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Tongue–lip adhesion and tongue repositioning for obstructive sleep apnoea in Pierre Robin sequence: A systematic review and meta-analysis

Published online by Cambridge University Press:  14 February 2017

M Camacho ,
M W Noller ,
S Zaghi ,
L K Reckley ,
C Fernandez-Salvador ,
E Ho ,
B Dunn  and
D K Chan
M Camacho*
Affiliation:
Division of Otolaryngology, Sleep Surgery and Sleep Medicine, Tripler Army Medical Center, Honolulu, Hawaii, USA Department of Psychiatry and Behavioral Sciences, Division of Sleep Surgery and Medicine, Stanford Hospital and Clinics, Redwood City, California, USA
M W Noller
Affiliation:
School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
S Zaghi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Division of Sleep Surgery and Medicine, Stanford Hospital and Clinics, Redwood City, California, USA
L K Reckley
Affiliation:
Division of Otolaryngology, Sleep Surgery and Sleep Medicine, Tripler Army Medical Center, Honolulu, Hawaii, USA
C Fernandez-Salvador
Affiliation:
Division of Otolaryngology, Sleep Surgery and Sleep Medicine, Tripler Army Medical Center, Honolulu, Hawaii, USA
E Ho
Affiliation:
John A Burns School of Medicine, University of Hawaii, Honolulu, USA
B Dunn
Affiliation:
University of California Irvine Medical Center, San Francisco, Orange
D K Chan
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Division of Pediatric Otolaryngology, University of California, San Francisco, USA
*
Address for correspondence: Dr Macario Camacho, Tripler Army Medical Center, Division of Otolaryngology and Sleep Medicine, 1 Jarrett White Rd, Honolulu, HI 96859, USA Fax: +1 808 433 9033 E-mail: [email protected]
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Abstract

Objective:

To search for studies on tongue–lip adhesion and tongue repositioning used as isolated treatments for obstructive sleep apnoea in children with Pierre Robin sequence.

Methods:

A systematic literature search of PubMed/Medline and three additional databases, from inception through to 8 July 2016, was performed by two authors.

Results:

Seven studies with 90 patients (59 tongue–lip adhesion and 31 tongue repositioning patients) met the inclusion criteria. Tongue–lip adhesion reduced the mean (± standard deviation) apnoea/hypopnoea index from 30.8 ± 22.3 to 15.4 ± 18.9 events per hour (50 per cent reduction). The apnoea/hypopnoea index mean difference for tongue–lip adhesion was −15.28 events per hour (95 per cent confidence interval = −30.70 to 0.15; p = 0.05). Tongue–lip adhesion improved the lowest oxygen saturation from 75.8 ± 6.8 to 84.4 ± 7.3 per cent. Tongue repositioning reduced the apnoea/hypopnoea index from 46.5 to 17.4 events per hour (62.6 per cent reduction). Tongue repositioning improved the mean oxygen saturation from 90.8 ± 1.2 to 95.0 ± 0.5 per cent.

Conclusion:

Tongue–lip adhesion and tongue repositioning can improve apnoea/hypopnoea index and oxygenation parameters in children with Pierre Robin sequence and obstructive sleep apnoea.

Keywords

Sleep ApneaObstructivePierre Robin SyndromeTongueSurgical ProceduresOperative
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 5 , May 2017 , pp. 378 - 383
Copyright
Copyright © JLO (1984) Limited 2017 

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