Preprint Brief Report Version 1 Preserved in Portico This version is not peer-reviewed

Does the Number of Loops Affect the Results of Barbed Pharyngoplasties? A Retrospective Comparison in Two Centers

Version 1 : Received: 6 May 2023 / Approved: 8 May 2023 / Online: 8 May 2023 (08:32:28 CEST)

How to cite: Carrasco-Llatas, M.; Martínez-Ruiz de Apodaca, P.; González-Turienzo, E.; Martínez-Moreno, M.; Domínguez-Celis, F.; Cammaroto, G.; Vicini, C. Does the Number of Loops Affect the Results of Barbed Pharyngoplasties? A Retrospective Comparison in Two Centers. Preprints 2023, 2023050469. https://doi.org/10.20944/preprints202305.0469.v1 Carrasco-Llatas, M.; Martínez-Ruiz de Apodaca, P.; González-Turienzo, E.; Martínez-Moreno, M.; Domínguez-Celis, F.; Cammaroto, G.; Vicini, C. Does the Number of Loops Affect the Results of Barbed Pharyngoplasties? A Retrospective Comparison in Two Centers. Preprints 2023, 2023050469. https://doi.org/10.20944/preprints202305.0469.v1

Abstract

Background: The use of barbed sutures for pharyngoplasty techniques is a new trend in sleep apnea surgery, but little is known about its short-term results depending on the different techniques. The objective of this study was to compare the surgical results in two different centers using barbed sutures in which the main difference was the loops performed in the soft palate. Methods: This is a retrospective study of patients with obstructive sleep apnea (OSA) operated in two centers. A statistical analysis comparing the ENT department of the Ospedale Morgagni-Pierantoni from Forlí with the ENT department of Dr. Peset University Hospital was performed. Results: The final sample size was 138 patients (70 from Forlí and 68 from Valencia). In both series, a significant improvement was observed in OSA patients with significant reductions in respiratory events not related to weight reduction. The mean delta Apnea-Hypopnea index was 13.36 (SD 21.3) in Forlí and 22.8 (SD 22.05) in Valencia (p<0.05). Forlí’s series had a higher proportion of multilevel surgeries than Valencia's and a lower proportion of tonsillar hypertrophy. Conclusion: The number of loops performed in the soft palate may improve the surgical results, nevertheless, this must be confirmed in prospective studies.

Keywords

pharyngoplasty; barbed sutures; surgery; obstructive sleep apnea

Subject

Medicine and Pharmacology, Otolaryngology

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