Long‐term Complications of Palate Surgery: A Multicenter Study of 217 Patients
Objectives/Hypothesis To investigate long‐term complications of newer reconstructive palate surgery techniques. Study Design Retrospective case‐series analysis. Methods Retrospective six‐country clinical study of OSA patients who had nose and palate surgery. Results There were 217 patients, mean age...
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| Veröffentlicht in: | The Laryngoscope 2020-09, Vol.130 (9), p.2281-2284 |
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| creator | Pang, Kenny P. Vicini, Claudio Montevecchi, Filippo Piccin, Ottavio Chandra, Sudipta Yang, Hyung C. Agrawal, Vikas Chung, Joseph C. K. Chan, Yiong H. Pang, Scott B. Pang, Kathleen A. Pang, Edward B. Rotenberg, Brian |
| description | Objectives/Hypothesis
To investigate long‐term complications of newer reconstructive palate surgery techniques.
Study Design
Retrospective case‐series analysis.
Methods
Retrospective six‐country clinical study of OSA patients who had nose and palate surgery.
Results
There were 217 patients, mean age = 43.9 ± 12.5 years, mean body mass index = 25.9 ± 4.7, mean preoperative apnea‐hypopnea index [AHI] = 30.5 ± 19.1, follow‐up 41.3 months. A total of 217 palatal procedures were performed, including 50 expansion sphincter pharyngoplasties (ESP), 34 functional expansion pharyngoplasties (FEP), 40 barbed reposition pharyngoplasties (BRP), 64 modified uvulopalatopharyngoplasties (mUPPP), 11 uvulopalatal flap procedures (UPF), nine suspension pharyngoplasties (SP), eight relocation pharyngoplasties (RP), and one z‐pharyngoplasty (ZPP). Complications included were constant and/or felt twice per week; dry throat (7.8%), throat lump feeling (11.5%), throat phlegm (10.1%), throat scar feeling (3.7%), and difficulty swallowing (0.5%). Of the 17 patients who had a dry throat complaint, two were constant (one SP, one RP), 15 were occasional (10 mUPPP, three SP, two BRP). Of the 25 patients with the throat lump feeling, four were constant (three RP, one ZPP), 21 were occasional (10 mUPPP, five SP, five UPF, one BRP). Of the 22 patients with the throat phlegm feeling, four were constant (two SP, two RP), 18 were occasional (10 mUPPP, four BRP, two FEP, two SP). Of the eight patients with throat scar feeling, eight were occasional (four SP, two mUPPP, one FEP, one RP), none were constant. One patient had difficulty swallowing (RP procedure). There was no velopharyngeal incompetence, taste disturbance, nor voice change. Highest symptom complaints were mUPPP, SP, and RP, whereas the lowest symptom complaint was ESP.
Conclusions
Newer palatal techniques have shown to have less long‐term complications compared to the older ablative techniques.
