International expert consensus statement: surgical failure in obstructive sleep apnea

Giannicola Iannella; Annalisa Pace; Giuseppe Magliulo; Claudio Vicini; Rodolfo Lugo; Olivier M. Vanderveken; Nico de Vries; Kenny Pang; Eric Thuler; Ofer Jacobowitz; Michel Burihan Cahali; Joachim T. Maurer; Manuele Casale; Antonio Moffa; Fabrizio Salamanca; Federico Leone; Ewa Olszewska; Carlos O’connor Reina; Edilson Zancanella; Paul T. Hoff; Peter Baptista; Ahmed Yassin Bahgat; Madeline J.L. Ravesloot; Peter van Maanen; Andrew Goldberg; Marina Carrasco; Vikas K. Agrawal; Jerome R. Lechien; Andrea De Vito; Giovanni Cammaroto; Armando De Virgilio; Antonio Greco; Patrizia Mancini; Tiziano Perrone; Steve Amado; Uri Alkan; Ryan Chin Taw Cheong; Aurelio D’Ecclesia; Dorina Galantai; Anand RajuAnand; Christian Calvo-Henriquez; Salvatore Cocuzza; Michele Arigliani; Alberto Maria Saibene; Rosario Marchese Aragona; Antonino Maniaci

doi:10.1007/s11325-024-03162-6

International expert consensus statement: surgical failure in obstructive sleep apnea

Giannicola Iannella^*, Annalisa Pace, Giuseppe Magliulo, Claudio Vicini, Rodolfo Lugo, Olivier M. Vanderveken, Nico de Vries, Kenny Pang, Eric Thuler, Ofer Jacobowitz, Michel Burihan Cahali, Joachim T. Maurer, Manuele Casale, Antonio Moffa, Fabrizio Salamanca, Federico Leone, Ewa Olszewska, Carlos O’connor Reina, Edilson Zancanella, Paul T. HoffPeter Baptista, Ahmed Yassin Bahgat, Madeline J.L. Ravesloot, Peter van Maanen, Andrew Goldberg, Marina Carrasco, Vikas K. Agrawal, Jerome R. Lechien, Andrea De Vito, Giovanni Cammaroto, Armando De Virgilio, Antonio Greco, Patrizia Mancini, Tiziano Perrone, Steve Amado, Uri Alkan, Ryan Chin Taw Cheong, Aurelio D’Ecclesia, Dorina Galantai, Anand RajuAnand, Christian Calvo-Henriquez, Salvatore Cocuzza, Michele Arigliani, Alberto Maria Saibene, Rosario Marchese Aragona, Antonino Maniaci

^*Corresponding author for this work

Oral Kinesiology

Research output: Contribution to Journal › Review article › Academic › peer-review

Abstract

Purpose: Upper airway (UA) surgery is commonly employed in the treatment of patients with obstructive sleep apnea (OSA). The intricate pathophysiology of OSA, variability in sites and patterns of UA collapse, and the interaction between anatomical and non-anatomical factors in individual patients may contribute to possible surgical failures. This clinical consensus statement aims to identify areas of agreement among a development group comprising international experts in OSA surgery, regarding the appropriate definition, predictive factors in patients, and management of surgical failure in OSA treatment. Methods: A clinical consensus statement (CCS) was developed using the Delphi method by a panel of 35 contributors from various countries. A systematic literature review adhering to PRISMA guidelines was conducted. A survey consisting of 60 statements was then formulated and presented to the experts. Results: Following two rounds of the Delphi process, consensus or strong consensus was achieved on 36 items, while 24 items remained without consensus. Specifically, 5 out of 10 statements reached consensus regarding on the 'Definition of Surgical Success/Failure after OSA Surgery'. Regarding the 'Predictive Factors of Surgical Failure in OSA Surgery', consensus was reached on 10 out of 13 statements. In the context of the 'Diagnostic Workup in OSA Surgery', consensus was achieved on 9 out of 13 statements. Lastly, in 'Treatment in Surgical Failure Cases', consensus was reached on 12 out of 24 statements. Conclusion: The management of OSA after surgical failure presents a significant clinical challenge for sleep specialists. This CCS provides valuable guidance for defining, preventing, and addressing surgical failures in the treatment of OSA syndrome.

