Document Detail


Multilevel temperature-controlled radiofrequency for obstructive sleep apnea: extended follow-up.
MedLine Citation:
PMID:  15806059     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine long-term effectiveness of multilevel (tongue and palate) temperature-controlled radiofrequency tissue ablation (TCRFTA) for patients with obstructive sleep apnea syndrome (OSAS).
STUDY DESIGN AND SETTING: Prospective, 2-institution case series. Twenty-nine subjects with mild to moderate OSAS and who were at least 1 year from completion of multilevel TCRFTA were included, representing a subset of subjects who were enrolled in a previously published controlled trial. Exclusion criteria for this extended follow-up study included any additional treatment for OSAS after completion of TCRFTA.
RESULTS: Median follow-up was 23 months. Daytime sleepiness and OSAS-related quality of life were significantly improved at extended follow-up (both P < 0.001). Median reaction time testing and apnea-hypopnea index (AHI) were also significantly improved at long-term follow-up (P = 0.03 and 0.01). Body mass index was unchanged (P = 0.94).
CONCLUSIONS: Multilevel TCRFTA treatment of mild to moderate OSAS resulted in prolonged improvement in daytime somnolence, OSAS-related quality of life, psychomotor vigilance, and AHI in this group of subjects at extended follow-up.
Authors:
David L Steward; Edward M Weaver; B Tucker Woodson
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Publication Detail:
Type:  Clinical Trial; Comment; Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  132     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-04     Completed Date:  2005-04-29     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  630-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Ambulatory Surgical Procedures
Continuous Positive Airway Pressure
Cross-Over Studies
Electrocoagulation / instrumentation*,  psychology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Palate, Soft / physiopathology,  surgery
Patient Acceptance of Health Care / psychology
Polysomnography
Prospective Studies
Quality of Life
Sleep Apnea, Obstructive / diagnosis,  psychology,  surgery*
Temperature*
Tongue / physiopathology,  surgery
Treatment Outcome
Grant Support
ID/Acronym/Agency:
K23 HL068849/HL/NHLBI NIH HHS; K23 HL068849-02/HL/NHLBI NIH HHS
Comments/Corrections
Comment On:
Otolaryngol Head Neck Surg. 2003 Jun;128(6):848-61   [PMID:  12825037 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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