Level of Evidence
4 Laryngoscope, 130:2281–2284, 2020 |
| doi_str_mv | 10.1002/lary.28432 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2317958369</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2317958369</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3932-544915bbd683617059fd4336a92259e3180ee2be2102451ffb29a9ed5f6b221c3</originalsourceid><addsrcrecordid>eNp90MtKxDAUBuAgijOObnwAKbgRoWNykrSNu2HwBhUHR0FXoZd0qPQyJi3SnY_gM_okpnZ04cJFCCQfP-f8CB0SPCUYw1kR6W4KAaOwhcaEU-IyIfg2GttP6gYcnkZoz5gXjIlPOd5FI0p8j2PwxmgR1tXq8_2jUbp05nW5LvIkavK6Mk6dOYuoiBrlLFu9Uro7d2bObVs0eaIq651l06Zdz4D4lja5fTb7aCeLCqMONvcEPV5ePMyv3fDu6mY-C92ECgouZ0wQHsepF1CP-JiLLGWUepEA4EJREmClIFZAMDBOsiwGEQmV8syLAUhCJ-hkyF3r-rVVppFlbhJVFFGl6tZIsDsKbsOFpcd_6Evd6spOJ4FRhvvTq9NBJbo2RqtMrnVe2molwbLvWfY9y--eLT7aRLZxqdJf-lOsBWQAb3mhun-iZDi7fx5CvwBKOYZz</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2434043409</pqid></control><display><type>article</type><title>Long‐term Complications of Palate Surgery: A Multicenter Study of 217 Patients</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Pang, Kenny P. ; Vicini, Claudio ; Montevecchi, Filippo ; Piccin, Ottavio ; Chandra, Sudipta ; Yang, Hyung C. ; Agrawal, Vikas ; Chung, Joseph C. K. ; Chan, Yiong H. ; Pang, Scott B. ; Pang, Kathleen A. ; Pang, Edward B. ; Rotenberg, Brian</creator><creatorcontrib>Pang, Kenny P. ; Vicini, Claudio ; Montevecchi, Filippo ; Piccin, Ottavio ; Chandra, Sudipta ; Yang, Hyung C. ; Agrawal, Vikas ; Chung, Joseph C. K. ; Chan, Yiong H. ; Pang, Scott B. ; Pang, Kathleen A. ; Pang, Edward B. ; Rotenberg, Brian</creatorcontrib><description>Objectives/Hypothesis
To investigate long‐term complications of newer reconstructive palate surgery techniques.
Study Design
Retrospective case‐series analysis.
Methods
Retrospective six‐country clinical study of OSA patients who had nose and palate surgery.
Results
There were 217 patients, mean age = 43.9 ± 12.5 years, mean body mass index = 25.9 ± 4.7, mean preoperative apnea‐hypopnea index [AHI] = 30.5 ± 19.1, follow‐up 41.3 months. A total of 217 palatal procedures were performed, including 50 expansion sphincter pharyngoplasties (ESP), 34 functional expansion pharyngoplasties (FEP), 40 barbed reposition pharyngoplasties (BRP), 64 modified uvulopalatopharyngoplasties (mUPPP), 11 uvulopalatal flap procedures (UPF), nine suspension pharyngoplasties (SP), eight relocation pharyngoplasties (RP), and one z‐pharyngoplasty (ZPP). Complications included were constant and/or felt twice per week; dry throat (7.8%), throat lump feeling (11.5%), throat phlegm (10.1%), throat scar feeling (3.7%), and difficulty swallowing (0.5%). Of the 17 patients who had a dry throat complaint, two were constant (one SP, one RP), 15 were occasional (10 mUPPP, three SP, two BRP). Of the 25 patients with the throat lump feeling, four were constant (three RP, one ZPP), 21 were occasional (10 mUPPP, five SP, five UPF, one BRP). Of the 22 patients with the throat phlegm feeling, four were constant (two SP, two RP), 18 were occasional (10 mUPPP, four BRP, two FEP, two SP). Of the eight patients with throat scar feeling, eight were occasional (four SP, two mUPPP, one FEP, one RP), none were constant. One patient had difficulty swallowing (RP procedure). There was no velopharyngeal incompetence, taste disturbance, nor voice change. Highest symptom complaints were mUPPP, SP, and RP, whereas the lowest symptom complaint was ESP.
Conclusions
Newer palatal techniques have shown to have less long‐term complications compared to the older ablative techniques.
