0 143

Cited 3 times in

Predictors of success in combination of tongue base resection and lateral pharyngoplasty for obstructive sleep apnea

DC FieldValueLanguage
dc.contributor.author김창훈-
dc.contributor.author윤주헌-
dc.contributor.author조형주-
dc.contributor.author황치상-
dc.contributor.author박상철-
dc.date.accessioned2018-07-20T07:42:28Z-
dc.date.available2018-07-20T07:42:28Z-
dc.date.issued2017-
dc.identifier.issn0937-4477-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/160445-
dc.description.abstractThe base of the tongue has been recognized as a significant site of obstruction in patients with obstructive sleep apnea (OSA). Our aim was to determine the independent predictors of surgical success in tongue base resection combined with lateral pharyngoplasty for OSA. Thirty-one OSA patients who underwent endoscopie-guided coblator or transoral robotic tongue base resection in combination with lateral pharyngoplasty for the treatment of retroglossal obstruction between March 2012 and December 2015 were enrolled in this study. Retroglossal obstruction was identified by preoperative nasopharyngoscopy with drug-induced sleep endoscopy and/or Müller's maneuver in supine position. Patients were divided into success and failure groups according to surgical outcome (postoperative apnea-hypopnea index (AHI) less than 20 and reduction more than 50% in baseline AHI). Physical profile, polysomnography, cephalometry parameters, and drug-induced sleep endoscopy and/or Müller's maneuver findings were compared between the two groups. Tonsil grade (p = 0.002), lateral oropharyngeal wall collapse on Müller's maneuver (p = 0.002), and AHI during rapid eye movement (REM AHI) (p = 0.038) were significantly higher in the success group than in the failure group. Tongue base collapse was more evident in the failure group than in the success group when patients open their mouth. (p = 0.037) Bigger tonsil size and higher REM AHI are favorable predictive factors, even in multilevel surgery such as tongue base resection, whereas tongue base collapse during mouth opening may be an unfavorable predictive factor.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer International-
dc.relation.isPartOfEUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHEndoscopy-
dc.subject.MESHFemale-
dc.subject.MESHGlossectomy/methods-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPharynx/surgery*-
dc.subject.MESHPolysomnography-
dc.subject.MESHPostoperative Period-
dc.subject.MESHRobotic Surgical Procedures-
dc.subject.MESHSleep Apnea, Obstructive/surgery*-
dc.subject.MESHSleep, REM-
dc.subject.MESHTongue/surgery*-
dc.subject.MESHTreatment Outcome-
dc.titlePredictors of success in combination of tongue base resection and lateral pharyngoplasty for obstructive sleep apnea-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Otorhinolaryngology-
dc.contributor.googleauthorChi Sang Hwang-
dc.contributor.googleauthorJin Won Kim-
dc.contributor.googleauthorSang Chul Park-
dc.contributor.googleauthorHyo Jin Chung-
dc.contributor.googleauthorChang-Hoon Kim-
dc.contributor.googleauthorJoo-Heon Yoon-
dc.contributor.googleauthorHyung-Ju Cho-
dc.identifier.doi10.1007/s00405-017-4467-1-
dc.contributor.localIdA01050-
dc.contributor.localIdA02604-
dc.contributor.localIdA03936-
dc.contributor.localIdA05195-
dc.relation.journalcodeJ00802-
dc.identifier.eissn1434-4726-
dc.identifier.pmid28224280-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00405-017-4467-1-
dc.subject.keywordMultilevel surgery-
dc.subject.keywordObstructive sleep apnea-
dc.subject.keywordPredicting factor-
dc.subject.keywordSurgical outcome-
dc.subject.keywordTongue base resection-
dc.contributor.alternativeNameKim, Chang Hoon-
dc.contributor.alternativeNameYoon, Joo Heon-
dc.contributor.alternativeNameCho, Hyung Ju-
dc.contributor.alternativeNameHwang, Chi Sang-
dc.contributor.affiliatedAuthorKim, Chang Hoon-
dc.contributor.affiliatedAuthorYoon, Joo Heon-
dc.contributor.affiliatedAuthorCho, Hyung Ju-
dc.contributor.affiliatedAuthorHwang, Chi Sang-
dc.citation.volume274-
dc.citation.number5-
dc.citation.startPage2197-
dc.citation.endPage2203-
dc.identifier.bibliographicCitationEUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, Vol.274(5) : 2197-2203, 2017-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.