Skip to main content

Advertisement

SpringerLink
Log in

International palate surgery questionnaire

  • Sleep Breathing Physiology and Disorders • Original Article
  • Published:
Sleep and Breathing Aims and scope Submit manuscript

Abstract

Background

This international study aimed at determining current routine palate surgeries and surgical methods adopted by otolaryngologists who practice surgical management of obstructive sleep apnea (OSA).

Methods

An international online survey was developed with the collaboration of the YO-IFOS (Young Otolaryngologists-International Federation of Otorhinolaryngological Societies) to assess the current routines in palatal procedures. The surgeons were asked 33 multiple-choice questions.

Results

A total of 141 sleep surgeons answered the questionnaire, of whom 27% were from Africa, 30% from Asia, 24% from Centre-South America, and 19% from Europe. According to otolaryngology surgical specialties, 51% were sleep surgeons, 31% general ENTs, 8% Rhinologists, 7% Head & Neck surgeons, 2% otologists, and 1% maxillofacial surgeons. Of the 141 respondents, 51% answered they were sleep specialists, whereas 49% were non-sleep specialists. According to specific medical degree, 38% were specialists, 33% were consultants, 25% were professors, and 4% were residents or trainees.

Conclusion

This study gives an overview of the current surgical practice in OSA management in otolaryngology in different countries.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Data availability

The datasets used and/or analyzed during the current study was available from the corresponding author on reasonable request.

References

  1. Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Ip MSM, Morrell MJ et al (2019) Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med 7(8):687–698

    Article  PubMed  PubMed Central  Google Scholar 

  2. Gottlieb DJ, Punjabi NM (2020) Diagnosis and management of obstructive sleep apnea: a review. JAMA - J Am Med Assoc 323(14):1380–1400

    Article  Google Scholar 

  3. Aurora RN, Casey KR, Kristo D, Auerbach S, Bista SR, Chowdhuri S et al (2010) Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults. Sleep 33(10):1408–1413

    Article  PubMed  PubMed Central  Google Scholar 

  4. De Vito A, Woodson BT, Koka V, Cammaroto G, Iannella G, Bosi M et al (2021) OSA upper airways surgery: a targeted approach. Medicina (Kaunas) [Internet]. 57(7). Available from: http://www.ncbi.nlm.nih.gov/pubmed/34356971

  5. Ja P (2016) Lessons from 50 years of uvulopalatopharyngoplasty. J Sleep Disord Ther 5(3):3–5

    Article  Google Scholar 

  6. Pang KP, Baptista PM, Olszewska E, Braverman I, Carrasco-Llatas M, Kishore S et al (2020) Does drug-induced sleep endoscopy affect surgical outcome? A multicenter study of 326 obstructive sleep apnea patients. Laryngoscope [Internet]. 130(2):551–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30993741

  7. Cammaroto G, Bianchi G, Zhang H, Veer V, Kotecha B, Jacobowitz O et al (2020) Sleep medicine in otolaryngology units: an international survey. Sleep Breath

  8. Fakhry N, Teissier N (2019) Young otolaryngologists of the International Federation of Oto-rhino-laryngological Societies (YO-IFOS). Eur Ann Otorhinolaryngol Head Neck Dis [Internet]. 136(3):S1. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1879729619300638

  9. Ayad T, Stephenson K, (A.L.) Smit D, Ben-Ari O, Késmárszky R, Lechien JR et al (2018) Young Otolaryngologists of International Federation of Oto-rhino-laryngological Societies (YO-IFOS) committees. Eur Ann Otorhinolaryngol Head Neck Dis [Internet]. 135(5):S61–5. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1879729618301194

  10. Mantovani M, Minetti A, Torretta S, Pincherle A, Tassone G, Pignataro L (2012) The velo-uvulo-pharyngeal lift or “roman blinds” technique for treatment of snoring: a preliminary report. Acta Otorhinolaryngol Ital [Internet]. 32(1):48–53. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22500068%0A, http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC3324968

  11. Mantovani M, Rinaldi V, Torretta S, Carioli D, Salamanca F, Pignataro L (2016) Barbed Roman blinds technique for the treatment of obstructive sleep apnea: how we do it? Eur Arch Oto-Rhino-Laryngology [Internet]. 273(2):517–23. Available from: http://link.springer.com/10.1007/s00405-015-3726-2

