Five-Year Subjective Outcomes of Obstructive Sleep Apnea Surgery: A Multiinstitutional Study

이재서; 최지호; 이승훈; 조재훈; 김성완; 조규섭; 구수권; 원태빈; 김효열; 김유석; 정유삼; 김정훈

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자료유형: 학술저널

저자정보: 이재서 최지호 이승훈 조재훈 김성완 조규섭 구수권 원태빈 김효열 김유석 정유삼 김정훈

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제8권 제4호

발행연도: 2015.1

수록면: 370 - 375 (6page)

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Objectives. To evaluate the effect of obstructive sleep apnea (OSA) surgery on long-term (5-year) subjective outcomes, including sleep disordered breathing (SDB) symptoms and other complications, in patients with OSA. Methods. We enrolled patients who underwent diagnostic polysomnography for OSA between January 2006 and December 2006 in ten hospitals. Patients either were treated for OSA or were not treated for OSA. All patients completed a brief telephone survey regarding their SDB signs and symptoms (e.g., snoring, apnea, nocturnal arousals, and daytime sleepiness), positive airway pressure (PAP) compliance, and any adverse effects of either the surgery or PAP. A positive subjective outcome for either surgery or no treatment was taken to be the alleviation of apnea, defined as a ≥50% increase in score. A positive subjective outcome (compliance) for PAP was defined as a PAP usage of ≥4 hours per night and ≥5 days per week. Results. A total of 229 patients were included in this study. Patients were divided into three groups: a surgery group (n=87), a PAP group (n=68), and a control (untreated) group (n=74). The surgery group exhibited significant improvement in all SDB symptoms compared with the control group. The long-term subjective outcomes of the surgery (52.9%) and PAP (54.4%) groups were significantly better than those of the control group (25.0%). The subjective outcome of the surgery group was not significantly different from that of the PAP group. The overall surgical complication rate was 23.0% (20 of 87) in the surgery group, and 55.0% (22 of 40) of all patients with PAP experienced adverse effects. Conclusion. The extent of SDB symptoms was consistently improved in patients with OSA at 5 years postsurgery. Information about the potential long-term subjective outcomes should be provided to patients when considering surgery.

#Obstructive Sleep Apnea #Surgery #Signs and Symptoms #Treatment Outcome

참고문헌 (16)

참고문헌 신청

American Academy of Sleep Medicine / 2014 / International classification of sleep disorders. 3rd ed / American Academy of Sleep Medicine;

Aurora RN / 2010 / Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults / Sleep 33 (10) : 1408 ~ 1413

Caples SM / 2010 / Surgical modifications of the upper airway for obstructive sleep apnea in adults: a systematic review and meta-analysis / Sleep 33 (10) : 1396 ~ 1407

Epstein LJ / 2009 / Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults / J Clin Sleep Med 5 (3) : 263 ~ 276

Goh YH / 2007 / Quality of life 17 to 20 years after uvulopalatopharyngoplasty / Laryngoscope 117 (3) : 503 ~ 506

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Rhee Chae-Seo

소속기관 Department of Otorhinolaryngology Seoul National University College of Medicine Seoul Korea.Sensory

주요연구분야 의약학 > 임상의학 > 정신과학 의약학 > 임상의학 > 이비인후과학

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