Tonsillectomy May Not Be the Answer in All OSA Cases

Tonsillectomy is considered the standard of care in patients with obstructive sleep apnea (OSA) and large tonsils; however, there are selected cases where this procedure should not be considered. We present two patients with tonsil grade 4 and severe OSA where tonsillectomy was not the solution for...

Descripción completa

Detalles Bibliográficos
Autores: Bargagna B, O'Connor-Reina C, Rodriguez-Alcala L, Navarro A, Bosco G, Pérez-Martín N, Baptista PM, Carrasco-Llatas M, Plaza G
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p18055
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/18055
Access Level:acceso abierto
Palabra clave:tonsillectomy
sleep apnea
drug-induced sleep endoscopy
Descripción
Sumario:Tonsillectomy is considered the standard of care in patients with obstructive sleep apnea (OSA) and large tonsils; however, there are selected cases where this procedure should not be considered. We present two patients with tonsil grade 4 and severe OSA where tonsillectomy was not the solution for their problem and could be a superfluous procedure. In our experience, a preoperatory drug-induced sleep endoscopy (DISE) and proper patient phenotyping will prevent this type of surgical failure.