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The epiglottis and obstructive sleep apnoea syndrome

  • Frank J. Catalfumo (a1), Avishay Golz (a2), S. Thomas Westerman (a3), Liane M. Gilbert (a4), Henry Z. Joachims (a2) and David Goldenberg (a2)...
Abstract

Obstructive sleep apnoea syndrome (OSAS) is caused by obstruction or narrowing of the airway at various levels. The repair of one site only will not alleviate the syndrome if there are obstructions in other sites. Epiglottis prolapse during inspiration is an unusual cause of airway obstruction and a rare cause of OSA.

Twelve cases of OSAS due to an abnormal epiglottis are presented. We present our approach to the diagnosis using fibre-optic examination of the hypopharynx, and our treatment using endoscopic carbon dioxide laser partial epiglottidectomy.

We found in our series that in 11.5 per cent of patients who failed the uvulopalatopharyngoplasty procedure, the reason was a narrow airway at the hypopharyngeal level caused by an abnormal epiglottis. It is our suggestion that in these cases a laser partial epiglottidectomy should be performed. The results of this study show that partial epiglottidectomy can increase the cure rate of patients with obstructive sleep apnoea syndrome by 10–15 per cent.

Copyright
COPYRIGHT: © JLO (1984) Limited 1998
Corresponding author
Address for correspondence: Avishay Golz, M.D., Dept. of Otolaryngology–Head and Neck Surgery, Rambam Medical Center, P.O.B. 9602, Haifa 31092, Israel Fax: 972-4-851-5710, 972-4-854-2772 E-mail: golz@netvision.net.il
Footnotes
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Presented at the Annual Meeting of the American Academy of Otolaryngology – Head and Neck Surgery, San Diego, California, 18-21 September 1994.

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References
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Andersen, A. P. D., Alving, J., Lildhold, T., Wolf, C. H. (1987) Obstructive sleep apnoea initiated by a lax epiglottis. Chest 91: 621–623.
Chetty, K. G., Kadifa, F., Berry, R. B., Mahutte, C. K. (1994) Acquired laryngomalacia as a cause of obstructive sleep apnoea. Chest 106: 1898–1899.
Crampette, L., Carlander, B., Mondain, M., Billiard, M., Guerrier, B., Dejean, Y. (1992) Surgical alternatives to uvulopalatopharyngoplasty in sleep apnoea syndrome. Sleep 15 (Suppl 6): 63–68.
Crumley, R. L., Stein, M., Gamsu, G., Golden, J., Dermon, S. (1987) Determination of obstructive site in obstructive sleep apnoea. Laryngoscope 97: 301–308.
Fujita, S., Conway, W., Zorick, F., Roth, T. (1981) Surgical corrections of anatomic abnormalities in obstructive sleep apnoea syndrome: uvulopalatopharyngoplasty. Otolaryn-gology – Head and Neck Surgery 89: 923–934.
Fujita, S., Conway, W. A., Zorick, F. J., Sicklesteel, J. M., Roehrs, T. A., Wittig, R. M, Roth, T. (1985) Evaluation of the effectiveness of uvulopalatopharyngoplasty. Laryngo-scope 95: 70–74.
Fujita, S., Woodson, T., Clark, J. L., Witting, R. (1991) Laser midline glossectomy as a treatment for obstructive sleep apnoea. Laryngoscope 101: 805–809.
Guilleminault, C., Hill, M. W., Simmons, F. B., Dement, W. C. (1978) Obstructive sleep apnoea: electromyographic and fiberoptic studies. Experimental Neurology 62: 48–67.
Kletzker, G. R., Bastian, R. W. (1990) Acquired airway obstruction from histologically normal, abnormally mobile supraglottic soft tissue. Laryngoscope 100: 375–379.
Launois, S. H., Feroah, T. R., Campbell, W. N., Issa, F. G., Morrison, D., Whitelaw, W. A., Isono, S., Remmers, J. E. (1993) Site of pharyngeal narrowing predicts outcome for surgery for obstructive sleep apnoea. American Review of Respiratory Diseases 147: 182–189.
Marcus, C. L., Crockett, D. M., Davidson, S. L. (1990) Evaluation of epiglottoplasty as treatment for severe laryngomalacia. Journal of Pediatrics 117: 706–710.
Mickelson, S. A., Rosenthal, L. (1997) Midline glossectomy and epiglottidectomy for obstructive sleep apnoea syndrome. Laryngoscope 107: 614–619.
Person, D. L., Graffino, D. B., Zenker, D. O. (1988) The redundant aryepiglottic fold: report of a new cause of stridor. Laryngoscope 98: 659–663.
Pillar, G., Schnall, R., Peled, R., Lavie, P. (1996) Surgical treatment of sleep apnoea syndrome. Israel Journal of Medical Sciences 32: 710–715.
Shepard, J. W. Jr., Thawley, S. E. (1990) Localization of upper airway collapse during sleep in patients with obstructive sleep apnoea. American Review of Respiratory Diseases 141: 1350–1355.
Simmons, F. B. (1993) Sleep apnoea. In Otolaryngology, Chapter 19, vol. 4 (English, G., ed.), J. B. Lippincott Company, Philadelphia, pp 1–28.
Strollo, P. J., Rogers, R. M. (1996) Obstructive sleep apnoea. New England Journal of Medicine 334: 99–104.
Templer, J., Hast, M., Thomas, J. R., Davis, W. E. (1981) Congenital laryngeal stridor secondary to flaccid epiglottis, anomalous accessory cartilages and redundant aryepiglottic folds. Laryngoscope 91: 394–397.
Thawley, S. E. (1995) Sleep apnoea disorders. In Otolar-yngology-Head and Neck Surgery. 2nd Edition, vol. 3, (Cummings, C. W., ed.), Mosby, St Louis, pp 1392–1413.
Wilms, D., Popovich, J., Conway, W., Fujita, S., Zorick, F. (1982) Anatomic abnormalities in obstructive sleep apnoea. Annals of Otology, Rhinology and Laryngology 91: 595–596.
Woodson, G. T., Fujita, S. (1992) Clinical experience with lingualplasty as part of the treatment of severe obstructive sleep apnoea. Otolaryngology – Head and Neck Surgery 107: 40–47.
Woo, P. (1992) Acquired laryngomalacia: epiglottis prolapse as a cause of airway obstruction. Annals of Otology, Rhinology and Laryngology 101: 314–320.
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