Barbed pharyngoplasty for the treatment of obstructive sleep apnea: the surgical learning curve

被引:0
作者
Leone, Federico [1 ]
De Santi, Silvia [1 ]
Costantino, Andrea [2 ,3 ]
Marciante, Giulia Anna [1 ]
Bianchi, Alessandro [1 ]
Colombo, Giovanni [1 ,2 ]
Salamanca, Fabrizio [1 ,2 ]
机构
[1] Humanitas San Pio X, Unit OtorhinolaryngologyHead & Neck Surg, Via Francesco Nava 31, I-20159 Milan, Italy
[2] Humanitas Univ, Dept Biomed Sci, Via Rita Levi Montalcini 4, I-20090 Milan, Italy
[3] IRCCS Humanitas Res Hosp, Otorhinolaryngol Unit, Via Manzoni 56, I-20089 Milan, Italy
关键词
Obstructive sleep apnea; Snoring; Barbed sutures; Barbed pharyngoplasty; Surgery; SURGERY; STIMULATION;
D O I
10.1007/s11325-022-02579-1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background Barbed snore surgery (BSS) was recently introduced for the management of obstructive sleep apnea (OSA) with optimistic clinical outcomes associated with a low complication rate. The purpose of the present study was to describe the surgical learning curve of the BSS to determine the effect of surgeon experience on surgical procedure time and complication rates. Methods Patients who underwent tonsillectomy with barbed lateral pharyngoplasty were divided in two different groups based on surgeon experience. Operative time, intraoperative blood loss, intra- and post-operative complications, and hospitalization time were compared. Results A total of 144 consecutive patients (F: 27; mean age: 47.5 years, SD 9.7) were included. All procedures were successfully completed in 37.0 min (IQR 29.0-47.0). Senior surgeons completed the procedure in 33.0 min (IQR 27.0-41.0), while junior surgeons needed 52.0 min (IQR 36.5-64.5) (p < .05). No intra-operative complications were observed, and intra-operative blood loss was minimal in both groups. No difference was measured in terms of hospitalization time. Only one post-operative bleeding resolved with conservative treatment was detected in both groups. Junior surgeons showed a positive trend in the reduction of operative time (r= -2.32, 95% CI: - 2.74 to - 1.90; p < .05). Conclusions The findings suggest that BSS may be safely performed by inexperienced surgeons with no increased risk of intra- and post-operative complications. The surgical LC is short and the junior surgeon can reach the ability of senior surgeons after a few number of procedures with a progressive reduction of the operative time.
引用
收藏
页码:1869 / 1874
页数:6
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