Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jun;277(6):1793-1800.
doi: 10.1007/s00405-020-05883-2. Epub 2020 Mar 6.

Lateral pharyngoplasty techniques for obstructive sleep apnea syndrome: a comparative experimental stress test of two different techniques

Giannicola Iannella  1   2 , Giuseppe Magliulo  3 , Milena Di Luca  4 , Andrea De Vito  5 , Giuseppe Meccariello  5 , Giovanni Cammaroto  5 , Stefano Pelucchi  6 , Anna Bonsembiante  6 , Antonino Maniaci  4 , Claudio Vicini  5   6
Affiliations

Lateral pharyngoplasty techniques for obstructive sleep apnea syndrome: a comparative experimental stress test of two different techniques

Giannicola Iannella et al. Eur Arch Otorhinolaryngol. 2020 Jun.

Abstract

Purpose: To show the different effects of expansion sphincter pharyngoplasty (ESP) and barbed reposition pharyngoplasty (BRP) on muscle tension and muscle fiber tearing using a comparative experimental stress test with a frog thigh muscle model.

Methods: Frog thigh muscle was used for this experimental study. A Barbed suture was used to simulate the BRP pharyngoplasty whereas a Vicryl 3-0 suture was used to simulate the ESP technique. The other extremity of the suture was attached to traction scales. The traction scales were used to measure the weight relative to the amount of force required to obtain muscle breaking. Both surgical techniques were simulated on the frog muscle. Traction was performed until muscle breaking was observed, measuring the value of force needed to obtain muscle rupture.

Results: Specimen muscle breakdown in the ESP simulation occurred with an average value of 0.7 kg of traction force. Contrarily, specimen muscle breakdown in the BRP simulation with Barbed suture occurred with an average value of 1.5 kg of traction force CONCLUSION: During simulation of the ESP technique, specimen muscle breakdown occurred with an average value of traction force lower than in the BRP technique. During traction the multiple lateral sustaining suture loops of BRP could ensure greater stability then the single pulling tip suture of ESP with minor risk of muscle fiber damage.

Keywords: Barbed reposition pharyngoplasty; Expansion sphincter pharyngoplasty; Experimental test; OSA surgery; Obstructive sleep apnea; Pharyngoplasty.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Park D, Kim JS, Heo SJ (2019) Obstruction patterns during drug-induced sleep endoscopy vs natural sleep endoscopy in patients with obstructive sleep apnea. JAMA Otolaryngol Head Neck Surg. https://doi.org/10.1001/jamaoto.2019.1437 - DOI - PubMed - PMC
    1. Green KK, Kent DT, D'Agostino MA et al (2019) Drug-induced sleep endoscopy and surgical outcomes: a multicenter cohort study. Laryngoscope 129:761–770 - DOI
    1. Stuck BA, Ravesloot MJL, Eschenhagen T, de Vet HCW, Sommer JU (2018) Uvulopalatopharyngoplasty with or without tonsillectomy in the treatment of adult obstructive sleep apnea—a systematic review. Sleep Med 50:152–165 - DOI
    1. Yaremchuk K (2016) Palatal procedures for obstructive sleep apnea. Otolaryngol Clin North Am 49:1383–1397 - DOI
    1. Fujita S, Conway WA, Zorick FJ et al (1985) Evaluation of the effectiveness of uvulopalatopharyngoplasty. Laryngoscope 95:70–74 - DOI

LinkOut - more resources