Acquired Nasopharyngeal Stenosis Correction Using a Modified Palatal Flaps Technique in Obstructive Sleep Apnea (OSA) Patients

Author:

Cammaroto GiovanniORCID,Stringa Luigi Marco,Cerritelli LucaORCID,Bianchi Giulia,Meccariello Giuseppe,Gobbi Riccardo,Iannella GiannicolaORCID,Magliulo Giuseppe,Zhang HenryORCID,Baghat Ahmed YassinORCID,Galletti Francesco,Pelucchi Stefano,Stomeo Francesco,Younes Muawya Bani,AlAjmi Mohamed,De Vito AndreaORCID,Vicini Claudio

Abstract

Background: Acquired nasopharyngeal stenosis is a rare and heterogeneous pathological condition that has different causes, generally resulting as a complication of a pharyngeal surgery, especially in patients affected by obstructive sleep apnea (OSA). Different approaches have been proposed for the treatment of nasopharyngeal stenosis but a unique and standardized management has not yet been presented. The aim of our paper is to evaluate the efficacy of our surgical technique, describing its steps and results with the aim to consider it as a possible solution for the treatment of this condition. Methods: This is a retrospective cohort study. Eight patients (mean age 27.25 years old (yo), range 8–67 yo; Male/Female ratio 4/4; mean body mass index (BMI) 26.1) affected by OSA (mean apnea hypopnea index (AHI) before OSA surgery was 22.1) and acquired nasopharyngeal stenosis as a consequence of different pharyngeal surgeries were treated with our modified approach in the Department of Otolaryngology, Morgagni Pierantoni Hospital, Forlì, Italy. Resolution of stenosis and complication rate were the main outcome measures. Results: Complete resolution of the stenosis was achieved in all cases and no complications were recorded at three weeks, six months, and 2 years follow-up. Conclusions: Our technique appears to be a promising method for the management of nasopharyngeal stenosis in OSA patients. However, further studies comparing different techniques and reporting on larger series and longer follow up time are needed to prove the efficacy of the proposed technique.

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

Cited by 7 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Il trattamento delle recidive chirurgiche dei disturbi respiratori del sonno;Acta Otorhinolaryngologica Italica;2023-04

2. Case Report: Eustachian Tube Dysfunction after Penetrating Facial Trauma;Military Medicine;2023-01-31

3. Obstructive Sleep Apnea and Role of the Diaphragm;Cureus;2022-09-10

4. Obstructive Sleep Apnea Syndrome: From Symptoms to Treatment;International Journal of Environmental Research and Public Health;2022-02-21

5. Successful Management of Naso-Oropharyngeal Stenosis Using Nasal Pedicled Flaps: Report of Two Cases;Korean Journal of Otorhinolaryngology-Head and Neck Surgery;2021-12-21

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3