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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2007 March;57(1):21-3
Use of intraoperative videoendoscopy during anterior-inferior hyoid suspension surgery
Gallina S., Gargano R., Restivo G., Speciale R.
Department of Othorinolaringology University of Palermo, Palermo, Italy
Aim. The aim of our work was to evaluate changes in upper airway anatomy with the help of videoendoscopy during surgery in patients with obstructive sleep apnea syndrome (OSAS).
Methods. In our Department 8 OSAS patients (6 men and 2 female) were assessed with anamnesis, night cardio-respiratory monitoring, cephalometry and preoperative videoendoscopy. We measured oxygen saturation, the apnea-hypopnea index (AHI) and the oxygen-desaturation index (ODI). All patients have been subjected to hyoid suspension whit decongestion of the inferior turbinates through radiofrequency and palatopharyngoplastic.
Results. The intraoperative endoscopy has underlined a net increase of the anterior-posterior space at the oropharyngeal level. After 3 months the patients have been subjected to a clinical and instrumental revaluation with exellent results, moreover they have referred the total disappearance of snoring.
Conclusion. The use of hypopharyngeal videoendoscopy with optic fibres has appeared particularly useful during hyoid suspension because it allows, in real time, to observe the change in upper airway diameters.