antonino Maniaci1, Milena Di Luca2, Jerome René Lechien3, Giannicola Iannella4,5, Calogero Grillo2, Caterina Maria Grillo2, Federico Merlino2, Christian Calvo-Henriquez6, Andrea De Vito4, Giuseppe Magliulo5, Annalisa Pace5, Claudio Vicini4,7, Salvatore Cocuzza2, Vittoria Bannò2, Isabella Pollicina2, Giovanna Stilo2, Alberto Bianchi8, Ignazio La Mantia2. 1. Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia," ENT Section, University of Catania, Via Santa Sofia, 95100, Catania, Italy. antonino.maniaci@phd.unict.it. 2. Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia," ENT Section, University of Catania, Via Santa Sofia, 95100, Catania, Italy. 3. Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium. 4. Department of Head-Neck Surgery, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy. 5. Department of Sensory Organs, Sapienza University of Rome, Rome, Italy. 6. Service of Otolaryngology, Hospital Complex of Santiago de Compostela, s/n. 15706, Santiago de Compostela, Spain. 7. Department ENT and Audiology, University of Ferrara, Ferrara, Italy. 8. Department of Biomedical and Surgical and Biomedical Sciences, Catania University, 95123, Catania, CT, Italy.
Abstract
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.
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.
Authors: Giannicola Iannella; Antonino Maniaci; Giuseppe Magliulo; Salvatore Cocuzza; Ignazio La Mantia; Giovanni Cammaroto; Antonio Greco; Claudio Vicini Journal: Pol Arch Intern Med Date: 2020-04-06
Authors: Clete A Kushida; Michael R Littner; Max Hirshkowitz; Timothy I Morgenthaler; Cathy A Alessi; Dennis Bailey; Brian Boehlecke; Terry M Brown; Jack Coleman; Leah Friedman; Sheldon Kapen; Vishesh K Kapur; Milton Kramer; Teofilo Lee-Chiong; Judith Owens; Jeffrey P Pancer; Todd J Swick; Merrill S Wise Journal: Sleep Date: 2006-03 Impact factor: 5.849
Authors: Milena Di Luca; Giannicola Iannella; Filippo Montevecchi; Giuseppe Magliulo; Andrea De Vito; Salvatore Cocuzza; Antonino Maniaci; Giuseppe Meccariello; Giovanni Cammaroto; Rossella Sgarzani; Salvatore Ferlito; Claudio Vicini Journal: Int J Med Robot Date: 2020-04-02 Impact factor: 2.547
Authors: David Moher; Larissa Shamseer; Mike Clarke; Davina Ghersi; Alessandro Liberati; Mark Petticrew; Paul Shekelle; Lesley A Stewart Journal: Syst Rev Date: 2015-01-01
Authors: G Cammaroto; F Montevecchi; G D'Agostino; E Zeccardo; C Bellini; G Meccariello; C Vicini Journal: Acta Otorhinolaryngol Ital Date: 2017-10 Impact factor: 2.124