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Titolo:
Long-term results of tracheostomy for severe obstructive sleep apnea syndrome
Autore:
Haapaniemi, JJ; Laurikainen, EA; Halme, P; Antila, J;
Indirizzi:
Turku Univ, Cent Hosp, Dept Otorhinolaryngol Head & Neck Surg, Turku, Finland Turku Univ Turku Finland rhinolaryngol Head & Neck Surg, Turku, Finland
Titolo Testata:
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES
fascicolo: 3, volume: 63, anno: 2001,
pagine: 131 - 136
SICI:
0301-1569(200105/06)63:3<131:LROTFS>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
DISEASE;
Keywords:
life quality; obstructive sleep apnea; polysomnography; tracheostomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Haapaniemi, JJ Ilveksenkatu 10, FIN-20760 Piispanristi, Finland Ilveksenkatu 10 Piispanristi Finland FIN-20760 i, Finland
Citazione:
J.J. Haapaniemi et al., "Long-term results of tracheostomy for severe obstructive sleep apnea syndrome", ORL-J OTO R, 63(3), 2001, pp. 131-136

Abstract

Severe obstructive sleep apnea (OSAS) is most often accompanied by metabolic syndrome, obesity, diabetes and coronary disease. In its most severe form, it is a life-threatening condition, requiring active and immediate help. Nasal continuous positive airway pressure (CPAP) is the most efficient nonsurgical treatment for patients with OSAS. However, for anatomical, disease-related and subjective reasons, many patients cannot accept this treatment. A permanent tracheostomy may be one alternative in such patients who, in addition, often suffer from extreme obesity and severe heart disease. In this paper, we describe the long-term follow-up results of 7 patients suffering from OSAS and treated with permanent tracheostomy. All the patients (5 men, 2 women) were diagnosed using the static charge sensitive bed method and night-time oximetry for sleep analysis. The mean body mass index (BMI) ofthe patients ranged from 34 to 60 and the age from 41 to 64 years. All thepatients had severe OSAS and long periods of low oxygen saturation (SaO(2)) levels. Six patients had a CPAP trial before tracheostomy. Only 2 patients tolerated the trial but, despite the continuous use of CPAP, they were nonresponders. Permanent tracheostomy was done according to normal routine ineach patient. After primary healing of 2 days, they used silver cannulae, which also allowed them to speak. The patients were evaluated every year after the tracheostomy. After some practical difficulties including proper maintenance of the cannula, all the patients quickly learned the correct management. in postoperative sleep studies, nadir SaO(2) levels had improved significantly, obstructive apneas had disappeared and the subjective quality of life had improved. No marked changes in BMI were found. Copyright (C) 2001 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 08:16:41