The Effect of Glossectomy for Obstructive Sleep Apnea A Systematic Review and Meta-analysis
作者： Alexander W. Murphey , Jessica A. Kandl , Shaun A. Nguyen , Aimee C. Weber , M. Boyd Gillespie
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摘要: ObjectiveDetermine the effect of glossectomy as part multilevel sleep surgery on sleep-related outcomes in patients with obstructive apnea.Data SourcesPubMED, Scopus.Review MethodsTwo independent researchers conducted review using PubMed-NCBI and Scopus literature databases. Studies for apnea that reported pre- postoperative apnea-hypopnea index (AHI) score 10 or more were included.ResultsA total 18 articles 522 treated 3 techniques (midline glossectomy, lingualplasty, submucosal minimally invasive lingual excision) met inclusion criteria. Pooled analyses (baseline vs post surgery) showed a significant improvement AHI (48.1 ± 22.01 to 19.05 15.46, P < .0001), Epworth Sleepiness Scale (ESS; 11.41 4.38 5.66 3.29, snoring visual analog scale (VAS; 9.08 1.21 3.14 2.41, Lowest O2 saturation (76.67 10.58 84.09 7.90, .0001). Surgical success rate was 59.6...
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