The Experts below are selected from a list of 4929 Experts worldwide ranked by ideXlab platform
Hosheng Lin - One of the best experts on this subject based on the ideXlab platform.
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lateral oropharyngeal wall and supraglottic airway collapse associated with failure in Sleep Apnea Surgery
Laryngoscope, 2012Co-Authors: Danny Soares, Hadeer Sinawe, Adam J Folbe, George H Yoo, Safwan Badr, James A Rowley, Hosheng LinAbstract:Objectives/Hypothesis: To identify patterns of airway collapse during preoperative drug-induced Sleep endoscopy (DISE) as predictors of surgical failure following multilevel airway Surgery for patients with obstructive Sleep Apnea-hypopnea syndrome (OSAHS). Study Design: Retrospective clinical chart review. Methods: Medical records of patients who underwent site-specific surgical modification of the upper airway for treatment of OSHAS were reviewed. Patients were included in this study if they had a preoperative airway evaluation with DISE as well as preoperative and postoperative polysomnography. Airway obstruction on DISE was described according to airway level, severity, and axis of collapse. Severe airway obstruction was defined as >75% collapse on endoscopy. Surgical success was described as a postoperative Apnea-hypopnea index (AHI) of 50% decrease in preoperative AHI. Results: A total of 34 patients were included in this study. The overall surgical success rate was 56%. Surgical success (n = 19) and surgical failure (n = 15) patients were similar with regard to age, gender, body mass index, preoperative AHI, Friedman stage, adenotonsillar grades, and surgical management. DISE findings in the surgical failure group demonstrated greater incidence of severe lateral oropharyngeal wall collapse (73.3% vs. 36.8%, P = .037) and severe supraglottic collapse (93.3% vs. 63.2%, P = .046) as compared to the surgical success group. Conclusions: The presence of severe lateral pharyngeal wall and/or supraglottic collapse on preoperative DISE is associated with OSAHS surgical failure. The identification of this failure-prone collapse pattern may be useful in preoperative patient counseling as well as in directing an individualized and customized approach to the treatment of OSHAS.
Danny Soares - One of the best experts on this subject based on the ideXlab platform.
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lateral oropharyngeal wall and supraglottic airway collapse associated with failure in Sleep Apnea Surgery
Laryngoscope, 2012Co-Authors: Danny Soares, Hadeer Sinawe, Adam J Folbe, George H Yoo, Safwan Badr, James A Rowley, Hosheng LinAbstract:Objectives/Hypothesis: To identify patterns of airway collapse during preoperative drug-induced Sleep endoscopy (DISE) as predictors of surgical failure following multilevel airway Surgery for patients with obstructive Sleep Apnea-hypopnea syndrome (OSAHS). Study Design: Retrospective clinical chart review. Methods: Medical records of patients who underwent site-specific surgical modification of the upper airway for treatment of OSHAS were reviewed. Patients were included in this study if they had a preoperative airway evaluation with DISE as well as preoperative and postoperative polysomnography. Airway obstruction on DISE was described according to airway level, severity, and axis of collapse. Severe airway obstruction was defined as >75% collapse on endoscopy. Surgical success was described as a postoperative Apnea-hypopnea index (AHI) of 50% decrease in preoperative AHI. Results: A total of 34 patients were included in this study. The overall surgical success rate was 56%. Surgical success (n = 19) and surgical failure (n = 15) patients were similar with regard to age, gender, body mass index, preoperative AHI, Friedman stage, adenotonsillar grades, and surgical management. DISE findings in the surgical failure group demonstrated greater incidence of severe lateral oropharyngeal wall collapse (73.3% vs. 36.8%, P = .037) and severe supraglottic collapse (93.3% vs. 63.2%, P = .046) as compared to the surgical success group. Conclusions: The presence of severe lateral pharyngeal wall and/or supraglottic collapse on preoperative DISE is associated with OSAHS surgical failure. The identification of this failure-prone collapse pattern may be useful in preoperative patient counseling as well as in directing an individualized and customized approach to the treatment of OSHAS.
Gary L Montgomery - One of the best experts on this subject based on the ideXlab platform.
