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The Role of Surgery in the Treatment of Sleep Apnoea – Evidence from 1000 patients
Joint Event on 4th European Otolaryngology-ENT Surgery Conference & 3rd International Conference on Craniofacial Surgery
Vik Veer
Royal National Throat Nose & Ear Hospital, UK
Keynote: Otolaryngol (Sunnyvale)
Abstract
Obstructive Sleep Apnoea (OSA), has been traditionally managed by respiratory physicians with CPAP. The evidence for the diagnosis of OSA and treatment thresholds are discussed, particularly in relation to the validity of the Apnoea / Hypopnoea Index (AHI) and the Epworth Sleepiness Score (ESS). The evidence from over 1000 patients analysed at our institution suggests that these indicators of OSA severity are far from robust. The evidence from other measures of OSA severity are considered and linked to our patients symptoms and quality of life scores. There is emerging evidence that surgery has greater benefits than CPAP. The evidence for and against CPAP are discussed, along with a discussion of the role of surgery in this condition. Outcomes are provided from patients intolerant of CPAP and mandibular advancement devices from our institution.Recent Publications
1. Veer V, Zhang H, Beyers J, Vanderveken O, Kotecha B. The use of drug-induced sleep endoscopy in England and Belgium. Eur Arch Otorhinolaryngol. 2018 May;275(5):1335-1342.
2. Introducing a New Classification for Drug Induced Sleep Endoscopy (DISE): The PTLTbE System – Submitted to Sleep & Breathing
3. Guidelines on the surgical management of sleep disorders: a systematic review – revising article for acceptance with Laryngoscope
4. Developing a Validated Patient Reported Outcome Measure (PROM) for Obstructive Sleep Apnoea: Symptoms Tiredness Alertness Mood Psychosocial (STAMP) – Submitted to Sleep journal
5. Measurement properties of patient-reported outcome measures in adults with OSA: a systematic literature review - Abma IL, Van der Wees PJ, Veer V, Westert G, Rovers M – Sleep Med Rev. 2016 Aug;28:18-31
Biography
Dr Vik Veer works at the Royal National Throat Nose & Ear Hospital, Central London, UK. He works alongside with Professor Kotecha at the Sleep Medicine Department. He is a co-founder of the British Association of Sleep Surgeons and works solely with OSA patients in his NHS practice at the RNTNE hospital. He has developed a new classification and technique for Drug Induced Sleep Endoscopy to improve its reliability and validity. The STAMP score is a new patient reported outcome measure for OSA developed by Mr Vik Veer.
E-mail: vikveer@gmail.com