Original language	English
Pages (from-to)	2601-2616
Number of pages	16
Journal	Sleep and breathing
Volume	28
Issue number	6
Early online date	23 Sept 2024
DOIs	https://doi.org/10.1007/s11325-024-03162-6
Publication status	Published - Dec 2024

Bibliographical note

Publisher Copyright:
© The Author(s) 2024.

Keywords

Clinical guidelines
Delphi method
Expert consensus
Obstructive sleep apnea
Sleep disorder management

Access to Document

10.1007/s11325-024-03162-6

Persistent URL (handle)

Persistent link

Cite this

Iannella, G., Pace, A., Magliulo, G., Vicini, C., Lugo, R., Vanderveken, O. M., de Vries, N., Pang, K., Thuler, E., Jacobowitz, O., Cahali, M. B., Maurer, J. T., Casale, M., Moffa, A., Salamanca, F., Leone, F., Olszewska, E., Reina, C. O., Zancanella, E., ... Maniaci, A. (2024). International expert consensus statement: surgical failure in obstructive sleep apnea. Sleep and breathing, 28(6), 2601-2616. https://doi.org/10.1007/s11325-024-03162-6

@article{ad17b9ee15694de89f7fe062f5e57aba,

title = "International expert consensus statement: surgical failure in obstructive sleep apnea",

abstract = "Purpose: Upper airway (UA) surgery is commonly employed in the treatment of patients with obstructive sleep apnea (OSA). The intricate pathophysiology of OSA, variability in sites and patterns of UA collapse, and the interaction between anatomical and non-anatomical factors in individual patients may contribute to possible surgical failures. This clinical consensus statement aims to identify areas of agreement among a development group comprising international experts in OSA surgery, regarding the appropriate definition, predictive factors in patients, and management of surgical failure in OSA treatment. Methods: A clinical consensus statement (CCS) was developed using the Delphi method by a panel of 35 contributors from various countries. A systematic literature review adhering to PRISMA guidelines was conducted. A survey consisting of 60 statements was then formulated and presented to the experts. Results: Following two rounds of the Delphi process, consensus or strong consensus was achieved on 36 items, while 24 items remained without consensus. Specifically, 5 out of 10 statements reached consensus regarding on the 'Definition of Surgical Success/Failure after OSA Surgery'. Regarding the 'Predictive Factors of Surgical Failure in OSA Surgery', consensus was reached on 10 out of 13 statements. In the context of the 'Diagnostic Workup in OSA Surgery', consensus was achieved on 9 out of 13 statements. Lastly, in 'Treatment in Surgical Failure Cases', consensus was reached on 12 out of 24 statements. Conclusion: The management of OSA after surgical failure presents a significant clinical challenge for sleep specialists. This CCS provides valuable guidance for defining, preventing, and addressing surgical failures in the treatment of OSA syndrome.",

keywords = "Clinical guidelines, Delphi method, Expert consensus, Obstructive sleep apnea, Sleep disorder management",