Level of Evidence
4 Laryngoscope, 130:2281–2284, 2020</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.28432</identifier><identifier>PMID: 31765026</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adult ; complications ; Female ; Humans ; Male ; Middle Aged ; Nose - surgery ; obstructive sleep apnea ; Palate - surgery ; Pharyngitis - epidemiology ; Pharyngitis - etiology ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Reconstructive Surgical Procedures - adverse effects ; Reconstructive Surgical Procedures - methods ; Retrospective Studies ; Severity of Illness Index ; Sleep Apnea, Obstructive - surgery ; Surgery ; Time Factors ; Treatment Outcome ; Velopharyngeal Insufficiency - epidemiology ; Velopharyngeal Insufficiency - etiology</subject><ispartof>The Laryngoscope, 2020-09, Vol.130 (9), p.2281-2284</ispartof><rights>2019 The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2020 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3932-544915bbd683617059fd4336a92259e3180ee2be2102451ffb29a9ed5f6b221c3</citedby><cites>FETCH-LOGICAL-c3932-544915bbd683617059fd4336a92259e3180ee2be2102451ffb29a9ed5f6b221c3</cites><orcidid>0000-0003-0258-3142 ; 0000-0003-3799-1891</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.28432$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.28432$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31765026$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pang, Kenny P.</creatorcontrib><creatorcontrib>Vicini, Claudio</creatorcontrib><creatorcontrib>Montevecchi, Filippo</creatorcontrib><creatorcontrib>Piccin, Ottavio</creatorcontrib><creatorcontrib>Chandra, Sudipta</creatorcontrib><creatorcontrib>Yang, Hyung C.</creatorcontrib><creatorcontrib>Agrawal, Vikas</creatorcontrib><creatorcontrib>Chung, Joseph C. K.</creatorcontrib><creatorcontrib>Chan, Yiong H.</creatorcontrib><creatorcontrib>Pang, Scott B.</creatorcontrib><creatorcontrib>Pang, Kathleen A.</creatorcontrib><creatorcontrib>Pang, Edward B.</creatorcontrib><creatorcontrib>Rotenberg, Brian</creatorcontrib><title>Long‐term Complications of Palate Surgery: A Multicenter Study of 217 Patients</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives/Hypothesis
To investigate long‐term complications of newer reconstructive palate surgery techniques.
Study Design
Retrospective case‐series analysis.
Methods
Retrospective six‐country clinical study of OSA patients who had nose and palate surgery.
Results
There were 217 patients, mean age = 43.9 ± 12.5 years, mean body mass index = 25.9 ± 4.7, mean preoperative apnea‐hypopnea index [AHI] = 30.5 ± 19.1, follow‐up 41.3 months. A total of 217 palatal procedures were performed, including 50 expansion sphincter pharyngoplasties (ESP), 34 functional expansion pharyngoplasties (FEP), 40 barbed reposition pharyngoplasties (BRP), 64 modified uvulopalatopharyngoplasties (mUPPP), 11 uvulopalatal flap procedures (UPF), nine suspension pharyngoplasties (SP), eight relocation pharyngoplasties (RP), and one z‐pharyngoplasty (ZPP). Complications included were constant and/or felt twice per week; dry throat (7.8%), throat lump feeling (11.5%), throat phlegm (10.1%), throat scar feeling (3.7%), and difficulty swallowing (0.5%). Of the 17 patients who had a dry throat complaint, two were constant (one SP, one RP), 15 were occasional (10 mUPPP, three SP, two BRP). Of the 25 patients with the throat lump feeling, four were constant (three RP, one ZPP), 21 were occasional (10 mUPPP, five SP, five UPF, one BRP). Of the 22 patients with the throat phlegm feeling, four were constant (two SP, two RP), 18 were occasional (10 mUPPP, four BRP, two FEP, two SP). Of the eight patients with throat scar feeling, eight were occasional (four SP, two mUPPP, one FEP, one RP), none were constant. One patient had difficulty swallowing (RP procedure). There was no velopharyngeal incompetence, taste disturbance, nor voice change. Highest symptom complaints were mUPPP, SP, and RP, whereas the lowest symptom complaint was ESP.
Conclusions
Newer palatal techniques have shown to have less long‐term complications compared to the older ablative techniques.
