Effect of Multilevel Upper Airway Surgery vs Medical Management on the Apnea-Hypopnea Index and Patient-Reported Daytime Sleepiness Among Patients With Moderate or Severe Obstructive Sleep Apnea

MacKay, Stuart; Carney, A. Simon; Catcheside, Peter G.; Chai-Coetzer, Ching Li; Chia, Michael; Cistulli, Peter A.; Hodge, John-Charles; Jones, Andrew; Kaambwa, Billingsley; Lewis, Richard; Ooi, Eng H.; Pinczel, Alison J.; McArdle, Nigel; Rees, Guy; Singh, Bhajan; Stow, Nicholas; Weaver, Edward M.; Woodman, Richard J.; Woods, Charmaine M.; Yeo, Aeneas; McEvoy, R. Doug

doi:10.1001/jama.2020.14265

Effect of Multilevel Upper Airway Surgery vs Medical Management on the Apnea-Hypopnea Index and Patient-Reported Daytime Sleepiness Among Patients With Moderate or Severe Obstructive Sleep Apnea

Importance Many adults with obstructive sleep apnea (OSA) use device treatments inadequately and remain untreated. Objective To determine whether combined palatal and tongue surgery to enlarge or stabilize the upper airway is an effective treatment for patients with OSA when conventional device t…