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- Title
Severity of Obstructive Sleep Apnea Syndrome and High-Sensitivity C-Reactive Protein Reduced After Relocation Pharyngoplasty.
- Authors
Lee, Li-Ang; Huang, Chung-Guei; Chen, Ning-Hung; Wang, Chun-Li; Fang, Tuan-Jen; Li, Hsueh-Yu
- Abstract
Objectives. To report improvement of obstructive sleep apnea syndrome (OSAS) and changes of high-sensitivity C-reactive protein (hs-CRP) concentrations after relocation pharyngoplasty (RP), a high variant of uvulopalatopharyngoplasty.Study Design. Prospective comparative study.Setting. Tertiary referral center.Subjects and Methods. Thirty consecutive OSAS patients without a preexisting diagnosis of cardiovascular disease who underwent RP were assessed for body mass index (BMI), Epworth Sleepiness Scale (ESS), sleep apnea-hypopnea index (AHI), and serum levels of hs-CRP at baseline and 6 months postoperatively.Results. Of the subjects, the mean values of age, BMI, ESS, AHI, and hs-CRP were 39.5 ± 7.0 years, 27.5 ± 4.5 kg/m2, 10.8 ± 4.2, 46.2 ± 22.9 events/hour, and 2.06 ± 1.78 mg/L, respectively. After 6 months postoperatively, RP reduced the ESS (Δ = −4.3 ± 4.5, P < .001) and AHI (Δ = −28.3 ± 21.1, P < .001) and levels of hs-CRP (Δ = −0.67 ± 1.36, P = .012) significantly, whereas BMI measurements were indifferent (Δ = −0.42 ± 1.28, P = .073). Moreover, the changes of AHI and hs-CRP were particularly remarkable in patients with very severe OSAS (AHI ≥60).Conclusion. Although many OSAS patients remain in the mild-moderate category, equivalent improvements in excessive daytime sleepiness and reductions of hs-CRP concentrations indicate that reduction of AHI is not all that matters after RP.
- Subjects
SLEEP apnea syndrome treatment; C-reactive protein; UVULOPALATOPHARYNGOPLASTY; BODY mass index; CARDIOVASCULAR disease diagnosis; COMPARATIVE studies
- Publication
Otolaryngology-Head & Neck Surgery, 2011, Vol 144, Issue 4, p632
- ISSN
0194-5998
- Publication type
Article
- DOI
10.1177/0194599810395104