ArticleIndian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India2025
Additive Effect of Multilevel Radiofrequency Ablation in Elderly Patients with Sleep Apnea.
Article in Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Elderly patients with Obstructive sleep apnea (OSA) often struggle with positive airway therapy due to low adherence. This study explores Radiofrequency ablation (RFA) as a treatment alongside weight loss and tongue-retaining device for OSA in older adults. Through a randomized trial, we compare RFA effectiveness to a control group, aiming to establish its potential role in managing OSA in this vulnerable population. The control group received only weight loss and tongue-retaining device recommendations. In the intervention group, these measures were supplemented with RFA of the soft palate and inferior turbinates. After three months, both groups were assessed for changes in sleep study parameters, BMI, and tongue-retaining device adherence. Twenty patients in the control group and 23 in the intervention group completed the trial. The average age was 60.25 years old (SD = 5.88) in the control group and 61.83 years old (SD = 5.21) in the RFA group. Both groups experienced significant BMI reductions, with the control group averaging a decrease of 1.5 kg/m² (SD = 2.4 kg/m²) and the RFA group averaging a decrease of 1.3 kg/m² (SD = 1.1 kg/m²). Tongue-retaining device adherence was 50% in the control group and 56.5% in the RFA group. The RFA group achieved a significantly greater proportionate reduction in AHI compared to the control group (
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