Obstructive sleep apnea in patients undergoing supracricoid horizontal or frontolateral vertical partial laryngectomy.
OBJECTIVE
To assess obstructive sleep apnea (OSA) in patients undergoing supracricoid horizontal partial laryngectomy (SCPL) or frontolateral vertical partial laryngectomy (VPL) for the treatment of laryngeal carcinoma and correlate it with age, body mass index, physical examination, and upper airway evaluation.


METHODS
A prospective study was carried out involving 22 patients between 50 and 80 years of age divided into 2 equal groups. The patients underwent SCPL and VPL, and were evaluated by anamnesis, otolaryngologic examinations, nasopharyngolaryngoscopy, and polysomnography.


RESULTS
A significant direct correlation was observed between the apnea/hypopnea index (AHI) and age of the patients. An inversely proportional relation was found between glottic opening and AHI. The presence of OSA was 81% in SCPL and 91% in VPL.


CONCLUSIONS
We observed a high incidence of OSA in patients undergoing SCPL and VPL.
Israel
Yusef
Y
Department of Otolaryngology-Head and Neck Surgery, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, Brazil. yusefisrael@aol.com
Cervantes
Onivaldo
O
Abrahão
Marcio
M
Ceccon
Fábio Puppo
FP
Marques Filho
Marcilio Ferreira
MF
Nascimento
Luiz Augusto
LA
Zonato
Adriane I
AI
Tufik
Sergio
S
D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005931:Glottis / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D020181:Sleep Apnea, Obstructive / Q000453:epidemiology / Q000209:etiology*