New clinical staging for pharyngeal surgery in obstructive sleep apnea patients,

Detalhes bibliográficos
Autor(a) principal: Vidigal,Tatiana Aguiar
Data de Publicação: 2014
Outros Autores: Haddad,Fernanda Louise Martinho, Cabral,Rafael Ferreira Pacheco, Oliveira,Maria Claudia Soares, Cavalcante,Ricardo Rodrigues, Bittencourt,Lia Rita Azeredo, Tufik,Sergio, Gregório,Luis Carlos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Otorhinolaryngology
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942014000600490
Resumo: Introduction: The success of pharyngeal surgery in the treatment of obstructive sleep apnea syndrome depends on the appropriate selection of patients. Objective: To propose a new staging for indication of pharyngeal surgery in obstructive sleep apnea syndrome. Methods: A total of 54 patients undergoing extended tonsillectomy were retrospectively included, divided into six stages. Stage I: patients with palatine tonsils grade 3/4 and modified Mallampati index 1/2; stage II: palatine tonsils 3/4 and modified Mallampati index 3/4; stage III: palatine tonsils 1/2 and modified Mallampati index 1/2; stage IV: palatine tonsils 1/2 and modified Mallampati index 3/4; stage V: body mass index ≥40 kg/m2 with palatine tonsils 3/4 and modified Mallampati index 1, 2, 3, or 4. Stage VI: body mass index ≥40 with palatine tonsils 1/2 and modified Mallampati index 1, 2, 3, or 4. Results: The surgical success rates were 88.9%, 75.0%, 35.7%, 38.5%, and 100.0% in stages I–V. Conclusion: The presence of hypertrophic palatine tonsils was the anatomical factor in common in the most successful stages (I, II, and V), regardless of body mass index. Although the modified Mallampati index classes 3 and 4 reduced the success rate of surgery in patients with hypertrophic tonsils (stage II), the presence of modified Mallampati index classes 1 and 2 did not favor surgical success in patients with normal tonsils (stage III).
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spelling New clinical staging for pharyngeal surgery in obstructive sleep apnea patients,Sleep apnea, obstructiveTonsillectomyClassification Introduction: The success of pharyngeal surgery in the treatment of obstructive sleep apnea syndrome depends on the appropriate selection of patients. Objective: To propose a new staging for indication of pharyngeal surgery in obstructive sleep apnea syndrome. Methods: A total of 54 patients undergoing extended tonsillectomy were retrospectively included, divided into six stages. Stage I: patients with palatine tonsils grade 3/4 and modified Mallampati index 1/2; stage II: palatine tonsils 3/4 and modified Mallampati index 3/4; stage III: palatine tonsils 1/2 and modified Mallampati index 1/2; stage IV: palatine tonsils 1/2 and modified Mallampati index 3/4; stage V: body mass index ≥40 kg/m2 with palatine tonsils 3/4 and modified Mallampati index 1, 2, 3, or 4. Stage VI: body mass index ≥40 with palatine tonsils 1/2 and modified Mallampati index 1, 2, 3, or 4. Results: The surgical success rates were 88.9%, 75.0%, 35.7%, 38.5%, and 100.0% in stages I–V. Conclusion: The presence of hypertrophic palatine tonsils was the anatomical factor in common in the most successful stages (I, II, and V), regardless of body mass index. Although the modified Mallampati index classes 3 and 4 reduced the success rate of surgery in patients with hypertrophic tonsils (stage II), the presence of modified Mallampati index classes 1 and 2 did not favor surgical success in patients with normal tonsils (stage III). Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.2014-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942014000600490Brazilian Journal of Otorhinolaryngology v.80 n.6 2014reponame:Brazilian Journal of Otorhinolaryngologyinstname:Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)instacron:ABORL-CCF10.1016/j.bjorl.2014.09.003info:eu-repo/semantics/openAccessVidigal,Tatiana AguiarHaddad,Fernanda Louise MartinhoCabral,Rafael Ferreira PachecoOliveira,Maria Claudia SoaresCavalcante,Ricardo RodriguesBittencourt,Lia Rita AzeredoTufik,SergioGregório,Luis Carloseng2015-08-25T00:00:00Zoai:scielo:S1808-86942014000600490Revistahttp://www.bjorl.org.br/https://old.scielo.br/oai/scielo-oai.phprevista@aborlccf.org.br||revista@aborlccf.org.br1808-86861808-8686opendoar:2015-08-25T00:00Brazilian Journal of Otorhinolaryngology - Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)false
