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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
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[Surgical treatment of obstructive sleep apnea and snoring]

T Nishimura1

  • 1Fujita Health University Second Hospital.

Nihon Kyobu Shikkan Gakkai Zasshi
|December 1, 1995
PubMed

Insights

Surgical interventions for snoring and sleep apnea syndrome significantly improved outcomes in children and adults. Adenotonsillectomy in children and various procedures in adults demonstrated high rates of marked improvement in the apnea hypopnea index (AHI).

Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Surgical Oncology

Background:

  • Snoring and sleep apnea syndrome affect numerous patients, impacting quality of life.
  • Surgical options are considered for patients with persistent symptoms.
  • Evaluating surgical outcomes is crucial for treatment optimization.

Purpose of the Study:

  • To assess the effectiveness of surgical treatments for snoring and sleep apnea syndrome in pediatric and adult populations.
  • To analyze the reduction in apnea hypopnea index (AHI) post-surgery.

Main Methods:

  • Retrospective analysis of 149 patients (55 children, 94 adults) undergoing surgery for snoring and sleep apnea syndrome.
  • Children underwent adeno-tonsillectomy; adults had uvulo-palato-pharyngoplasty, laser grossectomy, or nasal surgery.
  • Apnea hypopnea index (AHI) was measured pre- and post-operatively to define improvement levels.

Main Results:

  • In children with AHI > 5, 86% showed marked improvement post-adeno-tonsillectomy.
  • In adults with AHI > 10, 48% experienced marked improvement after surgical intervention.
  • Overall, surgical treatments led to significant AHI reductions across both age groups.

Conclusions:

  • Surgical treatment, including adeno-tonsillectomy in children and various procedures in adults, is effective in managing snoring and sleep apnea syndrome.
  • High rates of marked improvement in AHI were observed, particularly in pediatric patients.
  • Surgical interventions offer a viable therapeutic option for patients suffering from sleep-disordered breathing.

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