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Coblator Assisted-Barbed Relocation Pharyngoplasty (Co-BRP) in Obstructive Sleep Apnea Surgical Treatment
Ahmed Bahgat1, Claudio Vicini2, Yassin Bahgat1
1Department of Otorhinolaryngology-Head & Neck Surgery Alexandria University Alexandria Egypt.
OTO Open
|January 14, 2025
Summary
Barbed reposition pharyngoplasty (BRP) using coblator technology offers a safe and minimally invasive approach for obstructive sleep apnea (OSA). This technique significantly reduces apnea-hypopnea index (AHI) and postoperative pain.
Area of Science:
- Otolaryngology
- Sleep Medicine
- Surgical Innovation
Background:
- Obstructive sleep apnea (OSA) is often caused by velo-pharyngeal obstruction.
- Barbed reposition pharyngoplasty (BRP) is an emerging surgical technique for OSA management.
- Traditional BRP involves tonsillectomy and careful dissection, with risks of muscle fiber rupture.
Purpose of the Study:
- To describe the coblator-assisted Barbed Reposition Pharyngoplasty (CO-BRP) technique.
- To evaluate the safety and efficacy of coblator technology in BRP for OSA patients.
Main Methods:
- An operative technique study involving 100 OSA patients.
- Utilized coblator technology for tonsillectomy and velo-pharyngeal dissection.
- Performed palate muscle repositioning with barbed sutures.
Main Results:
- The CO-BRP technique was fast, safe, and minimally invasive.
- Patients reported low postoperative pain (mean 3.63 ± 0.7).
- Significant reduction in mean Apnea-Hypopnea Index (AHI) from 35.63 ± 10.57 to 17.06 ± 5.92 (P < .005).
Conclusions:
- Coblator-assisted BRP is an effective and well-tolerated surgical option for OSA.
- The technique offers advantages in reduced pain and improved AHI.
- Further research may explore long-term outcomes of CO-BRP.
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