author = "Giannicola Iannella and Annalisa Pace and Giuseppe Magliulo and Claudio Vicini and Rodolfo Lugo and Vanderveken, {Olivier M.} and {de Vries}, Nico and Kenny Pang and Eric Thuler and Ofer Jacobowitz and Cahali, {Michel Burihan} and Maurer, {Joachim T.} and Manuele Casale and Antonio Moffa and Fabrizio Salamanca and Federico Leone and Ewa Olszewska and Reina, {Carlos O{\textquoteright}connor} and Edilson Zancanella and Hoff, {Paul T.} and Peter Baptista and Bahgat, {Ahmed Yassin} and Ravesloot, {Madeline J.L.} and {van Maanen}, Peter and Andrew Goldberg and Marina Carrasco and Agrawal, {Vikas K.} and Lechien, {Jerome R.} and {De Vito}, Andrea and Giovanni Cammaroto and {De Virgilio}, Armando and Antonio Greco and Patrizia Mancini and Tiziano Perrone and Steve Amado and Uri Alkan and Cheong, {Ryan Chin Taw} and Aurelio D{\textquoteright}Ecclesia and Dorina Galantai and Anand RajuAnand and Christian Calvo-Henriquez and Salvatore Cocuzza and Michele Arigliani and Saibene, {Alberto Maria} and Aragona, {Rosario Marchese} and Antonino Maniaci",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2024.",

year = "2024",

month = dec,

doi = "10.1007/s11325-024-03162-6",

language = "English",

volume = "28",

pages = "2601--2616",

journal = "Sleep and breathing",

issn = "1520-9512",

publisher = "Springer Verlag",

number = "6",

}

Iannella, G, Pace, A, Magliulo, G, Vicini, C, Lugo, R, Vanderveken, OM, de Vries, N, Pang, K, Thuler, E, Jacobowitz, O, Cahali, MB, Maurer, JT, Casale, M, Moffa, A, Salamanca, F, Leone, F, Olszewska, E, Reina, CO, Zancanella, E, Hoff, PT, Baptista, P, Bahgat, AY, Ravesloot, MJL, van Maanen, P, Goldberg, A, Carrasco, M, Agrawal, VK, Lechien, JR, De Vito, A, Cammaroto, G, De Virgilio, A, Greco, A, Mancini, P, Perrone, T, Amado, S, Alkan, U, Cheong, RCT, D’Ecclesia, A, Galantai, D, RajuAnand, A, Calvo-Henriquez, C, Cocuzza, S, Arigliani, M, Saibene, AM, Aragona, RM & Maniaci, A 2024, 'International expert consensus statement: surgical failure in obstructive sleep apnea', Sleep and breathing, vol. 28, no. 6, pp. 2601-2616. https://doi.org/10.1007/s11325-024-03162-6

TY - JOUR

T1 - International expert consensus statement

T2 - surgical failure in obstructive sleep apnea

AU - Iannella, Giannicola

AU - Pace, Annalisa

AU - Magliulo, Giuseppe

AU - Vicini, Claudio

AU - Lugo, Rodolfo

AU - Vanderveken, Olivier M.

AU - de Vries, Nico

AU - Pang, Kenny

AU - Thuler, Eric

AU - Jacobowitz, Ofer

AU - Cahali, Michel Burihan

AU - Maurer, Joachim T.

AU - Casale, Manuele

AU - Moffa, Antonio

AU - Salamanca, Fabrizio

AU - Leone, Federico

AU - Olszewska, Ewa

AU - Reina, Carlos O’connor

AU - Zancanella, Edilson

AU - Hoff, Paul T.

AU - Baptista, Peter

AU - Bahgat, Ahmed Yassin

AU - Ravesloot, Madeline J.L.

AU - van Maanen, Peter

AU - Goldberg, Andrew

AU - Carrasco, Marina

AU - Agrawal, Vikas K.

AU - Lechien, Jerome R.

