Objective:To systematically review outcomes for cautery-assisted palatal stiffening operation(CAPSO)as a treatment for adult obstructive sleep apnea(OSA).Methods:Five databases(including PubMed/MEDLINE)were searched t...Objective:To systematically review outcomes for cautery-assisted palatal stiffening operation(CAPSO)as a treatment for adult obstructive sleep apnea(OSA).Methods:Five databases(including PubMed/MEDLINE)were searched through July 12,2017.Results:Eight studies(307 patients)met criteria.Overall,CAPSO alone(80 patients)improved AHI from a mean±standard deviation(M±SD)of(16.8±11.9)to(9.9±10.9)events/h(41.1%decrease).Mixed CAPSO with/without tonsillectomy(92 patients)improved AHI from a M]SD of(24.8±12.6)to(10.6±9.5)events/h(61.7%decrease).CAPSO with expansion pharyngoplasty(EP),(78 patients)improved AHI from a M±SD of(26.3±17.7)to(12.6±5.8)events/h(52.1%decrease).CAPSO alone(90 patients)improved lowest oxygen saturation(LSAT)by 5.4 points.Mixed CAPSO with/without tonsillectomy(77 patients)improved LSAT by 10.6 points,and CAPSO with EP(78 patients)improved LSAT by 5.2 points.Sleepiness improved(182 patients)from an Epworth Sleepiness Scale score of 11.8 to 5.1,P<0.001.Snoring reduced(120 patients)from 7.9 to 2.5 on visual analog scales(0-10 scale),P<0.001.Conclusions:Apnea-hypopnea index has improved by 41.0%for CAPSO alone,61.7%for CAPSO with tonsillectomy and 52.1%for CAPSO with expansion pharyngoplasty.Additionally,lowest oxygen saturation,sleepiness and snoring have also improved after CAPSO.展开更多
文摘Objective:To systematically review outcomes for cautery-assisted palatal stiffening operation(CAPSO)as a treatment for adult obstructive sleep apnea(OSA).Methods:Five databases(including PubMed/MEDLINE)were searched through July 12,2017.Results:Eight studies(307 patients)met criteria.Overall,CAPSO alone(80 patients)improved AHI from a mean±standard deviation(M±SD)of(16.8±11.9)to(9.9±10.9)events/h(41.1%decrease).Mixed CAPSO with/without tonsillectomy(92 patients)improved AHI from a M]SD of(24.8±12.6)to(10.6±9.5)events/h(61.7%decrease).CAPSO with expansion pharyngoplasty(EP),(78 patients)improved AHI from a M±SD of(26.3±17.7)to(12.6±5.8)events/h(52.1%decrease).CAPSO alone(90 patients)improved lowest oxygen saturation(LSAT)by 5.4 points.Mixed CAPSO with/without tonsillectomy(77 patients)improved LSAT by 10.6 points,and CAPSO with EP(78 patients)improved LSAT by 5.2 points.Sleepiness improved(182 patients)from an Epworth Sleepiness Scale score of 11.8 to 5.1,P<0.001.Snoring reduced(120 patients)from 7.9 to 2.5 on visual analog scales(0-10 scale),P<0.001.Conclusions:Apnea-hypopnea index has improved by 41.0%for CAPSO alone,61.7%for CAPSO with tonsillectomy and 52.1%for CAPSO with expansion pharyngoplasty.Additionally,lowest oxygen saturation,sleepiness and snoring have also improved after CAPSO.
