Surgical treatments for snoring

Area of Science:

• Otolaryngology
• Sleep Medicine
• Surgical Innovation

Background:

• Sleep disordered breathing (SDB) significantly impacts patient quality of life.
• Surgical interventions are explored for managing snoring and SDB.
• Comparative efficacy of various surgical techniques for SDB requires further investigation.

Purpose of the Study:

• To compare the effectiveness of different surgical treatments for SDB.
• To evaluate outcomes in snoring and sleepiness following procedures like UPPP/FEP, osteotomy, septoplasty with turbinoplasty, and somnoplasty.

Main Methods:

• A cohort of 329 SDB patients underwent clinical evaluation, DISE, and PSG.
• 84 patients received surgical treatment: UPPP/FEP, osteotomy, septoplasty/turbinoplasty, or somnoplasty.
• Outcomes were assessed using validated questionnaires at 6 weeks and 6 months post-surgery, with success defined as a snoring VAS score ≤3.

Main Results:

• All surgical techniques demonstrated significant and persistent reductions in snoring and sleepiness scores.
• UPPP/FEP and osteotomy yielded greater snoring score reductions compared to somnoplasty and septoplasty.
• Treatment success rates were 88% for UPPP/FEP, 92% for osteotomy, 61% for septoplasty, and 64% for somnoplasty.

Conclusions:

• Surgical treatments for SDB provide effective and lasting relief from snoring and sleepiness.
• Osteotomies and UPPP/FEP procedures are associated with the highest success rates for SDB management.