Hyoid surgery alone for obstructive sleep apnea: A systematic review and meta-analysis.

摘要: Objectives/Hypothesis The primary objective was to determine if sleep study variables (e.g., apnea-hypopnea index [AHI] and lowest oxygen saturation) quantitative sleepiness data improve following isolated hyoid surgery for obstructive apnea (OSA). Study Design Systematic review meta-analysis. Methods Nine databases, including PubMed, were searched through September 5, 2015. Results Four hundred ninety-eight studies screened, 64 reviewed, nine met inclusion criteria. A total of 101 patients identified who underwent alone treatment OSA. Subanalyses performed for: 1) type surgery, 2) versus secondary 3) positional nonpositional OSA, 4) age, 5) body mass index. In undergoing the AHI decreased from a mean ± standard deviation 37.3 21.1 (95% confidence interval [CI]: 33.1, 41.5) 23.0 18.6 CI: 19.3, 26.7) events/hour, which correspond 38.3% reduction (P < .0001). reduced by myotomy with suspension, 50.7% hyothyroidopexy, 7.1% expansion. The Epworth Sleepiness Scale 3.2 points 10.3 4.9 8.8, 11.8) 7.1 4.2 5.8, 8.4; P = .0027). Conclusions Isolated has OSA severity improved in adults. Hyothyroidopexy provided AHI, followed suspension (38.3% AHI) expansion (7.1% AHI). current literature lacks high-quality evidence regard additional are needed further elucidate effect OSA. Level Evidence NA Laryngoscope, 2015