Palatal implants: A new approach for the treatment of obstructive sleep apnea

被引:30
作者
Walker, Regina P.
Levine, Howard L.
Hopp, Martin L.
Greene, David
Pang, Kenny
机构
[1] Loyola Univ, Med Ctr, Dept Otolaryngol, Maywood, IL 60153 USA
[2] Hinsdale Hosp, Hinsdale, IL USA
[3] Cleveland Clin Fdn, Marymount Outpatient Care Ctr, Head & Neck Inst, Cleveland Nasal Sinus & Sleep Ctr, Cleveland, OH 44195 USA
[4] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA
[5] Cleveland Clin Florida, Naples, FL USA
[6] Med Coll Georgia, Dept Otolaryngol, Augusta, GA 30912 USA
[7] Tan Tock Seng Hosp, Singapore, Singapore
关键词
D O I
10.1016/j.otohns.2006.02.020
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 [耳鼻咽喉科学];
摘要
OBJECTIVE: To evaluate the short-term safety and efficacy of palatal implants in patients with mild and moderate obstructive sleep apnea (OSA). STUDY DESIGN AND SETTING: A prospective, non-randomized study conducted at 5 clinical sites. Three polyester implants were placed in the soft palate under local anesthesia during a single-stage office procedure. Polysomnography was conducted at baseline and 90 days post-procedure. Subjective quality of life data were collected. RESULTS: Fifty-three patients were evaluated; the apnea hypopnea index (AHI) decreased from 25.0 +/- 13.9 to 22.0 +/- 14.8 events/hour (P = 0.05). The Epworth Sleepiness Scale (ESS) decreased from 11.0 +/- 5.1 to 6.9 +/- 4.5 (P < 0.001), and the snore score decreased from 7.9 +/- 2.1 to 4.0 +/- 3.0 (P < 0.001). No serious complications occurred during the study. CONCLUSION: Palatal implants can be an effective initial low morbidity treatment option for patients diagnosed with mild to moderate OSA. (C) 2006 American Academy of Otolaryngology-Head and Neck Surgery Foundation. All rights reserved.
引用
收藏
页码:549 / 554
页数:6
相关论文
共 18 条
[1]
ELECTRON-MICROSCOPE INVESTIGATION OF SOFT-TISSUE INGROWTH INTO DACRON VELOUR WITH DOGS [J].
FELDMAN, DS ;
HULTMAN, SM ;
COLAIZZO, RS ;
VONRECUM, AF .
BIOMATERIALS, 1983, 4 (02) :105-111
[2]
Clinical predictors of obstructive sleep apnea [J].
Friedman, M ;
Tanyeri, H ;
La Rosa, M ;
Landsberg, R ;
Vaidyanathan, K ;
Pieri, S ;
Caldarelli, D .
LARYNGOSCOPE, 1999, 109 (12) :1901-1907
[3]
MECHANICAL COMPARISON OF 10 SUTURE MATERIALS BEFORE AND AFTER IN-VIVO INCUBATION [J].
GREENWALD, D ;
SHUMWAY, S ;
ALBEAR, P ;
GOTTLIEB, L .
JOURNAL OF SURGICAL RESEARCH, 1994, 56 (04) :372-377
[4]
Managing disturbing snoring with palatal implants - A pilot study [J].
Ho, WK ;
Wei, WI ;
Chung, KF .
ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2004, 130 (06) :753-758
[5]
Soft palate implants:: a new option for treating habitual snoring [J].
Kühnel, TS ;
Hein, G ;
Hohenhorst, W ;
Maurer, JT .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2005, 262 (04) :277-280
[6]
LEVIN BC, 1994, LARYNGOSCOPE, V104, P1150
[7]
Radiofrequency volumetric reduction of the palate: An extended follow-up study [J].
Li, KK ;
Powell, NB ;
Riley, RW ;
Troell, RJ ;
Guilleminault, C .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2000, 122 (03) :410-414
[8]
Upper-airway collapsibility - Measurements and sleep effects [J].
Malhotra, A ;
Pillar, G ;
Fogel, R ;
Beauregard, J ;
Edwards, J ;
White, DP .
CHEST, 2001, 120 (01) :156-161
[9]
Palatal implants for primary snoring:: Short-term results of a new minimally invasive surgical technique [J].
Maurer, JT ;
Verse, T ;
Stuck, BA ;
Hörmann, K ;
Hein, G .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2005, 132 (01) :125-131
[10]
Palatal implants:: A new method for the treatment of snoring [J].
Nordgård, S ;
Wormdal, K ;
Bugten, V ;
Stene, BK ;
Skjostad, KW .
ACTA OTO-LARYNGOLOGICA, 2004, 124 (08) :970-975