OSAS surgery and postoperative discomfort: Phase i surgery versus phase II surgery

Giulio Gasparini, Sandro Pelo, Daniele Cervelli, Andrea Torroni, Francesco Di Nardo, Enrico Foresta, Camillo Azzuni, Tito Matteo Marianetti

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

2 Citazioni (Scopus)

Abstract

Introduction. This study aims to investigate the reasons that discourage the patients affected by OSAS to undergo orthognathic surgery and compares the postoperative discomfort of phase I (soft tissue surgery) and phase II (orthognathic surgery) procedures for treatment of OSAS. Material and Methods. A pool of 46 patients affected by OSAS was divided into two groups: "surgery patients" who accepted surgical treatments of their condition and "no surgery patients" who refused surgical procedures. The "surgery patients" group was further subdivided into two arms: patients who accepted phase I procedures (IP) and those who accepted phase II (IIP). To better understand the motivations behind the refusal of II phase procedures, we asked the patients belonging to both the IP group and "no surgery" group to indicate the main reason that influenced their decision to avoid II phase procedures.We also monitored and compared five parameters of postoperative discomfort: pain, painkiller assumption, length of hospitalization, foreign body sensation, and diet assumption following IP and IIP procedures. Results.Themain reason to avoid IIP procedures was the concern of a more severe postoperative discomfort. Comparison of the postoperative discomfort following IP versus IIP procedures showed that the former scored worse in 4 out of 5 parameters analyzed. Conclusion. IIP procedures produce less postoperative discomfort. IIP procedures, namely, orthognathic surgery, should be the first choice intervention in patients affected by OSAS and dentoskeletal malformation. Copyright © 2015 Giulio Gasparini et al.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
RivistaBioMed Research International
Volume2015
DOI
Stato di pubblicazionePubblicato - 2015

Keywords

  • Article
  • adult
  • aged
  • amoxicillin plus clavulanic acid
  • clinical article
  • controlled study
  • diet
  • dysphagia
  • edema
  • female
  • foreign body
  • foreign body sensation
  • health care cost
  • human
  • intervention study
  • length of stay
  • male
  • motivation
  • mouth disease
  • nose disease
  • oronasal reflux
  • orthognathic surgery
  • paracetamol, abnormal sensation
  • patient decision making
  • postoperative analgesia
  • postoperative complication
  • postoperative discomfort
  • postoperative edema
  • postoperative pain
  • postoperative period
  • postoperative vomiting
  • sleep disordered breathing
  • soft tissue disease
  • soft tissue edema
  • surgical patient
  • treatment refusal

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