Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy
Abstract Background The purpose of this study was to evaluate the efficacy of sleep endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy in patients with sleep disordered breathing (SDB), including polysomnography (PSG) and swallowing outcomes. Methods A retrospective review was p...
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SAGE Publishing
2022-03-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | https://doi.org/10.1186/s40463-022-00562-0 |
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| author | Matthew Maksimoski Sarah E. Maurrasse Stephen R. Hoff Jennifer Lavin Taher Valika Dana M. Thompson Jonathan B. Ida |
| author_facet | Matthew Maksimoski Sarah E. Maurrasse Stephen R. Hoff Jennifer Lavin Taher Valika Dana M. Thompson Jonathan B. Ida |
| author_sort | Matthew Maksimoski |
| collection | DOAJ |
| description | Abstract Background The purpose of this study was to evaluate the efficacy of sleep endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy in patients with sleep disordered breathing (SDB), including polysomnography (PSG) and swallowing outcomes. Methods A retrospective review was performed of all patients undergoing simultaneous lingual tonsillectomy and epiglottopexy over the study period. PSG objective measures were recorded pre- and postoperatively, along with demographic data, comorbidities, and descriptive data of swallowing dysfunction in the postoperative setting. Results A total of 24 patients met inclusion criteria for consideration, with 13 having valid pre- and postoperative PSG data. Successful surgery was achieved in 84.6% of patients, with no difference based on presence of medical comorbidities including Trisomy 21. Median reduction in obstructive apnea–hypopnea index (oAHI) with the procedure was 69.9%. Four patients (16.7%) had postoperative concern for dysphagia, but all objective swallowing evaluations were normal and no dietary modifications were necessary. Conclusion Combination lingual tonsillectomy and epiglottopexy in indicated patients has a high rate of success in this single-institutional study without new dysphagia in this population. These procedures are amenable to a combination surgery in appropriately selected patients determined by sleep state endoscopy in the setting of SDB evaluated with drug-induced sleep endoscopy. Graphical abstract |
| format | Article |
| id | doaj-art-88733d94dc8b486884cb6596670ba219 |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-88733d94dc8b486884cb6596670ba2192025-02-03T00:22:57ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162022-03-015111910.1186/s40463-022-00562-0Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexyMatthew Maksimoski0Sarah E. Maurrasse1Stephen R. Hoff2Jennifer Lavin3Taher Valika4Dana M. Thompson5Jonathan B. Ida6Department of Otolaryngology – Head and Neck Surgery, Northwestern University Feinberg School of MedicineDepartment of Otolaryngology – Head and Neck Surgery, Northwestern University Feinberg School of MedicineDepartment of Otolaryngology – Head and Neck Surgery, Northwestern University Feinberg School of MedicineDepartment of Otolaryngology – Head and Neck Surgery, Northwestern University Feinberg School of MedicineDepartment of Otolaryngology – Head and Neck Surgery, Northwestern University Feinberg School of MedicineDepartment of Otolaryngology – Head and Neck Surgery, Northwestern University Feinberg School of MedicineDepartment of Otolaryngology – Head and Neck Surgery, Northwestern University Feinberg School of MedicineAbstract Background The purpose of this study was to evaluate the efficacy of sleep endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy in patients with sleep disordered breathing (SDB), including polysomnography (PSG) and swallowing outcomes. Methods A retrospective review was performed of all patients undergoing simultaneous lingual tonsillectomy and epiglottopexy over the study period. PSG objective measures were recorded pre- and postoperatively, along with demographic data, comorbidities, and descriptive data of swallowing dysfunction in the postoperative setting. Results A total of 24 patients met inclusion criteria for consideration, with 13 having valid pre- and postoperative PSG data. Successful surgery was achieved in 84.6% of patients, with no difference based on presence of medical comorbidities including Trisomy 21. Median reduction in obstructive apnea–hypopnea index (oAHI) with the procedure was 69.9%. Four patients (16.7%) had postoperative concern for dysphagia, but all objective swallowing evaluations were normal and no dietary modifications were necessary. Conclusion Combination lingual tonsillectomy and epiglottopexy in indicated patients has a high rate of success in this single-institutional study without new dysphagia in this population. These procedures are amenable to a combination surgery in appropriately selected patients determined by sleep state endoscopy in the setting of SDB evaluated with drug-induced sleep endoscopy. Graphical abstracthttps://doi.org/10.1186/s40463-022-00562-0DISEAirway surgerySleep disordered breathingObstructive sleep apneaAirway obstructionEvidence-based medicine |
| spellingShingle | Matthew Maksimoski Sarah E. Maurrasse Stephen R. Hoff Jennifer Lavin Taher Valika Dana M. Thompson Jonathan B. Ida Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy Journal of Otolaryngology - Head and Neck Surgery DISE Airway surgery Sleep disordered breathing Obstructive sleep apnea Airway obstruction Evidence-based medicine |
| title | Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy |
| title_full | Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy |
| title_fullStr | Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy |
| title_full_unstemmed | Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy |
| title_short | Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy |
| title_sort | pediatric sleep outcomes after endoscopy directed simultaneous lingual tonsillectomy and epiglottopexy |
| topic | DISE Airway surgery Sleep disordered breathing Obstructive sleep apnea Airway obstruction Evidence-based medicine |
| url | https://doi.org/10.1186/s40463-022-00562-0 |
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