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2014, Number 3

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Otorrinolaringología 2014; 59 (3)

Use of Local Anesthesia and Sedation in Multilevel Somnoplasty for Obstructive Sleep Apnea Syndrome Treatment

Labra A, Valdés-Pineda V, Rivera-Ramírez OA, Huerta-Delgado ÁD
Full text How to cite this article

Language: Spanish
References: 9
Page: 176-180
PDF size: 430.56 Kb.


Key words:

sedation, somnoplasty, sleep apnea.

ABSTRACT

Background: Obstructive sleep apnea syndrome is a common disease in general population and somnoplasty is an effective treatment. The use of local anesthesia and sedation may provide an increased tolerability during procedure and better results.
Objective: To compare some parameters of efficacy and safety in patients submitted to somnoplasty to treat obstructive sleep apnea syndrome between a group receiving sedation and another that was given only local anesthesia.
Patients and method: A retrospective, longitudinal, analytic and nonrandomized study was done with 80 patients, who underwent to multilevel somnoplasty and were divided into two groups: one receiving local anesthesia and the other one receiving local anesthesia and sedation. Complications, surgical time and pain were evaluated.
Results: We found six complications, five of them in local anesthesia group. The surgical time was significantly lower in this group; however, we did not found differences in pain between groups.
Conclusions: Sedation added during multilevel somnoplasty procedure decreases the incidence of complications, surgical time and discomfort during the procedure.


REFERENCES

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  2. Javaheri S. Effects of continuous positive airway pressure on sleep apnea and ventricular irritability in patients with heart failure. Circulation 2000;101:392-397.

  3. American Thoracic Society: Sleep apnea, sleepiness and driving risk. Am J Respir Crit Care Med 1994;150:1463.

  4. Fujita AS, Conway W, Zorick F, et al. Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: Uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981;89:923-934.

  5. Anand V, Ferguson PW, Schoen LS. Obstructive sleep apnea: a comparison of continuous positive airway pressure and surgical treatment. Otolaryngol Head Neck Surg 1991;105:382.

  6. Powell NB, Riley RW, Troell RJ, et al. Radiofrequency volumetric tissue reduction of the palate in patients with sleep disordered breathing. Chest 1998; 113:1163-1174.

  7. Labra A, Huerta-Delgado AD, Haro-Valencia R, Cordero- Chacón SA. Complications of base of tongue somnoplasty. J Otolaryngol 2008;37:260-262.

  8. Stuck BA, Starzak K, Verse T, et al. Complications of temperature controlled radiofrequency volumetric tissue reduction for sleep disordered breathing. Acta Otolaryngol 2003;123:532-535.

  9. Aydil U, Yilmaz M, Akyildiz I, Bayazit Y, et al. Pain and safety in otorhinolaryngologic procedures under local anesthesia. J Otolaryngol Head Neck Surg 2008;37:851-855.




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Otorrinolaringología. 2014;59