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Sleep Apnea Surgery versus tracheostomy in children an exploratory study of the comparative effects on quality of life
Plastic and Reconstructive Surgery, 1998Co-Authors: Steven R Cohen, Katherine Suzman, Catherine Simms, Fernando D Burstein, John E Riski, Gary L MontgomeryAbstract:Abstract Successful Surgery for medically refractory obstructive Sleep Apnea in children has prevented tracheostomy in many cases. However, Sleep Apnea Surgery requires postoperative ventilatory support and intensive care, and the magnitude of the Surgery may be substantial. Tracheostomy, in contrast, is a simple procedure that is considered the standard of care for relief of upper airway obstruction. To determine their relative benefits, the posttreatment quality of life in children with airway obstruction who underwent either Sleep Apnea Surgery or tracheostomy was evaluated and compared in this exploratory study. A 76-item questionnaire was developed to assess the quality of life in this population, including an investigation of physical symptoms, psychosocial function, and costs. Forty-four parent questionnaires were returned; 16 of these parents had children who had had clinically successful Sleep Apnea Surgery and 6 had children who had had tracheostomies placed for obstructive Sleep Apnea. Results revealed that the parents of children in the tracheostomy group ranked 95 percent of all items on the questionnaire as worse than the parents of children in the Surgery group. These rankings included statistically significant group differences (p < 0.05) on number of hospital, emergency room, and physician visits, and hours per day spent on their child's respiratory care. In addition, parents of the successful Sleep Apnea Surgery group reported significant improvement (p < 0.05) in 100 percent of symptom variables (i.e., choking, snoring, and daytime Sleepiness), 75 percent of parental care variables (i.e., assisting with their child's breathing, suctioning), 67 percent of medical visit items, and 75 percent of the stress and coping variables (i.e., perception of child's distress, worrying about their child's breathing, level of family stress), indicating substantial gains in quality of life. Despite initially higher costs, successful Surgery for obstructive Sleep Apnea was associated with substantial benefits in quality of life, health, and psychosocial outcomes when compared with tracheostomy.
Hadeer Sinawe - One of the best experts on this subject based on the ideXlab platform.
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lateral oropharyngeal wall and supraglottic airway collapse associated with failure in Sleep Apnea Surgery
Laryngoscope, 2012Co-Authors: Danny Soares, Hadeer Sinawe, Adam J Folbe, George H Yoo, Safwan Badr, James A Rowley, Hosheng LinAbstract:Objectives/Hypothesis: To identify patterns of airway collapse during preoperative drug-induced Sleep endoscopy (DISE) as predictors of surgical failure following multilevel airway Surgery for patients with obstructive Sleep Apnea-hypopnea syndrome (OSAHS). Study Design: Retrospective clinical chart review. Methods: Medical records of patients who underwent site-specific surgical modification of the upper airway for treatment of OSHAS were reviewed. Patients were included in this study if they had a preoperative airway evaluation with DISE as well as preoperative and postoperative polysomnography. Airway obstruction on DISE was described according to airway level, severity, and axis of collapse. Severe airway obstruction was defined as >75% collapse on endoscopy. Surgical success was described as a postoperative Apnea-hypopnea index (AHI) of 50% decrease in preoperative AHI. Results: A total of 34 patients were included in this study. The overall surgical success rate was 56%. Surgical success (n = 19) and surgical failure (n = 15) patients were similar with regard to age, gender, body mass index, preoperative AHI, Friedman stage, adenotonsillar grades, and surgical management. DISE findings in the surgical failure group demonstrated greater incidence of severe lateral oropharyngeal wall collapse (73.3% vs. 36.8%, P = .037) and severe supraglottic collapse (93.3% vs. 63.2%, P = .046) as compared to the surgical success group. Conclusions: The presence of severe lateral pharyngeal wall and/or supraglottic collapse on preoperative DISE is associated with OSAHS surgical failure. The identification of this failure-prone collapse pattern may be useful in preoperative patient counseling as well as in directing an individualized and customized approach to the treatment of OSHAS.
Adam J Folbe - One of the best experts on this subject based on the ideXlab platform.
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lateral oropharyngeal wall and supraglottic airway collapse associated with failure in Sleep Apnea Surgery
Laryngoscope, 2012Co-Authors: Danny Soares, Hadeer Sinawe, Adam J Folbe, George H Yoo, Safwan Badr, James A Rowley, Hosheng LinAbstract:Objectives/Hypothesis: To identify patterns of airway collapse during preoperative drug-induced Sleep endoscopy (DISE) as predictors of surgical failure following multilevel airway Surgery for patients with obstructive Sleep Apnea-hypopnea syndrome (OSAHS). Study Design: Retrospective clinical chart review. Methods: Medical records of patients who underwent site-specific surgical modification of the upper airway for treatment of OSHAS were reviewed. Patients were included in this study if they had a preoperative airway evaluation with DISE as well as preoperative and postoperative polysomnography. Airway obstruction on DISE was described according to airway level, severity, and axis of collapse. Severe airway obstruction was defined as >75% collapse on endoscopy. Surgical success was described as a postoperative Apnea-hypopnea index (AHI) of 50% decrease in preoperative AHI. Results: A total of 34 patients were included in this study. The overall surgical success rate was 56%. Surgical success (n = 19) and surgical failure (n = 15) patients were similar with regard to age, gender, body mass index, preoperative AHI, Friedman stage, adenotonsillar grades, and surgical management. DISE findings in the surgical failure group demonstrated greater incidence of severe lateral oropharyngeal wall collapse (73.3% vs. 36.8%, P = .037) and severe supraglottic collapse (93.3% vs. 63.2%, P = .046) as compared to the surgical success group. Conclusions: The presence of severe lateral pharyngeal wall and/or supraglottic collapse on preoperative DISE is associated with OSAHS surgical failure. The identification of this failure-prone collapse pattern may be useful in preoperative patient counseling as well as in directing an individualized and customized approach to the treatment of OSHAS.