Proposal of a presurgical algorithm for patients affected by obstructive sleep apnea syndrome

Mariangela Giarda, Matteo Brucoli, Francesco Arcuri, Alberto Braghiroli, Paolo Aluffi Valletti, Arnaldo Benech

Research output: Contribution to journalArticlepeer-review


Purpose: To propose an algorithm for the preoperative management of patients with obstructive sleep apnea syndrome (OSAS) and review the surgical outcomes in such patients. Materials and Methods: This prospective cohort study involved 71 patients with OSAS who underwent presurgical upper airway endoscopy and cephalometry before being assigned to treatment categories based on the site(s) of obstruction, the pattern of collapse, the characteristics of the soft tissue, the air space between the base of the tongue and the posterior wall of the pharynx, and the severity of OSAS. Six months after surgery, they were followed up using polysomnography and the Epworth Sleepiness Scale. The pre- and postsurgical data were compared using a paired Student t test. Results: The mean preoperative apnea/hypopnea index of the 71 patients (61 male and 10 female) was 40.98 events/hour (range, 14.7 to 87.6 events/hr), and the mean postoperative apnea/hypopnea index was 13.96 events/hour (range, 0 to 20 events/hr). The difference was statistically significant (P

Original languageEnglish
Pages (from-to)2433-2439
Number of pages7
JournalJournal of Oral and Maxillofacial Surgery
Issue number10
Publication statusPublished - Oct 2012

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology
  • Surgery


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