AU - De Vito, Andrea

AU - Cammaroto, Giovanni

AU - De Virgilio, Armando

AU - Greco, Antonio

AU - Mancini, Patrizia

AU - Perrone, Tiziano

AU - Amado, Steve

AU - Alkan, Uri

AU - Cheong, Ryan Chin Taw

AU - D’Ecclesia, Aurelio

AU - Galantai, Dorina

AU - RajuAnand, Anand

AU - Calvo-Henriquez, Christian

AU - Cocuzza, Salvatore

AU - Arigliani, Michele

AU - Saibene, Alberto Maria

AU - Aragona, Rosario Marchese

AU - Maniaci, Antonino

PY - 2024/12

Y1 - 2024/12

N2 - Purpose: Upper airway (UA) surgery is commonly employed in the treatment of patients with obstructive sleep apnea (OSA). The intricate pathophysiology of OSA, variability in sites and patterns of UA collapse, and the interaction between anatomical and non-anatomical factors in individual patients may contribute to possible surgical failures. This clinical consensus statement aims to identify areas of agreement among a development group comprising international experts in OSA surgery, regarding the appropriate definition, predictive factors in patients, and management of surgical failure in OSA treatment. Methods: A clinical consensus statement (CCS) was developed using the Delphi method by a panel of 35 contributors from various countries. A systematic literature review adhering to PRISMA guidelines was conducted. A survey consisting of 60 statements was then formulated and presented to the experts. Results: Following two rounds of the Delphi process, consensus or strong consensus was achieved on 36 items, while 24 items remained without consensus. Specifically, 5 out of 10 statements reached consensus regarding on the 'Definition of Surgical Success/Failure after OSA Surgery'. Regarding the 'Predictive Factors of Surgical Failure in OSA Surgery', consensus was reached on 10 out of 13 statements. In the context of the 'Diagnostic Workup in OSA Surgery', consensus was achieved on 9 out of 13 statements. Lastly, in 'Treatment in Surgical Failure Cases', consensus was reached on 12 out of 24 statements. Conclusion: The management of OSA after surgical failure presents a significant clinical challenge for sleep specialists. This CCS provides valuable guidance for defining, preventing, and addressing surgical failures in the treatment of OSA syndrome.

AB - Purpose: Upper airway (UA) surgery is commonly employed in the treatment of patients with obstructive sleep apnea (OSA). The intricate pathophysiology of OSA, variability in sites and patterns of UA collapse, and the interaction between anatomical and non-anatomical factors in individual patients may contribute to possible surgical failures. This clinical consensus statement aims to identify areas of agreement among a development group comprising international experts in OSA surgery, regarding the appropriate definition, predictive factors in patients, and management of surgical failure in OSA treatment. Methods: A clinical consensus statement (CCS) was developed using the Delphi method by a panel of 35 contributors from various countries. A systematic literature review adhering to PRISMA guidelines was conducted. A survey consisting of 60 statements was then formulated and presented to the experts. Results: Following two rounds of the Delphi process, consensus or strong consensus was achieved on 36 items, while 24 items remained without consensus. Specifically, 5 out of 10 statements reached consensus regarding on the 'Definition of Surgical Success/Failure after OSA Surgery'. Regarding the 'Predictive Factors of Surgical Failure in OSA Surgery', consensus was reached on 10 out of 13 statements. In the context of the 'Diagnostic Workup in OSA Surgery', consensus was achieved on 9 out of 13 statements. Lastly, in 'Treatment in Surgical Failure Cases', consensus was reached on 12 out of 24 statements. Conclusion: The management of OSA after surgical failure presents a significant clinical challenge for sleep specialists. This CCS provides valuable guidance for defining, preventing, and addressing surgical failures in the treatment of OSA syndrome.

KW - Clinical guidelines

KW - Delphi method

KW - Expert consensus

KW - Obstructive sleep apnea

KW - Sleep disorder management

UR - http://www.scopus.com/inward/record.url?scp=85204555071&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85204555071&partnerID=8YFLogxK

U2 - 10.1007/s11325-024-03162-6

DO - 10.1007/s11325-024-03162-6

M3 - Review article

C2 - 39307877

AN - SCOPUS:85204555071

SN - 1520-9512

VL - 28

SP - 2601

EP - 2616

JO - Sleep and breathing

JF - Sleep and breathing

IS - 6

ER -

International expert consensus statement: surgical failure in obstructive sleep apnea

Abstract

Bibliographical note

Keywords

Access to Document

Persistent URL (handle)

Other files and links

Fingerprint

Cite this