  12. Vicini C, Meccariello G, Montevecchi F, De Vito A, Frassineti S, Gobbi R et al (2020) Effectiveness of barbed repositioning pharyngoplasty for the treatment of obstructive sleep apnea (OSA): a prospective randomized trial. Sleep Breath [Internet]. 24(2):687–94. Available from: http://link.springer.com/10.1007/s11325-019-01956-7

  13. Quesada P, Pedro-Botet J, Fuentes E et al (1979) Reseccion parcial del paladar blando como tratamiento del sındrome de hipersomia y respiracion periodica de los obesos. Acta Otorrinolaringol Esp 30:119–124

    Google Scholar 

  14. Fujita S, Conway W, Zorick F, Roth T (1981) Surgical correction of anatomic azbnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 89(06):923–934

    Article  CAS  PubMed  Google Scholar 

  15. Ikematsu T (1964) Study of snoring, fourth report. Therapy Japan. J Oto- Rhino-Laryngol 64:434–435

    Google Scholar 

  16. Sher AE, Schechtman KB, Piccirillo JF (1996) The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome. Sleep [Internet]. 19(2):156–77. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8855039

  17. Rashwan MS, Montevecchi F, Cammaroto G, Badr el Deen M, Iskander N, El Hennawi D et al (2018) Evolution of soft palate surgery techniques for obstructive sleep apnea patients: a comparative study for single-level palatal surgeries. Clin Otolaryngol 43(2):584–90

    Article  PubMed  Google Scholar 

  18. Neruntarat C, Khuancharee K, Saengthong P (2021) Barbed reposition pharyngoplasty versus expansion sphincter pharyngoplasty: a meta-analysis. Laryngoscope [Internet]. 131(6):1420–8. Available from: https://onlinelibrary.wiley.com/doi/10.1002/lary.29357

  19. Pang KP, Vicini C, Montevecchi F, Piccin O, Chandra S, Yang HC et al (2020) Long-term complications of palate surgery: a multicenter study of 217 patients. Laryngoscope [Internet]. 130(9):2281–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31765026

  20. Camacho M, Li D, Kawai M, Zaghi S, Teixeira J, Senchak AJ et al (2016) Tonsillectomy for adult obstructive sleep apnea: a systematic review and meta-analysis. Laryngoscope [Internet]. 126(9):2176–86. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27005314

  21. Baudouin R, Blumen M, Chaufton C, Chabolle F (2019) Adult sleep apnea and tonsil hypertrophy: should pharyngoplasty be associated with tonsillectomy? Sleep Breath [Internet]. 23(3):917–23. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31115738

  22. Sommer JU, Heiser C, Gahleitner C, Herr RM, Hörmann K, Maurer JT et al (2016) Tonsillectomy with uvulopalatopharyngoplasty in obstructive sleep apnea. Dtsch Aerzteblatt Online [Internet]. Available from: https://www.aerzteblatt.de/10.3238/arztebl.2016.0001

  23. Pang KP, Montevecchi F, Vicini C, Carrasco-Llatas M, Baptista PM, Olszewska E et al (2020) Does nasal surgery improve multilevel surgical outcome in obstructive sleep apnea: a multicenter study on 735 patients. Laryngoscope Investig Otolaryngol [Internet]. 5(6):1233–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/33364416

  24. Green KK, Kent DT, D’Agostino MA, Hoff PT, Lin H-S, Soose RJ et al (2019) Drug-induced sleep endoscopy and surgical outcomes: a multicenter cohort study. Laryngoscope [Internet]. 129(3):761–70. Available from: https://onlinelibrary.wiley.com/doi/10.1002/lary.27655

  25. Hsu Y-S, Jacobowitz O (2017) Does sleep endoscopy staging pattern correlate with outcome of advanced palatopharyngoplasty for moderate to severe obstructive sleep apnea? J Clin Sleep Med [Internet]. 13(10):1137–44. Available from: http://jcsm.aasm.org/doi/10.5664/jcsm.6756

  26. Salzano G, Maglitto F, Bisogno A, Vaira LA, De Riu G, Cavaliere M et al (2021) Obstructive sleep apnoea/hypopnoea syndrome: relationship with obesity and management in obese patients. Acta Otorhinolaryngol Ital [Internet]. 41(2):120–30. Available from: https://www.actaitalica.it/article/view/1100

  27. Cahali MB (2003) Lateral pharyngoplasty: a new treatment for obstructive sleep apnea hypopnea syndrome. Laryngoscope 113(11):1961–1968

