Combined Surgical Approach for Obstructive Sleep Apnea Patient
Obstructive sleep apnea (OSA) is a disease that is associated with high morbidity and mortality and can significantly impact the quality of life in a patient. OSA is strongly associated with obesity, and literature showed that weight loss will lead to improvement in OSA. The gold standard treatment...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2018/4798024 |
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| _version_ | 1841524486451494912 |
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| author | Mahmoud A. K. Ebrahim Osamah AlSanea Abdulmohsen E. Al-Terki |
| author_facet | Mahmoud A. K. Ebrahim Osamah AlSanea Abdulmohsen E. Al-Terki |
| author_sort | Mahmoud A. K. Ebrahim |
| collection | DOAJ |
| description | Obstructive sleep apnea (OSA) is a disease that is associated with high morbidity and mortality and can significantly impact the quality of life in a patient. OSA is strongly associated with obesity, and literature showed that weight loss will lead to improvement in OSA. The gold standard treatment for OSA is continuous positive airway pressure (CPAP). However, other methods of treatment are available. One of these methods is multilevel sleep surgery (MLS). Literature showed that bariatric surgery can also improve OSA. A common question is which surgical procedure of these two should be performed first. We present a 5-year follow-up of a patient who underwent simultaneously bariatric surgery and MLS. His apnea-hypopnea index (AHI) decreased from 53 episodes per hour to 5.2 per hour within the first 18 months, which was measured via a level 3 polysomnography. Five years after the surgery, a repeat level 3 polysomnography showed an AHI of 6.8 episodes per hour, and the patient is asymptomatic. The patient maintained his weight and did not use CPAP after the combined surgery during the five-year period. |
| format | Article |
| id | doaj-art-c2863bc8706f40f08af88c06ed77bfb3 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-c2863bc8706f40f08af88c06ed77bfb32025-02-03T05:53:11ZengWileyCase Reports in Otolaryngology2090-67652090-67732018-01-01201810.1155/2018/47980244798024Combined Surgical Approach for Obstructive Sleep Apnea PatientMahmoud A. K. Ebrahim0Osamah AlSanea1Abdulmohsen E. Al-Terki2Al-Sabah Hospital, Ministry of Health, Kuwait City, KuwaitDepartment of Surgery Health, Medical Clinic Dammam, Saudi ArabiaENT Clinic, Dasman Diabetes Institute, Kuwait City, KuwaitObstructive sleep apnea (OSA) is a disease that is associated with high morbidity and mortality and can significantly impact the quality of life in a patient. OSA is strongly associated with obesity, and literature showed that weight loss will lead to improvement in OSA. The gold standard treatment for OSA is continuous positive airway pressure (CPAP). However, other methods of treatment are available. One of these methods is multilevel sleep surgery (MLS). Literature showed that bariatric surgery can also improve OSA. A common question is which surgical procedure of these two should be performed first. We present a 5-year follow-up of a patient who underwent simultaneously bariatric surgery and MLS. His apnea-hypopnea index (AHI) decreased from 53 episodes per hour to 5.2 per hour within the first 18 months, which was measured via a level 3 polysomnography. Five years after the surgery, a repeat level 3 polysomnography showed an AHI of 6.8 episodes per hour, and the patient is asymptomatic. The patient maintained his weight and did not use CPAP after the combined surgery during the five-year period.http://dx.doi.org/10.1155/2018/4798024 |
| spellingShingle | Mahmoud A. K. Ebrahim Osamah AlSanea Abdulmohsen E. Al-Terki Combined Surgical Approach for Obstructive Sleep Apnea Patient Case Reports in Otolaryngology |
| title | Combined Surgical Approach for Obstructive Sleep Apnea Patient |
| title_full | Combined Surgical Approach for Obstructive Sleep Apnea Patient |
| title_fullStr | Combined Surgical Approach for Obstructive Sleep Apnea Patient |
| title_full_unstemmed | Combined Surgical Approach for Obstructive Sleep Apnea Patient |
| title_short | Combined Surgical Approach for Obstructive Sleep Apnea Patient |
| title_sort | combined surgical approach for obstructive sleep apnea patient |
| url | http://dx.doi.org/10.1155/2018/4798024 |
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