Upper airway obstruction of @entity1 with @entity27 ( @entity27 ) occurring during sleep can appear at multiple sites. Successful results of hyoid myotomy with suspension (HM) in the treatment of @entity27790 performed under general anesthesia have been reported. However, many @entity27 @entity1 have difficulty at the induction of anesthesia and intubation. They are predisposed to specific complications owing to anatomical abnormalities of the airway and the existence of an underlying syndrome. The purpose of this study was to assess the safety and efficacy of HM for the treatment of @entity27 under local anesthesia. Thirty-two @entity27 @entity1 with @entity27790 underwent HM under local anesthesia. The hyoid bone was suspended to the superior aspect of the thyroid cartilage. Uvulopalatal flap was an adjunct surgical procedure for @entity2419 . @entity1 had a mean age of 39.2+/-5.7 years and a body mass index of 29.3+/-2.4 kg/m(2). Data on the @entity1 were compared from preoperative to postoperative assessment points. Statistical analysis was performed using the Student's t-test. All @entity1 tolerated the procedure well. The mean follow-up was 8.1+/-2.4 months (range 5 to 10 months). The mean RDI decreased from 44.5+/-8.7 to 15.2+/-5.6 ( P<0.001), and the lowest @entity26 saturation increased from 82.1+/-3.7% to 87.9+/-2.7% ( P<0.01). The @entity25 scale improved from 14.1+/-2.2 to 8.2+/-2.3 ( P<0.01), and the snoring scale improved from 8.5+/-1.8 to 3.5+/-1.7 ( P<0.001). @entity260 included transient @entity1282 in 3% of the @entity1 and transient aspiration in 9%. Bleeding, @entity281 and airway obstruction were not observed. Most @entity1 had mild to moderate @entity158 (visual analog scale <or=7) for 5 to 7 days after the procedures. Responders were defined as @entity27 @entity1 who had a reduction in the respiratory disturbance index (RDI) of 50% or more and a RDI of 20 or less after surgery. By these criteria, 78% of the @entity1 were regarded as having responded to HM. A significant reduction in the RDI and clinical improvements were observed after HM. It appears to be a safe, inexpensive and effective procedure that can be performed under local anesthesia with a low probability of complications.

Hyoid myotomy with suspension under local anesthesia for XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity27790 :: ('MESH:D007012', 'Disease') :: ['hypopharyngeal obstruction'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity27 :: ('MESH:D020181', 'Disease') :: ['OSAS', 'obstructive sleep apnea syndrome'] @entity260 :: ('MESH:D011183', 'Disease') :: ['Postoperative complications'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity2419 :: ('MESH:D002972', 'Disease') :: ['palatal obstruction'] @entity25 :: ('MESH:D012893', 'Disease') :: ['Epworth sleepiness']
@entity27 :: (MESH:D020181,Disease) :: ['obstructive sleep apnea syndrome']
