Complications of hyoid suspension with Repose system on obstructive sleep apnea hypopnea syndrome
10.3760/cma.j.issn.1673-0860.2012.06.003
- VernacularTitle:阻塞性睡眠呼吸暂停低通气综合征Repose舌骨悬吊术并发症
- Author:
Jin-Hui CHEN
1
;
Zhi-Hong LUO
;
Rui YANG
;
Jing KANG
;
Yong-Ping WANG
;
Xi-Lin YANG
;
Ming-Wan ZHU
;
Ze-Zhang TAO
Author Information
1. 武汉大学人民医院
- Keywords:
Sleep apnea,obstructive;
Hyoid bone;
Postoperative complications;
Intraoperative complications;
Otorhinolaryngologic surgical procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2012;47(6):449-453
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the complications of hyoid suspension with Repose system on obstructive sleep apnea hypopnea syndrome(OSAHS) and to find out the effective prevention strategies.Methods Forty four patients diagnosed by polysomnography as OSAHS were received hyoid suspension with Repose system from June 2005 to July 2009. The intraoperative and postoperative complications were analyzed retrospectively.The patients who reported abnormal swallowing were evaluated with water drinking test and video fluoragraphy swallow study to assess biomechanical changes in swallowing.Results Incidence rate of perioperative titanium nial amotio was 15.9％ (7/44).It was avoided by implanting titanium nial again.No perioperative complications occurred such as injury of superior laryngeal nerve,blood vessel and thyrohyoid membrane,fracture of hyoid bone,suture break. All patients developed dysfunctions of pronunciation and swallowing,edema of mouth floor,dysfunctions of movement of tongue that could relieved gradually after three days on most patients.No postoperative complications occurred such as titanium nial amotio,fat liquoring,edema of mouth floor,hematoma,infection,foreign body reaction,injury of root apex of anterior tooth,dysfunctions of movement and sensation of tongue,suture break and death.All patients had over 2 year postoperative follow up.Incidence rate of dysfunctions of pronunciation and swallowing was 4.5％ ( 2/44 ) and 15.9％ ( 7/44 ) respectively. Main situation for dysfunctions of pronunciation was speaking ambiguity.Major manifestations of swallowing abnormalities were occasional aspiration,food going down the wrong tube,food becoming stuck in the throat,deglutions with bowing head.Seven patients who had abnormal swallowing possesed normal water drinking test and occurred asynersis of hyoid movement and laryngeal elevation,but aspiration were not observed.Three patients presented obvious stagnation in epiglottic vallecula and sinus piriformis.Conclusions Most complications of hyoid suspension with Repose system may be avoided or recovered on short term.Postoperative dysfunctions of pronunciation and swallowing may exist for a long time.
