[en] [en] 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.
Disciplines :
Otolaryngology
Author, co-author :
Maniaci, Antonino ; 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
Di Luca, Milena; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia," ENT Section, University of Catania, Via Santa Sofia, 95100, Catania, Italy
Lechien, Jérome ; Université de Mons - UMONS > Faculté de Psychologie et des Sciences de l'Education > Service de Métrologie et Sciences du langage
Iannella, Giannicola; Department of Head-Neck Surgery, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy ; Department of Sensory Organs, Sapienza University of Rome, Rome, Italy
Grillo, Calogero; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia," ENT Section, University of Catania, Via Santa Sofia, 95100, Catania, Italy
Grillo, Caterina Maria; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia," ENT Section, University of Catania, Via Santa Sofia, 95100, Catania, Italy
Merlino, Federico; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia," ENT Section, University of Catania, Via Santa Sofia, 95100, Catania, Italy
Calvo-Henriquez, Christian; Service of Otolaryngology, Hospital Complex of Santiago de Compostela, s/n. 15706, Santiago de Compostela, Spain
De Vito, Andrea; Department of Head-Neck Surgery, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy
Magliulo, Giuseppe; Department of Sensory Organs, Sapienza University of Rome, Rome, Italy
Pace, Annalisa; Department of Sensory Organs, Sapienza University of Rome, Rome, Italy
Vicini, Claudio; Department of Head-Neck Surgery, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy ; Department ENT and Audiology, University of Ferrara, Ferrara, Italy
Cocuzza, Salvatore; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia," ENT Section, University of Catania, Via Santa Sofia, 95100, Catania, Italy
Bannò, Vittoria; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia," ENT Section, University of Catania, Via Santa Sofia, 95100, Catania, Italy
Pollicina, Isabella; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia," ENT Section, University of Catania, Via Santa Sofia, 95100, Catania, Italy
Stilo, Giovanna; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia," ENT Section, University of Catania, Via Santa Sofia, 95100, Catania, Italy
Bianchi, Alberto; Department of Biomedical and Surgical and Biomedical Sciences, Catania University, 95123, Catania, CT, Italy
La Mantia, Ignazio; Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia," ENT Section, University of Catania, Via Santa Sofia, 95100, Catania, Italy
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