Level of Evidence
4 Laryngoscope, 130:2281–2284, 2020</description><subject>Adult</subject><subject>complications</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nose - surgery</subject><subject>obstructive sleep apnea</subject><subject>Palate - surgery</subject><subject>Pharyngitis - epidemiology</subject><subject>Pharyngitis - etiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Reconstructive Surgical Procedures - adverse effects</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Sleep Apnea, Obstructive - surgery</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Velopharyngeal Insufficiency - epidemiology</subject><subject>Velopharyngeal Insufficiency - etiology</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90MtKxDAUBuAgijOObnwAKbgRoWNykrSNu2HwBhUHR0FXoZd0qPQyJi3SnY_gM_okpnZ04cJFCCQfP-f8CB0SPCUYw1kR6W4KAaOwhcaEU-IyIfg2GttP6gYcnkZoz5gXjIlPOd5FI0p8j2PwxmgR1tXq8_2jUbp05nW5LvIkavK6Mk6dOYuoiBrlLFu9Uro7d2bObVs0eaIq651l06Zdz4D4lja5fTb7aCeLCqMONvcEPV5ePMyv3fDu6mY-C92ECgouZ0wQHsepF1CP-JiLLGWUepEA4EJREmClIFZAMDBOsiwGEQmV8syLAUhCJ-hkyF3r-rVVppFlbhJVFFGl6tZIsDsKbsOFpcd_6Evd6spOJ4FRhvvTq9NBJbo2RqtMrnVe2molwbLvWfY9y--eLT7aRLZxqdJf-lOsBWQAb3mhun-iZDi7fx5CvwBKOYZz</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Pang, Kenny P.</creator><creator>Vicini, Claudio</creator><creator>Montevecchi, Filippo</creator><creator>Piccin, Ottavio</creator><creator>Chandra, Sudipta</creator><creator>Yang, Hyung C.</creator><creator>Agrawal, Vikas</creator><creator>Chung, Joseph C. K.</creator><creator>Chan, Yiong H.</creator><creator>Pang, Scott B.</creator><creator>Pang, Kathleen A.</creator><creator>Pang, Edward B.</creator><creator>Rotenberg, Brian</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0258-3142</orcidid><orcidid>https://orcid.org/0000-0003-3799-1891</orcidid></search><sort><creationdate>202009</creationdate><title>Long‐term Complications of Palate Surgery: A Multicenter Study of 217 Patients</title><author>Pang, Kenny P. ; Vicini, Claudio ; Montevecchi, Filippo ; Piccin, Ottavio ; Chandra, Sudipta ; Yang, Hyung C. ; Agrawal, Vikas ; Chung, Joseph C. K. ; Chan, Yiong H. ; Pang, Scott B. ; Pang, Kathleen A. ; Pang, Edward B. ; Rotenberg, Brian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3932-544915bbd683617059fd4336a92259e3180ee2be2102451ffb29a9ed5f6b221c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>complications</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nose - surgery</topic><topic>obstructive sleep apnea</topic><topic>Palate - surgery</topic><topic>Pharyngitis - epidemiology</topic><topic>Pharyngitis - etiology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Reconstructive Surgical Procedures - adverse effects</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Sleep Apnea, Obstructive - surgery</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Velopharyngeal Insufficiency - epidemiology</topic><topic>Velopharyngeal Insufficiency - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pang, Kenny P.</creatorcontrib><creatorcontrib>Vicini, Claudio</creatorcontrib><creatorcontrib>Montevecchi, Filippo</creatorcontrib><creatorcontrib>Piccin, Ottavio</creatorcontrib><creatorcontrib>Chandra, Sudipta</creatorcontrib><creatorcontrib>Yang, Hyung C.</creatorcontrib><creatorcontrib>Agrawal, Vikas</creatorcontrib><creatorcontrib>Chung, Joseph C. K.</creatorcontrib><creatorcontrib>Chan, Yiong H.</creatorcontrib><creatorcontrib>Pang, Scott B.</creatorcontrib><creatorcontrib>Pang, Kathleen A.</creatorcontrib><creatorcontrib>Pang, Edward B.</creatorcontrib><creatorcontrib>Rotenberg, Brian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pang, Kenny P.</au><au>Vicini, Claudio</au><au>Montevecchi, Filippo</au><au>Piccin, Ottavio</au><au>Chandra, Sudipta</au><au>Yang, Hyung C.</au><au>Agrawal, Vikas</au><au>Chung, Joseph C. K.</au><au>Chan, Yiong H.</au><au>Pang, Scott B.</au><au>Pang, Kathleen A.</au><au>Pang, Edward B.</au><au>Rotenberg, Brian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long‐term Complications of Palate Surgery: A Multicenter Study of 217 Patients</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2020-09</date><risdate>2020</risdate><volume>130</volume><issue>9</issue><spage>2281</spage><epage>2284</epage><pages>2281-2284</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
To investigate long‐term complications of newer reconstructive palate surgery techniques.
