Status:

NOT_YET_RECRUITING

Effect of ALA on Retrolingual Collapse in Patients With Multilevel Obstructive OSA

Lead Sponsor:

Assiut University

Conditions:

Obstructive Sleep Apnea

Eligibility:

All Genders

18-60 years

Phase:

NA

Brief Summary

To determine the effect of Anterolateral advancement pharyngoplasty on retrolingual collapse in patients with multilevel OSA, and thus if multistage surgery is required.

Detailed Description

Obstructive sleep apnea (OSA) is a condition characterized by repeated episodes of partial or complete airway obstruction during sleep. It is a common health problem affecting a large proportion of th...

Eligibility Criteria

Inclusion

  • Age: ≥ 18 and ≤ 60 years.
  • Sex: both genders.
  • BMI: less than 32 kg/m2
  • Patients with moderate (AHI = 15-30) and severe OSA (AHI \> 30) according to the clinical guidelines given by the American Academy of Sleep Medicine
  • Friedman tongue position III or IV.
  • Documented failure/refusal of attempts of conservative treatment measures (not limited to continuous positive airway pressure).
  • The presence of type II obstruction (oropharynx and hypopharynx).
  • Class I occlusion.

Exclusion

  • Age: \< 18 or \> 60 years old.
  • BMI: \>32 kg/m2
  • Failure to attend postoperative follow-up polysomnography within 12 months of surgery.
  • Previous surgery to the base of the tongue or other surgical treatment of OSA.
  • Chronic pulmonary disease, or other previous oropharyngeal/laryngeal surgery.
  • Class II occlusion with receding mandible.
  • Huge lymphoid tissue of the tongue and/or lingual tonsil.
  • Symptom not suggestive of OSA and presence of central sleep apnea.

Key Trial Info

Start Date :

October 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2026

Estimated Enrollment :

28 Patients enrolled

Trial Details

Trial ID

NCT06538701

Start Date

October 1 2024

End Date

October 1 2026

Last Update

August 6 2024

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