Surgical treatments for snoring
A.-V. Sabbe , J. De Medts and K. Delsupehe
ENT Department, AZ Delta, Roeselare, Belgium; ENT Department, University Hospitals Leuven, Leuven, Belgium
Sleep-disordered breathing, snoring surgery, functional expansion pharyngoplasty, osteotomy, septoplasty, somnoplasty
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Surgical treatments for snoring. Objectives: To compare the results on snoring and sleepiness of different surgical treatments for sleep disordered breathing (SDB) including uvulopalatopharyngoplasty (UPPP), functional expansion pharyngoplasty (FEP), osteotomy, septoplasty with turbinoplasty, and somnoplasty. Methodology: Between May 2011 and December 2015, 329 patients presenting with SDB underwent a dedicated clinical examination, drug-induced sleep endoscopy (DISE), and polysomnography (PSG). Of these, 84 patients underwent surgical treatment. Treatments were evaluated through 4 questionnaires (snoring intensity, snoring severity, Epworth Sleepiness Scale [ESS], and global snoring score) before and 6 weeks and 6 months after treatment. Treatment success was defined as a global snoring visual analog scale score (VAS) ≤ 3 at 6 months. Results: The average age of the surgical group was 43 ± 11 years; the mean body mass index was 26 ± 3 kg/m 2; and 88% were male. The snoring scores decreased significantly for every surgical technique at 6 weeks and 6 months. A higher reduction in the median snoring scores was observed in patients receiving UPPP/FEP and osteotomy compared to somnoplasty and septoplasty. Treatment was successful in 88% of the UPPP/FEP group, 92% of the osteotomy group, 61% of the septoplasty group, and 64% of the somnoplasty group. Conclusions: All surgical treatments effectively and persistently reduced snoring and sleepiness symptom scores. The highest rates of success were observed with osteotomies and UPPP/FEP procedures.
Vol. 13, 2017, 1st trimester

Surgical treatments for snoring