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									<identifier>oai:www.peertechzpublications.org:10.17352/2455-1759.000080</identifier>
									<datestamp>2018-10-25</datestamp>
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									<oai_dc:dc xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:mml="http://www.w3.org/1998/Math/MathML" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
										<dc:title>
										Evaluation of multiple surgeries as therapeutic options for Obstructive Sleep Apnea Syndrome
										</dc:title><dc:creator>Davi Knoll Ribeiro</dc:creator><dc:creator> José Antonio Pinto</dc:creator><dc:creator> Rodrigo Kohler</dc:creator><dc:creator> Heloisa dos Santos Sobreira Nunes</dc:creator><dc:creator>Andre Freitas da Silva Cavallini</dc:creator><dc:description>&lt;p&gt;Obstructive Sleep Apnea Syndrome (OSAS) is a chronic disease characterized by repeated airfl ow&lt;/p&gt;&lt;p&gt;obstruction in the upper airway. Location of obstructive site is essential for proper surgical planning.&lt;/p&gt;&lt;p&gt;Objective: To evaluate the success rate of multiple surgeries, in various combinations, in the&lt;/p&gt;&lt;p&gt;treatment of Moderate and Severe OSAS.&lt;/p&gt;&lt;p&gt;Methods: Fifty patients with moderate and severe OSAS subjected to multiple surgeries for treatment&lt;/p&gt;&lt;p&gt;were studied, and the laboratory values of pre -and postoperative polysomnography were analyzed.&lt;/p&gt;&lt;p&gt;Results: Considering the reduce AHI from an average of 47.9 events / hour (± 23.30) preoperatively to&lt;/p&gt;&lt;p&gt;a mean postoperative value of 19.82 events / hour (± 21.16) in cases of moderate OSAS, AHI was reduced&lt;/p&gt;&lt;p&gt;from 22.89 to 18.50 events / hour. In severe cases of OSAS, the AHI reduced from 58.62 to 20.38 events&lt;/p&gt;&lt;p&gt;/ hour.&lt;/p&gt;&lt;p&gt;Conclusion: Several combinations of multiple surgeries for OSAS are valid for the treatment -resistant&lt;/p&gt;&lt;p&gt;patients using CPAP alternatives. The success rate is signifi cantly better in severe cases than in mild&lt;/p&gt;&lt;p&gt;ones. Among the surgeries, craniofacial surgery contributed to improve postoperative AHI and showed a&lt;/p&gt;&lt;p&gt;greater reduction than in patients not undergoing this technique.&lt;/p&gt;</dc:description>
										<dc:publisher>Archives of Otolaryngology and Rhinology - Peertechz Publications</dc:publisher>
										<dc:date>2018-10-25</dc:date>
										<dc:type>Research Article</dc:type>
										<dc:identifier>https://doi.org/10.17352/2455-1759.000080</dc:identifier>
										<dc:language>en</dc:language>
										<dc:rights>Copyright © Davi Knoll Ribeiro et al.</dc:rights>
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