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CC BY 4.0 · Int Arch Otorhinolaryngol 2025; 29(01): s00441801791
DOI: 10.1055/s-0044-1801791
Original Research

Home Respiratory Polygraphy to Detect Obstructive Sleep Apnea Syndrome after Supracricoid Partial Laryngectomy

Rosa Hernández-Sandemetrio 
1   ENT Department, University General Hospital of Valencia, Valencia School of Medicine, Valencia, Spain
,
Natsuki Oishi 
1   ENT Department, University General Hospital of Valencia, Valencia School of Medicine, Valencia, Spain
,
Tomás Chavero
2   Intensive Care Unit Department, University Doctor Peset Hospital, Valencia, Spain
,
Rafael Navarro
3   Pneumology Department, University General Hospital of Valencia, Valencia, Spain
,
Isabel López
1   ENT Department, University General Hospital of Valencia, Valencia School of Medicine, Valencia, Spain
,
Enrique Zapater
1   ENT Department, University General Hospital of Valencia, Valencia School of Medicine, Valencia, Spain
› Author Affiliations
Funding The authors declare that they have not received any financial support from agencies in the public, private or not-for-profit sectors to conduct the present research.
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Abstract

Introduction Supracricoid partial laryngectomy is a surgical treatment for advanced laryngeal cancer which is implemented to preserve organ function, but it may cause obstructive sleep apnea syndrome (OSAS) due to anatomical changes after surgery that may be neglected by clinicians.

Although the gold standard for the diagnosis of OSAS is polysomnography, respiratory polygraphy is an alternative valid method with a high level of diagnostic sensitivity and specificity; since the equipment is portable, it can be used at home, with no need for hospitalization.

Objective To describe the polygraphy result of patients submitted to supracricoid partial laryngectomy.

Methods The present study included 13 patients, and we collected data on age, date of the surgery, body mass index, cardiovascular risk factors, Epworth score, and apnea-hypopnea index (AHI).

Results The 13 patients were all male, with a mean age of 62 years. As for the AHI, one patient was classified as severe, six, as moderate, and three patients, as mild; moreover, 3 patients were simple snorers. While 77% of the sample presented OSAS, only 23% presented symptoms of drowsiness.

Conclusion The study group, who underwent supracricoid partial laryngectomy, did not present self-reported symptoms of OSAS. Nevertheless, polygraphy was a useful tool in this group, and we recommend its systematic use after decannulation to avoid leaving OSAS undiagnosed.

Level of evidence 4; case series study

Keywords

obstructive sleep apnea - partial laryngectomy - polygraphy


Publication History

Received: 29 November 2022

Accepted: 30 July 2023

Article published online:
23 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Rosa Hernández-Sandemetrio, Natsuki Oishi, Tomás Chavero, Rafael Navarro, Isabel López, Enrique Zapater. Home Respiratory Polygraphy to Detect Obstructive Sleep Apnea Syndrome after Supracricoid Partial Laryngectomy. Int Arch Otorhinolaryngol 2025; 29: s00441801791.
DOI: 10.1055/s-0044-1801791