Commentary, J Sleep Disor Treat Care Vol: 4 Issue: 1
Heavy Issue: Clarifying AHI Elevation after Contemporary Airway Surgery for OSA � The MACHO Graph
| Stuart MacKay* and SueEllen Holmes |
| Illawarra ENT Head and Neck Clinic, Australia |
| Corresponding author : A/Prof Stuart MacKay MBBS, FRACS, Illawarra ENT Head and Neck Clinic, Suites 1 & 2, 8-10 Victoria Street, WOLLONGONG NSW 2500, Australia Tel: 61 2 42261055 E-mail: Sgmackay@ozemail.com.au |
| Received: August 23, 2014 Accepted: October 13, 2014 Published: October 15, 2014 |
| Citation: MacKay Stuart, Holmes SueEllen (2015) Heavy Issue: Clarifying AHI Elevation after Contemporary Airway Surgery for OSA – The MACHO Graph.J Sleep Disor: Treat Care 4:1 doi:10.4172/2325-9639.1000147 |
Abstract
Heavy Issue: Clarifying AHI Elevation after Contemporary Airway Surgery for OSA – The MACHO Graph
Contemporary multi-level airway surgery for adult obstructive sleep apnoea (OSA) has been criticised on the grounds of disease recrudescence several years post-operatively. An increase in the AHI of patients who have undergone surgical intervention is viewed as an argument against effectiveness, regardless of improvements in quality of life and other outcomes. Patients who have undergone tailored airway surgery for OSA over a period of 7 years in my clinic have all been recommended 12 month and 36 month follow up in addition to immediate post-operative assessment (10 days and 30- 42 days), as well as post-operative polysomnography (90-120 days).
