title: Pharyngeal suspension suture with repose bone screw for obstructive sleep apnea.
abstract: OBJECTIVE
  Multilevel surgery for obstructive sleep apnea syndrome (OSA) may improve success. This study's goal is to prospectively evaluate the feasibility and short-term subjective effectiveness of a new tongue-suspension technique.
  
  
  METHODS
  A multicenter nonrandomized open enrollment trial used the Repose device to treat tongue obstruction in 39 snoring and OSA patients. Outcomes include 1- and 2-month subjective reports of general health, snoring, and sleep.
  
  
  RESULTS
  Twenty-three patients completed 1 month and 19 completed 2 months of follow-up. In OSA patients, activity level, energy/fatigue, and sleepiness improved. Two-month outcomes were less (activity level, energy/fatigue, and sleepiness). Fewer changes were observed in snorers than in OSA patients. There were 6 complications (18%), including sialadenitis (4), gastrointestinal bleeding (1), and dehydration (1) after the procedure.
  
  
  CONCLUSIONS
  A pharyngeal suspension suture changes subjective outcomes. Improvement is incomplete. The procedure is nonexcisional, but significant complications may occur. Further evaluation is required to demonstrate effectiveness.
authors.affiliation: Medical College of Wisconsin; Meir Hospital, Kfar-Saba, Israel.
authors.forename: B T
authors.initials: BT
authors.lastname: Woodson
authors.forename: A
authors.initials: A
authors.lastname: Derowe
authors.forename: M
authors.initials: M
authors.lastname: Hawke
authors.forename: B
authors.initials: B
authors.lastname: Wenig
authors.forename: E B
authors.initials: EB
authors.lastname: Ross
authors.forename: G P
authors.initials: GP
authors.lastname: Katsantonis
authors.forename: S A
authors.initials: SA
authors.lastname: Mickelson
authors.forename: R E
authors.initials: RE
authors.lastname: Bonham
authors.forename: S
authors.initials: S
authors.lastname: Benbadis
mesh_terms: D000328:Adult; D000368:Aged; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007013:Hypopharynx / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010614:Pharynx / Q000601:surgery*; D017286:Polysomnography; D011183:Postoperative Complications / Q000209:etiology*; D011446:Prospective Studies; D020181:Sleep Apnea, Obstructive / Q000209:etiology / Q000601:surgery*; D013536:Suture Techniques / Q000295:instrumentation*; D014059:Tongue / Q000601:surgery*; D016896:Treatment Outcome