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Effectiveness of surgical treatments for obstructive sleep-related breathing disorders: Upper airway pressure analysis

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Abstract

In this retorospective study, the upper airway and intraesophageal pressure was evaluated after surgical treatments for obstructive sleep-related breathing disorders. Seventy-two patients (63 men and 9 women; mean age 45.2 years) with obstructive sleep apnea or snoring underwent daytime polysomnography and simultaneous upper airway and intraesophageal pressure monitoring with a multisensor pressure catheter. An improvement of 50% or greater in the apnea plus hypopnea index was defined as a good response. The ratios of good responders were 16.7% (2/12), 28.6% (2/7), 88.9% (8/9), and 56.8% (25/44) after nasal surgery, uvulectomy, tonsillectomy, and uvulopalatopharyngoplasty, respectively. The pressure difference between the mesopharynx and the hypopharynx indicated a significant improvement after tonsillectomy. The pressure differences between the epipharynx and mesopharynx, and between the mesopharynx and hypopharynx also indicated significant improvement after uvulopalatopharyngoplasty. These results suggest that the effectiveness of a surgical treatment may be confirmed by the simultaneous monitoring of upper airway and intraesophageal pressure in polysomnography.

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Authors and Affiliations

  1. Division of Otorhinolaryngology, Head and Neck Surgery, Department of Sensory Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan

    Yoshiaki Itasaka, Min Yin, Yutaka Shibata, Toshihiko Tanaka & Kazuo Ishikawa

  2. Department of Sleep Medicine, Shiga University of Medical Science, Otsu, Japan

    Soichiro Miyazaki

Authors
  1. Yoshiaki Itasaka
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  2. Soichiro Miyazaki
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  3. Min Yin
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  4. Yutaka Shibata
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  5. Toshihiko Tanaka
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  6. Kazuo Ishikawa
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Correspondence to Yoshiaki Itasaka.

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Itasaka, Y., Miyazaki, S., Yin, M. et al. Effectiveness of surgical treatments for obstructive sleep-related breathing disorders: Upper airway pressure analysis. Sleep Biol. Rhythms 3, 114–121 (2005). https://doi.org/10.1111/j.1479-8425.2005.00181.x

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  • DOI: https://doi.org/10.1111/j.1479-8425.2005.00181.x

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