Study Design
Retrospective case‐series analysis.
Methods
Retrospective six‐country clinical study of OSA patients who had nose and palate surgery.
Results
There were 217 patients, mean age = 43.9 ± 12.5 years, mean body mass index = 25.9 ± 4.7, mean preoperative apnea‐hypopnea index [AHI] = 30.5 ± 19.1, follow‐up 41.3 months. A total of 217 palatal procedures were performed, including 50 expansion sphincter pharyngoplasties (ESP), 34 functional expansion pharyngoplasties (FEP), 40 barbed reposition pharyngoplasties (BRP), 64 modified uvulopalatopharyngoplasties (mUPPP), 11 uvulopalatal flap procedures (UPF), nine suspension pharyngoplasties (SP), eight relocation pharyngoplasties (RP), and one z‐pharyngoplasty (ZPP). Complications included were constant and/or felt twice per week; dry throat (7.8%), throat lump feeling (11.5%), throat phlegm (10.1%), throat scar feeling (3.7%), and difficulty swallowing (0.5%). Of the 17 patients who had a dry throat complaint, two were constant (one SP, one RP), 15 were occasional (10 mUPPP, three SP, two BRP). Of the 25 patients with the throat lump feeling, four were constant (three RP, one ZPP), 21 were occasional (10 mUPPP, five SP, five UPF, one BRP). Of the 22 patients with the throat phlegm feeling, four were constant (two SP, two RP), 18 were occasional (10 mUPPP, four BRP, two FEP, two SP). Of the eight patients with throat scar feeling, eight were occasional (four SP, two mUPPP, one FEP, one RP), none were constant. One patient had difficulty swallowing (RP procedure). There was no velopharyngeal incompetence, taste disturbance, nor voice change. Highest symptom complaints were mUPPP, SP, and RP, whereas the lowest symptom complaint was ESP.
Conclusions
Newer palatal techniques have shown to have less long‐term complications compared to the older ablative techniques.
Level of Evidence
4 Laryngoscope, 130:2281–2284, 2020</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>31765026</pmid><doi>10.1002/lary.28432</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-0258-3142</orcidid><orcidid>https://orcid.org/0000-0003-3799-1891</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | The Laryngoscope, 2020-09, Vol.130 (9), p.2281-2284 |
| issn | 0023-852X 1531-4995 |
| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adult complications Female Humans Male Middle Aged Nose - surgery obstructive sleep apnea Palate - surgery Pharyngitis - epidemiology Pharyngitis - etiology Postoperative Complications - epidemiology Postoperative Complications - etiology Reconstructive Surgical Procedures - adverse effects Reconstructive Surgical Procedures - methods Retrospective Studies Severity of Illness Index Sleep Apnea, Obstructive - surgery Surgery Time Factors Treatment Outcome Velopharyngeal Insufficiency - epidemiology Velopharyngeal Insufficiency - etiology |
| title | Long‐term Complications of Palate Surgery: A Multicenter Study of 217 Patients |
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