1887
Volume 2025, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Obstructive sleep apnea syndrome (OSAS) significantly impacts patients’ quality of life (QOL) due to symptoms such as impaired sleep and reduced daily functioning. Barbed reposition pharyngoplasty (BRP) has emerged as a surgical intervention aimed at alleviating these symptoms. However, its effect on patients’ QOL remains underexplored.

To evaluate the impact of BRP surgery on a patient’s QOL with OSAS.

Our study had a quasi-experimental design, which was conducted for 40 adult OSAS patients (one group) from 2015 to 2023 between men and women with inclusion criteria above 18 years old who had been diagnosed with OSAS and who had BRP surgery. We measured the impact of this surgery on patient satisfaction by correlating the subjective measures of the pre- and post-operative self-administered the Functional Outcomes of Sleep Questionnaire (FOSQ) as one of the prognostic indicators.

The study included 40 participants, with ages ranging from their 30s to 60s. The mean age of the participants is 44.5 years (SD ± 9.5). Mean FOSQ scores had a significant increase ( < 0.001) in all domains (general productivity, activity level, vigilance, social outcomes, intimate) when comparing pre-operative mean scores with post-operative mean scores. No statistically significant differences were observed in mean percentage change from baseline FOSQ when compared between males and females ( > 0.05) for all domains (general productivity, activity level, vigilance, social outcomes, intimate).

BRP surgery seems to have a significant impact on patient satisfaction in OSAS patients as it reflects on their health-related QOL mood, social outcome, and daily activity and improves their quality of sleep.

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2025-06-09
2025-07-20
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References

  1. Bobin F, Garreau C, Lechien JR. Safety and feasibility of hypnosis-induced sleep endoscopy in obstructive sleep apnea patients. Ear Nose Throat J. 2023:1455613231170094. https://doi.org/10.1177/01455613231170094
    [Google Scholar]
  2. de Freitas GS, Pinto JA, Ribeiro DK, Nunes HDSS. Comparison of quality-of-life questionnaires, in patients with OSAS. J Nov Psy. 2022; 3:(2)76–81.
    [Google Scholar]
  3. Kapur VK, Auckley DH, Chowdhuri S, Kuhlmann DC, Mehra R, Ramar K, et al.. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med. 2017; 13:(3)479–504.
    [Google Scholar]
  4. Kastoer C. PhD thesis - imaging in patients with obstructive sleep apnea; 2018. https://doi.org/10.13140/RG.2.2.25498.70083
    [Google Scholar]
  5. Senaratna CV, Perret JL, Lodge CJ, Lowe AJ, Campbell BE, Matheson MC, et al.. Prevalence of obstructive sleep apnea in the general population: a systematic review. Sleep Med Rev. 2017; 34:70–81. https://doi.org/10.1016/j.smrv.2016.07.002
    [Google Scholar]
  6. Woodson BT, Sitton M, Jacobowitz O. Expansion sphincter pharyngoplasty and palatal advancement pharyngoplasty: airway evaluation and surgical techniques. Oper Tech Otolaryngol Head Neck Surg. 2012; 23:(1)3–10.
    [Google Scholar]
  7. Nunes HDSS, Vaz de Castro J, Favier V, Carsuzaa F, Kim MHR, Mira FA, et al.. Predictors of success of pharyngeal surgery in the treatment of obstructive sleep apnea: a narrative review. J Clin Med. 2023; 12:(21)6773.
    [Google Scholar]
  8. Moyer CA, Sonnad SS, Garetz SL, Helman JI, Chervin RD. Quality of life in patients with obstructive sleep apnea: a systematic review of the literature. Sleep Med. 2001; 2:(6)477–91.
    [Google Scholar]
  9. Chai-Coetzer CL, Luo YM, Antic NA, Zhang XL, Chen BY, He QY, Heeley E, Huang SG, Anderson C, Zhong NS, McEvoy RD. Predictors of long-term adherence to continuous positive airway pressure therapy in patients with obstructive sleep apnea and cardiovascular disease in the SAVE study. Sleep. 2013 Dec 1; 36:(12)1929–37. https://doi.org/10.1093/sleep/zsz152
    [Google Scholar]
  10. Wadhera V, Fogarty G. Uvulopalatopharyngoplasty: a specific surgical technique aimed at minimizing patient morbidity, with outcomes over 5 years in a regional centre. Aust J Otolaryngol. 2020;3. https://doi.org/10.21037/ajo.2020.03.03
    [Google Scholar]
  11. Epstein LJ, Kristo D, Strollo PJ Jr, Friedman N, Malhotra A, Patil SP, et al.. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009; 5:(3)263–76.
    [Google Scholar]
  12. Chasens ER, Ratcliffe SJ, Weaver TE. Development of the FOSQ-10: a short version of the functional outcomes of sleep questionnaire. Sleep. 2009; 32:(7)915–9. https://doi.org/10.1093/sleep/32.7.915
    [Google Scholar]
  13. Ciavarella D, Campobasso A, Guida L, Cazzolla AP, Montaruli G, Corlianò F, et al.. OSA wellness scale (OWS): a new health-related quality of life test in obstructive sleep apnea patients treated with mandibular advancement device. Int J Dent. 2022; 2022:4629341. https://doi.org/10.1155/2022/4629341
    [Google Scholar]
  14. Pianta L, Bertazzoni G, Morello R, Perotti P, Nicolai P. Barbed expansion sphincter pharyngoplasty for the treatment of oropharyngeal collapse in obstructive sleep apnoea syndrome: a retrospective study on 17 patients. Clin Otolaryngol. 2018; 43:(2)696–700.
    [Google Scholar]
  15. Flemons WW. Measuring health-related quality of life in sleep apnea. Sleep. 2000; 23:(Suppl 4)S109–14.
    [Google Scholar]
  16. Hsiao HR, Wang PC, Cheng WN, Lee LA, Chen NH, Fang TJ, et al.. Survey of short-term patient satisfaction after surgery for obstructive sleep apnea. Chang Gung Med J. 2009; 32:212–9.
    [Google Scholar]
  17. Kezirian EJ, Goding GS Jr, Malhotra A, O’Donoghue FJ, Zammit G, Wheatley JR, et al.. Hypoglossal nerve stimulation improves obstructive sleep apnea: 12-month outcomes. J Sleep Res. 2014; 23:(1)77–83. https://doi.org/10.1111/jsr.12079
    [Google Scholar]
  18. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993; 328:(17)1230–5.
    [Google Scholar]
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