Prof Stuart MacKay BSc (Med) MB BS (Hons) FRACS Honorary Clinical Professor Otolaryngology Head and Neck Surgery Clinical Professor at University of Wollongong Graduate School of Medicine Adjunct Professor Faculty of Health Sciences University of Adelaide

09 Sep Severe Obstructive Sleep Apnea: Surgery as an Alternative to CPAP-like Devices

Posted at 13:38h in Author Interviews, ENT, JAMA, Obstructive Sleep Apnea, Sleep Disorders, Surgical Research by

MedicalResearch.com Interview with:

Prof Stuart MacKay BSc (Med) MB BS (Hons) FRACS Honorary Clinical Professor Otolaryngology Head and Neck Surgery Clinical Professor at University of Wollongong Graduate School of Medicine Adjunct Professor Faculty of Health Sciences University of Adelaide

Prof. MacKay

 

Prof Stuart MacKay BSc (Med) MB BS (Hons) FRACS
Honorary Clinical Professor Otolaryngology Head and Neck Surgery
Clinical Professor at University of Wollongong Graduate School of Medicine
Adjunct Professor Faculty of Health Sciences

 

MedicalResearch.com: What is the background for this study?

  1. Sleep Apnea is common and impairs daytime function and carries health risk.
  2. Many patients have difficulty with CPAP, the main treatment.
  3. Surgery offers an alternative, and we tested this at a very high level in this clinical study.

MedicalResearch.com: What are the main findings? 

  1. Surgery creates marked improvement in stoppages (apnea) and droppages (hypopnea) in airflow.
  2. Surgery significantly improves patient reports of daytime sleepiness.
  3. Many other outcomes related to quality of life, snoring and general well being improve with surgery.

MedicalResearch.com: What should readers take away from your report?

Response: A trained sleep surgeon can offer an opinion for patients struggling with other treatments (devices) for sleep apnea.

MedicalResearch.com: What recommendations do you have for future research as a result of this work? 

Response: This study will also provide: 1) long term outcomes, 2) MRI airway volume assessments, 3) cost benefit analysis and 4)endo-phenotyping results in future publications and extended studies. 

MedicalResearch.com: Is there anything else you would like to add?

Response: Sleep apnea surgery has a key role in contemporary treatment pathways.

Disclosures are listed in the pdf and include NH&MRC Grant funding

Citations:

MacKay S, Carney AS, Catcheside PG, et al. Effect of Multilevel Upper Airway Surgery vs Medical Management on the Apnea-Hypopnea Index and Patient-Reported Daytime Sleepiness Among Patients With Moderate or Severe Obstructive Sleep Apnea: The SAMS Randomized Clinical Trial. JAMA. Published online September 04, 2020. doi:10.1001/jama.2020.14265

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Last Updated on September 19, 2020 by Marie Benz MD FAAD

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