    Article  PubMed  Google Scholar 

  28. Gulotta G, Iannella G, Meccariello G, Cammaroto G, Visconti IC, de Vincentiis M et al (2021) Barbed suture extrusion and exposure in palatoplasty for OSA: what does it mean? Am J Otolaryngol - Head Neck Med Surg 42(4):102994

    Google Scholar 

  29. Ravesloot MJL, De Raaff CAL, Van De Beek MJ, Benoist LBL, Beyers J, Corso RM et al (2019) Perioperative care of patients with obstructive sleep apnea undergoing upper airway surgery: a review and consensus recommendations. Vol. 145, JAMA Otolaryngology - Head and Neck Surgery. American Medical Association; p. 751–60

  30. Meoli AL, Rosen CL, Kristo D, Kohrman M, Gooneratne N, Aguillard RN et al (2003) Upper airway management of the adult patient with obstructive sleep apnea in the perioperative period—avoiding complications. Vol. 26, Sleep. American Academy of Sleep Medicine; 1060–5

  31. Practice guidelines for the perioperative management of patients with obstructive sleep apnea. Vol. 120, Anesthesiology. 2014. p. 268–86

  32. Abdelhamid AO, Sobhy TS, El-Mehairy HM, Hamid O (2019) Role of antibiotics in post-tonsillectomy morbidities; a systematic review. Int J Pediatr Otorhinolaryngol [Internet]. 118:192–200. Available from

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Alexandria University, Alexandria, Egypt

    Ahmed Bahgat

  2. Young-Otolaryngologists of the International Federations of Otorhino-Laryngological Societies (YO-IFOS), Paris, France

    Ahmed Bahgat, Heloisa dos Santos Sobreira Nunes, Jerome R. Lechien, Christian Calvo-Henriquez, Carlos Chiesa-Estomba & Giovanni Cammaroto

  3. Department of Otolaryngology, Head and Neck Surgery, Rabin Medical Center, Petah Tikva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Uri Alkan

  4. Department of Otorhinolaryngology, Dr, Peset University Hospital, Valencia, Spain

    Marina Carrasco Ilatas

  5. Department of Otorhinolaryngology, Nucleus of Otolaryngology, Head and Neck Surgery and Sleep Medicine of São Paulo, São Paulo, Brazil

    Heloisa dos Santos Sobreira Nunes

  6. Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL Della Romagna, Forlì, Italy

    Giannicola Iannella, Giuseppe Meccariello, Angelo Cannavicci, Claudio Vicini & Giovanni Cammaroto

  7. Head and Neck Department, Ear Nose Throat (ENT) Unit, Santa Maria Delle Croci Hospital, Romagna Health Company, Ravenna, Italy

    Andrea De Vito

  8. Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (Umons), Mons, Belgium

    Jerome R. Lechien

  9. Service of Otolaryngology, Travesía de Choupana, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain

    Christian Calvo-Henriquez

  10. Service of Otolaryngology, Donostia University Hospital, San Sebastian, Spain

    Carlos Chiesa-Estomba

  11. Department of Otorhinolaryngology, University of Ferrara, Ferrara, Italy

    Giulia Bianchi

Authors
  1. Ahmed Bahgat
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Uri Alkan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Marina Carrasco Ilatas
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Heloisa dos Santos Sobreira Nunes
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Giannicola Iannella
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Giuseppe Meccariello
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Angelo Cannavicci
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Andrea De Vito
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Claudio Vicini
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Jerome R. Lechien
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Christian Calvo-Henriquez
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Carlos Chiesa-Estomba
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. Giulia Bianchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  14. Giovanni Cammaroto
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

AB, MC, and GC formulated the survey, AB collected answers, GC and HDS analyzed the statistics. UA and HDS wrote the manuscript. All authors read and revised the final manuscript.

Corresponding author

Correspondence to Heloisa dos Santos Sobreira Nunes.

Ethics declarations

Ethics approval and consent to participate

The ethics committee of Alexandria University approved this study.

Consent for publication

Not applicable

Competing interests

All authors declare no competing interests.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Appendix Palate surgery questionnaire

Appendix Palate surgery questionnaire

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bahgat, A., Alkan, U., Carrasco Ilatas, M. et al. International palate surgery questionnaire. Sleep Breath 27, 569–590 (2023). https://doi.org/10.1007/s11325-022-02631-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11325-022-02631-0

Keywords

Search

Navigation