Tonsillectomy May Not Be the Answer in All OSA Cases

Tonsillectomy is considered the standard of care in patients with obstructive sleep apnea (OSA) and large tonsils; however, there are selected cases where this procedure should not be considered. We present two patients with tonsil grade 4 and severe OSA where tonsillectomy was not the solution for their problem and could be a superfluous procedure. In our experience, a preoperatory drug-induced sleep endoscopy (DISE) and proper patient phenotyping will prevent this type of surgical failure.

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Publication Details

Journal
Journal of Clinical Medicine
Published
2024-10-28
DOI
https://doi.org/10.3390/jcm13216456
Citations
2
Primary Topic
Obstructive Sleep Apnea Research
Type
article
Field-Weighted Citation Impact
0.65
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article

Tonsillectomy May Not Be the Answer in All OSA Cases

Guillermo Plaza, Peter Baptista, Marina Carrasco‐Llatas, Carlos O’Connor-Reina et al.
2 citations
Journal of Clinical Medicine
Obstructive Sleep Apnea Research
0.65
article

Tonsillectomy May Not Be the Answer in All OSA Cases

Guillermo Plaza, Peter Baptista, Marina Carrasco‐Llatas, Carlos O’Connor-Reina, Gabriela Bosco, Nuria Pérez‐Martín, Laura Rodríguez Alcalá, Andrés Navarro, Belén Bargagna
article en
2 citations

Abstract

Tonsillectomy is considered the standard of care in patients with obstructive sleep apnea (OSA) and large tonsils; however, there are selected cases where this procedure should not be considered. We present two patients with tonsil grade 4 and severe OSA where tonsillectomy was not the solution for their problem and could be a superfluous procedure. In our experience, a preoperatory drug-induced sleep endoscopy (DISE) and proper patient phenotyping will prevent this type of surgical failure.

Journal of Clinical MedicineVol. 13(21)
Universidad Rey Juan Carlos (ES), Hospital Quirónsalud Barcelona (ES), Hospital Universitario Doctor Peset (ES), Hospital Universitario de Fuenlabrada (ES), Hospital Universitario Sanitas La Zarzuela (ES)
Good health and well-being
Openalex Percentile: Top 28%
Obstructive Sleep Apnea Research
0.65
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Tonsillectomy May Not Be the Answer in All OSA Cases — Guillermo Plaza, Peter Baptista, et al. · Journal of Clinical Medicine (2024) | TGRS Research Map | TGRS