caa a22 4500 606185097 CHVBK 20210128100830.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00405-015-3628-3 doi (NATIONALLICENCE)springer-10.1007/s00405-015-3628-3 Barbed reposition pharyngoplasty (BRP) for OSAHS: a feasibility, safety, efficacy and teachability pilot study. "We are on the giant's shoulders” [Elektronische Daten] [Claudio Vicini, Ehsan Hendawy, Aldo Campanini, Mohamed Eesa, Ahmed Bahgat, Saleh AlGhamdi, Giuseppe Meccariello, Andrea DeVito, Filippo Montevecchi, Mario Mantovani] A new palatal procedure for snoring/obstructive sleep apnea (OSA) is described. The procedure was named as barbed reposition pharyngoplasty (BRP). The technique is described step by step. The new surgical technique was carried out in ten adult OSA patients with mean age of 53.4±12.4years (average 30-70) with confirmed retropalatal obstruction. In this pilot study; we assessed the feasibility by calculating the number of cases that failed to be operated and converted to other palatal technique during the same surgical setting, safety was assessed by evaluating both intra-operative and post-operative complications, teachability measured by the learning curve of our team members (the time of surgical procedure). In this study, the technique is proved to be feasible in all cases. There were no significant intra-operative or post-operative complications. Objective clinical improvement was confirmed by polysomnography 6months post-operative with significant decrease in mean AHI from 43.65±26.83 to 13.57±15.41 (P=0.007), daytime sleepiness assessed by Epworth Sleepiness Scale from 11.6±4.86 to 4.3±2 (P<0.01), ODI from 44.7±27.3 to 12.9±16.3 (P=0.004). Operative time decreased over the course of the study with an initial steep ascent in technical skill acquisition followed by more gradual improvement, and a steady decrease in operative time to as short as 20min. Our preliminary results suggest that BRP technique is feasible, safe and effective in management of OSA patients. Moreover, it is easy to learn even for not experienced surgeons, less time consuming and with no significant complications. Springer-Verlag Berlin Heidelberg, 2015 Barbed nationallicence Pharyngoplasty nationallicence Obstructive sleep apnea nationallicence Vicini Claudio Department of Special Surgery, ENT and Oral Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia, Forlì, Italy aut Hendawy Ehsan Department of Otolaryngology, Head-Neck Surgery, University of Zagazig, Zagazig, Egypt aut Campanini Aldo Department of Special Surgery, ENT and Oral Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia, Forlì, Italy aut Eesa Mohamed Department of Otolaryngology, Head-Neck Surgery, University of Zagazig, Zagazig, Egypt aut Bahgat Ahmed Department of Otorhinolaryngology, Alexandria University, Alexandria, Egypt aut AlGhamdi Saleh King Fahd Armed Forces Hospital, Jeddah, Kingdom of Saudi Arabia aut Meccariello Giuseppe Department of Special Surgery, ENT and Oral Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia, Forlì, Italy aut DeVito Andrea Department of Special Surgery, ENT and Oral Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia, Forlì, Italy aut Montevecchi Filippo Department of Special Surgery, ENT and Oral Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia, Forlì, Italy aut Mantovani Mario ENT Division, "Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico”, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 3065-3070 0937-4477 272:10<3065 2015 272 405 https://doi.org/10.1007/s00405-015-3628-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-015-3628-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vicini Claudio Department of Special Surgery, ENT and Oral Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia, Forlì, Italy aut NATIONALLICENCE 700 1- Hendawy Ehsan Department of Otolaryngology, Head-Neck Surgery, University of Zagazig, Zagazig, Egypt aut NATIONALLICENCE 700 1- Campanini Aldo Department of Special Surgery, ENT and Oral Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia, Forlì, Italy aut NATIONALLICENCE 700 1- Eesa Mohamed Department of Otolaryngology, Head-Neck Surgery, University of Zagazig, Zagazig, Egypt aut NATIONALLICENCE 700 1- Bahgat Ahmed Department of Otorhinolaryngology, Alexandria University, Alexandria, Egypt aut NATIONALLICENCE 700 1- AlGhamdi Saleh King Fahd Armed Forces Hospital, Jeddah, Kingdom of Saudi Arabia aut NATIONALLICENCE 700 1- Meccariello Giuseppe Department of Special Surgery, ENT and Oral Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia, Forlì, Italy aut NATIONALLICENCE 700 1- DeVito Andrea Department of Special Surgery, ENT and Oral Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia, Forlì, Italy aut NATIONALLICENCE 700 1- Montevecchi Filippo Department of Special Surgery, ENT and Oral Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital, University of Pavia, Forlì, Italy aut NATIONALLICENCE 700 1- Mantovani Mario ENT Division, "Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico”, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 3065-3070 0937-4477 272:10<3065 2015 272 405