Pediatric sleep outcomes after endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy

Matthew Maksimoski, Sarah E. Maurrasse, Stephen R. Hoff, Jennifer Lavin, Taher Valika, Dana M. Thompson, Jonathan B. Ida*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The purpose of this study was to evaluate the efficacy of sleep endoscopy-directed simultaneous lingual tonsillectomy and epiglottopexy in patients with sleep disordered breathing (SDB), including polysomnography (PSG) and swallowing outcomes. Methods: A retrospective review was performed of all patients undergoing simultaneous lingual tonsillectomy and epiglottopexy over the study period. PSG objective measures were recorded pre- and postoperatively, along with demographic data, comorbidities, and descriptive data of swallowing dysfunction in the postoperative setting. Results: A total of 24 patients met inclusion criteria for consideration, with 13 having valid pre- and postoperative PSG data. Successful surgery was achieved in 84.6% of patients, with no difference based on presence of medical comorbidities including Trisomy 21. Median reduction in obstructive apnea–hypopnea index (oAHI) with the procedure was 69.9%. Four patients (16.7%) had postoperative concern for dysphagia, but all objective swallowing evaluations were normal and no dietary modifications were necessary. Conclusion: Combination lingual tonsillectomy and epiglottopexy in indicated patients has a high rate of success in this single-institutional study without new dysphagia in this population. These procedures are amenable to a combination surgery in appropriately selected patients determined by sleep state endoscopy in the setting of SDB evaluated with drug-induced sleep endoscopy. Graphical abstract: [Figure not available: see fulltext.]

Original languageEnglish (US)
Article number11
JournalJournal of Otolaryngology - Head and Neck Surgery
Volume51
Issue number1
DOIs
StatePublished - Dec 2022

Keywords

  • Airway obstruction
  • Airway surgery
  • DISE
  • Evidence-based medicine
  • Obstructive sleep apnea
  • Sleep disordered breathing

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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