caa a22 4500 606185704 CHVBK 20210128100833.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00405-014-3034-2 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3034-2 The impact of modified tongue base suspension on CPAP levels in patients with severe OSA [Elektronische Daten] [Murat Turhan, Asli Bostanci, Mehmet Akdag] The aim of this study was to evaluate the effects of modified tongue base suspension (mTBS) procedure on continuous positive airway pressure (CPAP) levels in patients with severe obstructive sleep apnea (OSA). From November 2011 to December 2012, a total of 31 patients with severe OSA who underwent mTBS were included into this prospective case series with planned data collection. Prior to surgery, all the patients were subjected to a polysomnography (PSG) and CPAP titration on two separate nights. Following the surgery, patients were subjected to a control PSG and CPAP titration at the sixth month of follow-up period. The preoperative and postoperative mean apnea hypopnea index (AHI), CPAP titration values, AHI during CPAP use and amount of sleeping time with CPAP were compared. Median age was 48years (range 31-66), and most patients were male (87.0%). Postoperative mean AHI (44.73±17.05 vs. 19.96±19.52), optimal CPAP value (12.64±1.60 vs. 8.00±1.77) and AHI during CPAP use (3.79±1.78 vs. 2.25±1.81) were decreased, and the amount of sleeping time with CPAP (5.29±0.84 vs. 6.52±0.89) was increased significantly (p<0.001 for all parameters). The surgery was considered to be successful when 50% reduction in the mean AHI and/or the decrease of AHI below 20/h were obtained. A total of 24 patients (77.4%) met the surgical success criteria. The mTBS is a safe and feasible procedure with favorable effects on CPAP levels in patients with severe OSA. Springer-Verlag Berlin Heidelberg, 2014 CPAP nationallicence Modified tongue base suspension nationallicence OSA nationallicence Turhan Murat Department of Otolaryngology-Head and Neck Surgery, Akdeniz University Hospital, Antalya, Turkey aut Bostanci Asli Department of Otolaryngology-Head and Neck Surgery, Akdeniz University Hospital, Antalya, Turkey aut Akdag Mehmet Department of Otolaryngology-Head and Neck Surgery, Akdeniz University Hospital, Antalya, Turkey aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 995-1000 0937-4477 272:4<995 2015 272 405 https://doi.org/10.1007/s00405-014-3034-2 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/s00405-014-3034-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Turhan Murat Department of Otolaryngology-Head and Neck Surgery, Akdeniz University Hospital, Antalya, Turkey aut NATIONALLICENCE 700 1- Bostanci Asli Department of Otolaryngology-Head and Neck Surgery, Akdeniz University Hospital, Antalya, Turkey aut NATIONALLICENCE 700 1- Akdag Mehmet Department of Otolaryngology-Head and Neck Surgery, Akdeniz University Hospital, Antalya, Turkey aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 995-1000 0937-4477 272:4<995 2015 272 405