Therapy and Tongue Base Surgery


Variable

Mean ± SD

Age (year)

49.9 ± 9.7

BMI (kg/m2)

27.3 ± 2.8

AHI (/h)

36.7 ± 14.4

AHI supine (/h)

51.2 ± 24.8

% AHI supine

37.4 ± 24.7

Ratio male to female

9:1



No significant differences in AHI, supine AHI, non-supine AHI, percentage of supine sleep position, total sleep time, arousal index, and awakenings were found between the different surgical groups when divided into solely tongue base surgery (HTP either with or without concurrent RFTB) and combined base of tongue and palate surgery (with either UPPP or ZPP) (Table 2).


Table 2
Mean values of AHI and AHI in different positions, before and after surgery for different groups of patients







































































































































































































































































































































 
Mean (before)
Mean (after)
P-value (within)
Mean (before)
Mean (after)
P-value (within)
P-value (between)

AHI successfula

Yes (n = 49)
No (n = 81)
  

AHI
35.8
9.5
<0.001

37.2
34.5
0.099
<0.001

AHI supine
49.1
18.9
<0.001

52.5
51.6
0.749
<0.001

AHI non-supine
23.1
5.1
<0.001

27.7
23.9
0.052
<0.001

AHI prone
4.9
3.5
0.647
15.0
8.1
0.033

0.234

AHI left
18.7
4.9
<0.001

26.8
20.3
0.004

0.077

AHI right
15.9
4.8
<0.001

24.2
19.9
0.137
0.061

% supine sleep position
42.8
36.9
0.126
34.2
37.9
0.124
0.024

AI successfulb

Yes (n = 54)
No (n = 76)
  

AI
20.0
2.7
<0.001

21.0
21.9
0.376
<0.001

AHI
34.4
13.1
<0.001

38.3
33.9
0.026

<0.001

AHI supine
51.8
24.1
<0.001

51.5
50.5
0.792
<0.001

AHI non-supine
22.7
8.7
<0.001

28.2
22.8
0.011

0.003

AHI prone
10.4
3.4
0.154
11.9
8.5
0.161
0.922

AHI left
21.9
8.3
<0.001

25.4
19.1
0.006

0.029

AHI right
18.5
7.5
0.001

23.3
19.2
0.098
0.141

% supine sleep position
36.8
37.7
0.679
38.4
37.7
0.886
0.720

AHI or AI successful
Yes (n = 65)
No (n = 65)
  

AHI
34.8
13.1
<0.001

38.5
37.1
0.501
<0.001

AHI supine
49.8
23.8
<0.001

52.7
54.8
0.498
<0.001

AHI non-supine
23.6
8.4
<0.001

28.3
25.2
0.152
<0.001

AHI prone
9.4
3.5
0.115
12.9
9.2
0.197
0.808

AHI left
20.8
8.2
<0.001

26.7
20.9
0.023

0.027

AHI right
18.0
6.9
<0.001

24.2
21.4
0.258
0.071

% supine sleep position
38.2
37.2
0.838
36.7
37.9
0.575
0.565

Positional OSAc

Yes (n = 70)
No (n = 60)
  

AHI
32.7
23.7
<0.001

41.3
26.6
<0.001

0.044

AHI supine
57.9
42.2
<0.001

43.5
35.6
0.132
0.107

AHI non-supine
14.9
13.3
0.106
38.8
20.8
<0.001

<0.001

AHI prone
4.4
6.3
0.793
19.1
6.4
0.002

0.039

AHI left
16.0
11.6
0.159
32.8
17.9
<0.001

<0.001

AHI right
12.8
13.0
0.501
30.8
15.6
<0.001

0.001

% supine sleep position
43.9
43.9
0.654
29.9
30.1
0.853
0.642

Treatment
HTP ± RFTB (n = 36)
HTP + UPPP/ZPP ± RFTB (n = 94)
  

AHI
26.7
16.4
<0.001

38.4
26.5
<0.001

0.744

AHI supine
41.4
30.4
0.059
52.9
40.7
<0.001

0.837

AHI non-supine

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Oct 17, 2016 | Posted by in PSYCHIATRY | Comments Off on Therapy and Tongue Base Surgery

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