Indicação cirúrgica otorrinolaringológica em um ambulatório para pacientes com síndrome da apnéia e hipopnéia obstrutiva do sono

• Autor(a) principal: Martinho, Fernanda Louise [UNIFESP]
• Data de Publicação: 2004
• Outros Autores: Zonato, Adriane Iurck, Bittencourt, Lia Rita Azeredo [UNIFESP], Gregório, Carla Lobato, Gregório, Luiz Carlos [UNIFESP], Tufik, Sergio [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0034-72992004000100008; http://repositorio.unifesp.br/handle/11600/1965
• topic: apnea; surgery; obstructive sleep apnea-hipopnea syndrome; apnéia; cirurgia; síndrome da apnéia e hipopnéia obstrutiva do sono

AIM: Otolaryngology surgical procedure is an option for obstructive sleep apnea-hypopnea syndrome (OSAHS) treatment. The objective of this study is to show which procedures can be done well as their indications. STUDY DESIGN: Clinical retrospective. METHOD: 223 patients with OSAHS were studied in Otolaryngology Department of UNIFESP. Every patient had a previous polissonography, and they were analyzed and treatment options were proposed. The treatment options were divided in no surgical (CPAP, dental appliance and general measures) and surgical procedures (pharynx surgery, rhinosurgery and maxillofacial surgery). RESULT: 100 patients (44,8%) had surgery indication, and 168 procedures were proposed. The majority uvulopalatopharyngoplasty and radiofrequency of the soft palate were indicated in mild and moderate OSAHS cases and maxillomandibular surgery were indicated in severe cases. Tonsillectomy and rhinosurgery were indicated independently of OSAHS severity. CONCLUSION: The otolaryngological surgery is an option in OSAHS treatment, and your indication depends on OSAHS severity. The surgical procedure can be done whit curative intetion or to avoid CPAP use.