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Quality of life improvement after Obstructive Sleep Apnea treatment: Continuous Positive Airway Pressure versus Multilevel Transoral Robotic Surgery.
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  • giannicola Iannella,
  • Giuseppe Magliulo,
  • Cristina Anna Maria Lo Iacono,
  • Irene Claudia Visconti,
  • Jerome Lechien,
  • Tiziano Perrone,
  • Antonino Maniaci,
  • Salvatore Cocuzza,
  • Milena Di Luca,
  • Giovanni Cammaroto,
  • Giuseppe Meccariello,
  • Angelo Cannavicci,
  • ANDREA DE VITO,
  • Chiara Martone,
  • antonio greco,
  • Marco de Vincentiis,
  • Massimo Ralli,
  • Annalisa Pace,
  • Giampiero Gulotta,
  • Stefano Pelucchi,
  • Andrea CIORBA,
  • Massimo Ruggero Corso,
  • Claudio Vicini
giannicola Iannella
Sapienza University of Rome
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Giuseppe Magliulo
La Sapienza
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Cristina Anna Maria Lo Iacono
Sapienza University of Rome
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Irene Claudia Visconti
Università degli Studi di Roma La Sapienza
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Jerome Lechien
Universite de Mons
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Tiziano Perrone
Università degli Studi di Ferrara
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Antonino Maniaci
University of Catania
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Salvatore Cocuzza
University of Catania
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Milena Di Luca
Università degli Studi di Catania
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Giovanni Cammaroto
Ospedale Morgagni-Pierantoni
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Giuseppe Meccariello
First Clinic of Otolaryngology
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Angelo Cannavicci
Morgagni-Pierantoni Hospital
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ANDREA DE VITO
Ospedale Morgagni-Pierantoni
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Chiara Martone
Ospedale Santa Maria delle Croci
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antonio greco
Università degli Studi di Roma La Sapienza Dipartimento Organi di Senso
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Marco de Vincentiis
'Sapienza' University of Rome
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Massimo Ralli
Università degli Studi di Roma La Sapienza Dipartimento Organi di Senso
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Annalisa Pace
Università degli Studi di Roma La Sapienza Dipartimento Organi di Senso
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Giampiero Gulotta
Università degli Studi di Roma La Sapienza
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Stefano Pelucchi
University of Ferrara
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Andrea CIORBA
University of Ferrara
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Massimo Ruggero Corso
Intensive Care Unit, Morgagni-Pierantoni Hospital, AUSL of Romagna
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Claudio Vicini
Università degli Studi di Ferrara
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Abstract

Objectives: The aim of this study has been to analyze effects on Quality of Life (QoL) of the multilevel surgery for Obstructive Sleep Apnea (OSA). Also, we have compared the impact on QoL of two different treatments for patients with moderate to severe OSA such as CPAP and transoral robotic surgery (TORS). Design: 67 OSA patients who underwent multilevel robotic surgery and 67 OSA patients treated with CPAP were enrolled in a Group 1 and Group 2 respectively. The Glasgow Benefit Inventory (GBI) questionnaire has been administrated to all patients to evaluate the changes in the QoL after the different OSA treatment. Respiratory outcomes pre and post treatment were evaluated and compared. Results: Group 1 showed a GBI total average value of +30.4, whereas the group 2 a value of +33.2 . No statistical difference emerged (p=0.4). General benefit score showed no difference between groups (p = 0.1). Better values of social status benefit (p= 0.0006) emerged in CPAP Group, whereas greater physical status benefit (p=0.04) was showed in TORS Group. Delta-AHI (-23.7 ± 14.3 vs -31.7 ± 15.6; p = 0.001), Delta-ODI (-24.5 ± 9.5 vs. -29.4 ±10.5; p = 0.001) showed better values in CPAP group. Therapeutic success rate of Multilevel TORS Group was 73.1% and 91% in CPAP group (p = 0.01) respectively. Conclusion: Multilevel TORS and CPAP have a positive effect in quality of life of OSA patients. Greater social support has been reported in CPAP group and better physical health status in TORS group.