OSA Course OSA Webinar OSA Podcast OSA Forum

Glossoepiglottopexy – swallowing problem




Home Forums ORL forum Glossoepiglottopexy – swallowing problem


RegisterLoginLogout


Only registered users can fully participate in forum debates. Guests can't post attachments.
Forum content may be inappropriate for some users.

You are not logged in

Invite someone to this forum page.


Latest topics:

  • • Paramount Plus: Yellowstone, Paw Patrol, free trials and everything else to know
  • • Among the worst traits that can possibly take place to a character is to be .
  • • Glossoepiglottopexy - swallowing problem

Tagged: 

Viewing 2 posts - 1 through 2 (of 2 total)
  • Author
    Posts
  • #5917 Reply
    Matej DelakordaMatej Delakorda
    Keymaster
    Up
    1
    Down

    47 yo man with BMI 22 and moderate OSA (REI 20/h) was operated for lingual tonsills hypertrophy in the past (coblator tongue base reduction). After that symptoms have persisted (sleepiness, headaches, problems concetrating). He tried CPAP but it didn’t stabilize upper airway. DISE showed floppy epiglottis so we have decided to do glossoepiglottopexy (sec. Roustan&Barbieri) – after RF deepitelization we have introduced a stitch horizontally, above the level of hyoid bone. Immediately after the operation he has felt a big discomfort and couldn’t swallow even after opioid analgetics. We have done a second procedure two days after. This time we have put the stitch approx. 5mm lower, closer to valeculae and tight it more loose. The pain and discomfort were not so intensive but swallowing problems persisted to a lesser degree. 3 days after that he felt a snap in the neck while drinking and the stitch from the outside was now very loose. Endoscopy showed it has cut through the epiglottis.

    We have never encountered such problems. Any ideas? Thanks.

    Attachments:
    You must be logged in to view attached files.
    #6815 Reply
    jrancic.dr
    Participant
    Up
    0
    Down

    I am relative beginer in OSA but 30 years experience in laryngeal surgery. Could epiglotectomy help?

Viewing 2 posts - 1 through 2 (of 2 total)
Reply To: Glossoepiglottopexy – swallowing problem
Your information: