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Surgical Treatment Options for Epiglottic Collapse in Adult Obstructive Sleep Apnoea: A Systematic Review
Kyriaki Vallianou1, Konstantinos Chaidas2
1Ear, Nose, and Throat (ENT) Department, University Hospital of Larissa, 41334 Larissa, Greece.
Life (Basel, Switzerland)
|November 26, 2022
Summary
Surgical options for epiglottic collapse in obstructive sleep apnoea (OSA) are safe and effective for selected patients. These treatments can improve OSA severity and continuous positive airway pressure (CPAP) compliance.
Area of Science:
- Otolaryngology
- Sleep Medicine
- Surgical Innovation
Background:
- Epiglottic collapse is a key factor in airway narrowing, contributing to obstructive sleep apnoea (OSA) and continuous positive airway pressure (CPAP) intolerance.
- Recent findings highlight the critical role of the epiglottis in these conditions.
Purpose of the Study:
- To systematically review and evaluate surgical treatment options for epiglottic collapse in adult OSA patients.
- To assess the safety and efficacy of various surgical interventions.
Main Methods:
- A systematic review of Pubmed and Scopus databases was conducted up to March 2022.
- Sixteen studies describing six different surgical techniques were selected and analyzed.
Main Results:
- Six surgical techniques were identified: partial epiglottectomy, epiglottis stiffening, glossoepiglottopexy, supraglottoplasty, transoral robotic surgery, maxillomandibular advancement, and hypoglossal nerve stimulation.
- All described surgical methods were reported as safe and effective for selected OSA patients with epiglottic narrowing.
- Surgical management can improve OSA severity, potentially cure OSA, and enhance CPAP compliance.
Conclusions:
- Surgical intervention for epiglottic collapse offers a viable therapeutic avenue for specific OSA patients.
- Treatment selection requires an individualized, patient-specific approach.
- Further high-quality studies are necessary to establish definitive conclusions.
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