Radiofrequency surgery for the treatment of obstructive sleep apnea: short-term and long-term results.
OBJECTIVE
To compare the short-term and long-term results in patients undergoing radiofrequency (RF) for obstructive sleep apnea (OSA).


METHODS
Case series and planned data collection.


METHODS
Tertiary referral center.


METHODS
A study was undertaken on 72 OSA patients with palatal and tongue base obstruction based on radiography and physical findings. Multilevel RF was conducted to reduce the tissue.


RESULTS
Patients had a mean age of 35.8 +/- 10.9 years and a mean body mass index (BMI) of 28.8 +/- 2.4 kg/m(2). The mean follow-up was 14.2 +/- 1.8 months, with a range of 12 to 16 months. Mean baseline apnea-hypopnea index (AHI), short-term AHI, and long-term AHI were 35.6 +/- 9.2, 12.5 +/- 4.8, and 16.8 +/- 3.2, respectively. Mean baseline lowest oxygen saturation (LSAT), short-term LSAT, and long-term LSAT were 85.6 +/- 3.4 percent, 88.7 +/- 2.9 percent, and 88.2 +/- 1.7 percent, respectively. The change in BMI was significantly different in the patients with and without recurrence (2.8 +/- 1.8 vs 0.3 +/- 0.2 kg/m(2), P < 0.01). Forty (55.6%) patients had long-term success, and eight (16.7%) patients with short-term success failed in the long term. Serious complications were not encountered.


CONCLUSIONS
RF is a minimally invasive and effective procedure that results in long-term success for patients with a relatively low BMI and mild to moderate OSA without nasal obstruction. However, a recommendation concerning weight control and a regular follow-up are important because some patients will relapse in the long term.
Neruntarat
Chairat
C
Department of Otolaryngology, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand. xyrata@gmail.com
Chantapant
Suprapol
S
D000328:Adult; D017115:Catheter Ablation; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011183:Postoperative Complications; D020181:Sleep Apnea, Obstructive / Q000601:surgery*; D018709:Statistics, Nonparametric; D016896:Treatment Outcome