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Pharyngeal suspension suture with Repose bone screw for obstructive sleep apnea

  • B. Tucker Woodson*
  • , Ari DeRowe
  • , Michael Hawke
  • , Barry Wenig
  • , E. B. Ross
  • , George P. Katsantonis
  • , Samuel A. Mickelson
  • , Robert E. Bonham
  • , Selim Benbadis
  • *Corresponding author for this work
  • Medical College of Wisconsin
  • Meir Hospital Sapir Medical Center
  • University of Toronto
  • University of Illinois at Chicago
  • Meadowcrest Medical Center
  • Park Central Institute
  • Atlanta Ear Clinic
  • University of South Florida

Research output: Contribution to journalArticlepeer-review

53 Scopus citations

Abstract

OBJECTIVE: Multilevel surgery for obstructive sleep apnea syndrome (OSA) may improve success. This study's goal is to prospectively evaluate the feasibility and short-term subjective effectiveness of a new tongue-suspension technique. METHODS: A multicenter nonrandomized open enrollment trial used the Repose device to treat tongue obstruction in 39 snoring and OSA patients. Outcomes include 1- and 2-month subjective reports of general health, snoring, and sleep. RESULTS: Twenty-three patients completed 1 month and 19 completed 2 months of follow-up. In OSA patients, activity level, energy/fatigue, and sleepiness improved. Two-month outcomes were less (activity level, energy/fatigue, and sleepiness). Fewer changes were observed in snorers than in OSA patients. There were 6 complications (18%), including sialadenitis (4), gastrointestinal bleeding (1), and dehydration (1) after the procedure. CONCLUSION: A pharyngeal suspension suture changes subjective outcomes. Improvement is incomplete. The procedure is nonexcisional, but significant complications may occur. Further evaluation is required to demonstrate effectiveness.

Original languageEnglish
Pages (from-to)395-401
Number of pages7
JournalOtolaryngology - Head and Neck Surgery
Volume122
Issue number3
DOIs
StatePublished - Mar 2000
Externally publishedYes

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