Pharyngeal suspension suture with repose bone screw for obstructive sleep apnea

Otolaryngol Head Neck Surg. 2000 Mar;122(3):395-401. doi: 10.1016/S0194-5998(00)70055-6.


Objective: Multilevel surgery for obstructive sleep apnea syndrome (OSA) may improve success. This study's goal is to prospectively evaluate the feasibility and short-term subjective effectiveness of a new tongue-suspension technique.

Methods: A multicenter nonrandomized open enrollment trial used the Repose device to treat tongue obstruction in 39 snoring and OSA patients. Outcomes include 1- and 2-month subjective reports of general health, snoring, and sleep.

Results: Twenty-three patients completed 1 month and 19 completed 2 months of follow-up. In OSA patients, activity level, energy/fatigue, and sleepiness improved. Two-month outcomes were less (activity level, energy/fatigue, and sleepiness). Fewer changes were observed in snorers than in OSA patients. There were 6 complications (18%), including sialadenitis (4), gastrointestinal bleeding (1), and dehydration (1) after the procedure.

Conclusion: A pharyngeal suspension suture changes subjective outcomes. Improvement is incomplete. The procedure is nonexcisional, but significant complications may occur. Further evaluation is required to demonstrate effectiveness.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Bone Screws*
  • Female
  • Follow-Up Studies
  • Humans
  • Hypopharynx / surgery
  • Male
  • Middle Aged
  • Pharynx / surgery*
  • Polysomnography
  • Postoperative Complications / etiology*
  • Prospective Studies
  • Sleep Apnea, Obstructive / etiology
  • Sleep Apnea, Obstructive / surgery*
  • Suture Techniques / instrumentation*
  • Tongue / surgery*
  • Treatment Outcome