dc.title.none.fl_str_mv New clinical staging for pharyngeal surgery in obstructive sleep apnea patients,
title New clinical staging for pharyngeal surgery in obstructive sleep apnea patients,
spellingShingle New clinical staging for pharyngeal surgery in obstructive sleep apnea patients,
Vidigal,Tatiana Aguiar
Sleep apnea, obstructive
Tonsillectomy
Classification
title_short New clinical staging for pharyngeal surgery in obstructive sleep apnea patients,
title_full New clinical staging for pharyngeal surgery in obstructive sleep apnea patients,
title_fullStr New clinical staging for pharyngeal surgery in obstructive sleep apnea patients,
title_full_unstemmed New clinical staging for pharyngeal surgery in obstructive sleep apnea patients,
title_sort New clinical staging for pharyngeal surgery in obstructive sleep apnea patients,
author Vidigal,Tatiana Aguiar
author_facet Vidigal,Tatiana Aguiar
Haddad,Fernanda Louise Martinho
Cabral,Rafael Ferreira Pacheco
Oliveira,Maria Claudia Soares
Cavalcante,Ricardo Rodrigues
Bittencourt,Lia Rita Azeredo
Tufik,Sergio
Gregório,Luis Carlos
author_role author
author2 Haddad,Fernanda Louise Martinho
Cabral,Rafael Ferreira Pacheco
Oliveira,Maria Claudia Soares
Cavalcante,Ricardo Rodrigues
Bittencourt,Lia Rita Azeredo
Tufik,Sergio
Gregório,Luis Carlos
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Vidigal,Tatiana Aguiar
Haddad,Fernanda Louise Martinho
Cabral,Rafael Ferreira Pacheco
Oliveira,Maria Claudia Soares
Cavalcante,Ricardo Rodrigues
Bittencourt,Lia Rita Azeredo
Tufik,Sergio
Gregório,Luis Carlos
dc.subject.por.fl_str_mv Sleep apnea, obstructive
Tonsillectomy
Classification
topic Sleep apnea, obstructive
Tonsillectomy
Classification
description Introduction: The success of pharyngeal surgery in the treatment of obstructive sleep apnea syndrome depends on the appropriate selection of patients. Objective: To propose a new staging for indication of pharyngeal surgery in obstructive sleep apnea syndrome. Methods: A total of 54 patients undergoing extended tonsillectomy were retrospectively included, divided into six stages. Stage I: patients with palatine tonsils grade 3/4 and modified Mallampati index 1/2; stage II: palatine tonsils 3/4 and modified Mallampati index 3/4; stage III: palatine tonsils 1/2 and modified Mallampati index 1/2; stage IV: palatine tonsils 1/2 and modified Mallampati index 3/4; stage V: body mass index ≥40 kg/m2 with palatine tonsils 3/4 and modified Mallampati index 1, 2, 3, or 4. Stage VI: body mass index ≥40 with palatine tonsils 1/2 and modified Mallampati index 1, 2, 3, or 4. Results: The surgical success rates were 88.9%, 75.0%, 35.7%, 38.5%, and 100.0% in stages I–V. Conclusion: The presence of hypertrophic palatine tonsils was the anatomical factor in common in the most successful stages (I, II, and V), regardless of body mass index. Although the modified Mallampati index classes 3 and 4 reduced the success rate of surgery in patients with hypertrophic tonsils (stage II), the presence of modified Mallampati index classes 1 and 2 did not favor surgical success in patients with normal tonsils (stage III).
publishDate 2014
dc.date.none.fl_str_mv 2014-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942014000600490
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942014000600490
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.bjorl.2014.09.003
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.
publisher.none.fl_str_mv Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.
dc.source.none.fl_str_mv Brazilian Journal of Otorhinolaryngology v.80 n.6 2014
reponame:Brazilian Journal of Otorhinolaryngology
instname:Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)
instacron:ABORL-CCF
instname_str Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)
instacron_str ABORL-CCF
institution ABORL-CCF
reponame_str Brazilian Journal of Otorhinolaryngology
collection Brazilian Journal of Otorhinolaryngology
repository.name.fl_str_mv Brazilian Journal of Otorhinolaryngology - Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)
repository.mail.fl_str_mv revista@aborlccf.org.br||revista@aborlccf.org.br
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