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Long-Term Functional Results of Barbed Reposition Pharyngoplasty Vs. Hyoid Suspension for Obstructive Sleep Apnea Hypopnea Syndrome

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Barbed Pharyngoplasty and Sleep Disordered Breathing

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Abstract

Various techniques in palatal surgery have been developed over the years. However, not all oropharyngeal procedures achieved the desired success until the advent of use of barbed sutures. Hypopharyngeal surgery was developed with the intention of optimizing palatal surgery in the treatment of OSA. Hyoid suspension represents one of the hypopharyngeal procedure mainly used in the past. To date it has been abandoned as a stand-alone procedure, but it is currently indicated in association with specific palatal surgery.

In literature, results of combined palatal and hypopharyngeal surgery (uvulo-palato-pharyngoplasty + Hyoid suspension) are poor compared to isolated barbed palatal surgery.

Anyway, barbed reposition pharyngoplasty technique seems to be more effective compared to uvulo-palato-pharyngoplasty (UPPP) for patients with OSAS. The association with hyoid suspension showed greater benefits in UPPP compared to barbed reposition pharyngoplasty (BRP) as a stand-alone procedure. This could be mainly related to the lateral traction of BRP that could alone resolve the soft palate collapse.

So BRP can be considered as a safe, mini-invasive, low-rate-of-complication technique, which can replace more invasive ones such as hyoid suspension.

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Authors and Affiliations

  1. Department of “Organi di Senso”, “Sapienza” University of Rome, Rome, Italy

    A. Minni, I. C. Visconti, A. Colizza, L. Cavalcanti, A. Gilardi & M. de Vincentiis

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  1. A. Minni
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  2. I. C. Visconti
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  3. A. Colizza
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  4. L. Cavalcanti
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  5. A. Gilardi
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  6. M. de Vincentiis
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Correspondence to A. Minni .

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Editors and Affiliations

  1. Department of Otolaryngology and Head-Neck Surgery, Morgagni-Pierantoni Hospital, Forlì, Italy

    Claudio Vicini

  2. Department of Otolaryngology and Head-Neck Surgery, Humanitas University, Milan, Italy

    Fabrizio Salamanca

  3. Department of ‘Organi di Senso’, University “Sapienza”, Rome, Italy

    Giannicola Iannella

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Minni, A., Visconti, I.C., Colizza, A., Cavalcanti, L., Gilardi, A., de Vincentiis, M. (2022). Long-Term Functional Results of Barbed Reposition Pharyngoplasty Vs. Hyoid Suspension for Obstructive Sleep Apnea Hypopnea Syndrome. In: Vicini, C., Salamanca, F., Iannella, G. (eds) Barbed Pharyngoplasty and Sleep Disordered Breathing. Springer, Cham. https://doi.org/10.1007/978-3-030-96169-5_22

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  • DOI: https://doi.org/10.1007/978-3-030-96169-5_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-96168-8

  • Online ISBN: 978-3-030-96169-5

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