(1313) Long-Term Outcomes for Sleep Surgeries: A Systematic Review
Monday, September 30, 2024
12:00 PM – 1:00 PM EDT
Disclosure(s):
Nolan Neil Jones, MD: No relevant relationships to disclose.
Macario Camacho, MD: No relevant relationships to disclose.
Introduction: To systematically review the international literature to evaluate the intermediate-term (2 to < 4 years), long-term (4 to < 8 years), and very long-term (≥ 8 years) for sleep surgeries as treatment for obstructive sleep apnea (OSA).
Methods: Two authors systematically reviewed the international literature available on PubMed/MEDLINE, The Cochrane Library, Cumulative Index to Nursing and Allied Health, Google Scholar, and Scopus through January 28th, 2024.
Results: A total of 1,371 studies were screened, and 42 articles met inclusion/exclusion criteria. Sleep surgeries include tonsillectomy, hypoglossal nerve stimulation device implantation, uvulopalatopharyngoplasty, laser-assisted uvuloplasty, tongue surgery, skeletal surgery to include maxillomandibular advancement and genioglossus advancement. Outcomes for each sleep surgery subtype are presented.
Conclusions: The international literature shows that patients with OSA who were treated with sleep surgery generally had improved AHI, lowest oxygen saturation, and sleepiness in the short and intermediate term. However, in the long and very long-term, there was a tendency for relapse.
