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Role of ApneaGraph® in the Surgery for Obstructive Sleep Apnoea

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Abstract

Aim: To evaluate the utility of ApneaGraph® AG 200 in diagnosing Obstructive Sleep Apnoea (OSA) as compared to Polysomnography, localization of the site of upper airway obstruction, and the success rate of surgery. Methods: A prospective study was conducted including fifteen patients of OSA undergoing surgical treatment. All patients underwent sequential overnight ApneaGraph (AG) and Polysomnogram (PSG) before and after 3 months following surgery. The preoperative and post-operative Apnoea-Hypopnoea Index (AHI) values were compared between AG and PSG. The success of surgery was defined as mean reduction in AHI by ≥ 50% and post-operative AHI < 20. Results: The mean preoperative AHI using PSG was 53.7 and using AG was 44.9 (r = 0.83, p = 0.0001). All patients underwent AG-directed site-specific surgery. The mean postoperative AHI using PSG was 15.3 and using AG was 13.8 (r = 0.67, p = 0.0062). There was significant improvement in AHI post-surgery (p < 0.05, AG & PSG). The surgical success was achieved in 93.3%. The median follow-up was 14 months. Conclusion: ApneaGraph is a reliable alternative to PSG to diagnose OSA with an added advantage to localize the site of obstruction, yielding good surgical outcomes.

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This research has not received specific grant from any funding agency, commercial or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences, New Delhi, India

    Avinash Shekhar Jaiswal, Bashid Valia Valappil, Kapil Sikka, Alok Thakar & Hitesh Verma

  2. Department of Pulmonary, Critical care & Sleep Medicine, All India Institute of Medical Sciences, New Delhi, India

    Karan Madan

  3. Department of Medicine, All India Institute of Medical Sciences, New Delhi, India

    Animesh Ray

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  1. Avinash Shekhar Jaiswal
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  2. Bashid Valia Valappil
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  3. Kapil Sikka
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  6. Animesh Ray
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  7. Hitesh Verma
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Bashid Valia Valappil, Hitesh Verma, Kapil Sikka, Karan Madan and Animesh Ray. The first draft of the manuscript was written by Avinash Shekhar Jaiswal and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Hitesh Verma.

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The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional guidelines on human experimentation (Institute Ethics Committee, All India Institute of Medical Sciences, Ansari Nagar, New Delhi) and with the Helsinki Declaration of 1975, as revised in 2008. The ethical clearance was obtained from the Institute Ethics Committee for Postgraduate Research (IECPG-655/19.12.2018, RT-9/23.01.2019).

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Jaiswal, A.S., Valappil, B.V., Sikka, K. et al. Role of ApneaGraph® in the Surgery for Obstructive Sleep Apnoea. Indian J Otolaryngol Head Neck Surg 75, 1737–1742 (2023). https://doi.org/10.1007/s12070-023-03725-1

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