[Subjective outcome after multi-level surgery in sleep-disordered breathing].

Area of Science:

• Otolaryngology
• Sleep Medicine
• Surgical Innovation

Background:

• Previous research demonstrated the efficacy of a multi-level surgery approach using modified hyoid suspension for obstructive sleep apnea (OSA).
• This study specifically investigates the patient-reported discomforts and side effects associated with this surgical technique.

Purpose of the Study:

• To assess the tolerability and patient experience regarding discomforts and side effects following multi-level surgery for OSA.
• To correlate patient-reported outcomes with the effectiveness of the surgical intervention in reducing snoring.

Main Methods:

• A cohort of 102 patients with OSA and/or laryngeal stenosis underwent hyoid suspension combined with base of tongue, soft palate, or nasal surgery.
• Patient-reported discomforts, including pain, dysphagia, and speech issues, were evaluated using a questionnaire administered at least one month post-surgery.
• Surgical success was defined as a reduction in snoring to a level acceptable to the bed partner.

Main Results:

• Approximately 50% of patients required analgesics for up to 14 days post-surgery.
• Dysphagia and speech difficulties were reported by some patients, lasting up to 20 and 30 days, respectively.
• A significant majority, 94%, reported successful snoring reduction, and 84% would opt for the surgery again.

Conclusions:

• The multi-level surgical concept, including modified hyoid suspension, is well-tolerated by patients despite transient side effects.
• The high success rate in snoring reduction (94%) contributes to positive patient perception and willingness to undergo the procedure again.