Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea

Asha'ari, Zamzil Amin and Jamalludin, Ab Rahman and Leman, Wan Ishlah (2016) Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea. In: Medical Research Symposium & Pacific Partnership in conjunction with Kuantan Research Day 2016, 3rd-5th August 2016, Kuantan, Pahang. (Unpublished)

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Abstract

Objective: To assess the relationship between perioperative complications and upper airway surgery for obstructive sleep apnea (OSA). Methods: The records of 128 adult patients, diagnosed with obstructive sleep apnea (apnea-hypopnea index (AHI) >5), who underwent upper airway surgery at a single tertiary referral hospital from 2007 to 2014 were reviewed. Pulmonary, surgical, and cardiovascular complications within the first 30 postoperative days were analysed according to types of upper airway surgery. Upper airway surgery types were single surgery or combinations of surgery to the tonsils, pharyngeal adenoids, soft palate, tongue base and nose. Logistic regression was used to assess the multivariable association of age, sex, BMI, OSA severity, medical comorbidity, and types of upper airway surgery with postoperative complications. Results: At least one perioperative complications occurred in 48 of 128 patients (37.5%). In a multivariable model, the overall complication rate was increased with the age, obesity, smoking and underlying comorbid medical problems. Complication rates were not associated with OSA severity, types of procedures performed and whether the surgery was a single or combination surgery. Conclusion: In OSA patients undergoing upper airway surgery, the severity of OSA as assessed by the AHI, and the sites and numbers of concurrent surgery performed were not associated with the rate of perioperative complications.

Item Type:	Conference or Workshop Item (Slide Presentation)
Additional Information:	5556/51727
Uncontrolled Keywords:	nasal palatopharyngeal surgery, severe obstructive apnea
Subjects:	R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Otolaryngology - Head and Neck Surgery
Depositing User:	Dr ZAMZIL AMIN ASHA'ARI
Date Deposited:	22 Aug 2016 13:47
Last Modified:	24 May 2018 09:45
URI:	http://irep.iium.edu.my/id/eprint/51727

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