Polisomnographic results of adult patients with bilateral vocal cord paralysis and diagnosis of hypopnea sleep apnea syndrome managed with posterior cordectomy: study before-after
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Abstract
Bilateral vocal cord paralysis (BVFP) and Obstructive sleep apnea -hypopnea syndrome (OSAHS) are pathologies that generate respiratory limitation. As they are obstructive airway diseases, it is reasonable to consider a possible relationship.
To describe the change in polysomnography after unilateral transverse posterior cordectomy in patients with BVFP diagnosis of OSAHS by polysomnography.
A before and after study was performed, in two university centers in Bogotá, frequencies and measures of central tendency were described. The McNemar BoWker and paired T or Wilcoxon tests were used, considering p <0.05 significant.
14 patients were managed with transverse posterior cordectomy. 100% were female and the mean age of 51.2 ± 10.73 years. The average BMI was 25.42 ± 5.4, 50% had normal BMI. OSAHS severity was mild 42.9%, moderate 28.6% and severe 28.6% disease classification. The intervention was successful in 64.28%, there was a 54% reduction in presurgical Apnea Hypopnea Index compared to the post-surgical one (p = 0.029), 85.6% reduction in the index of obstructive apneas (p = 0.017), in the index of hypopneas in 52% (p = 0.028) and sleep latency in 33.3% (p = 0.025). Other variables showed no significant differences (p> 0.05).
Conclusions
The results described show a statistically significant relationship between OSAHS and BVFP. Patients with BVFP benefited from the use of posterior cordectomy as a therapeutic intervention reducing the severity rates of OSAHS and thus improving the quality of life of patients.
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Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.
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eISSN: 2539-0856
ISSN: 0120-8411
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