The authors have no funding, financial relationships, or conflicts of interest to disclose.
Obstructive sleep apnea after radial forearm free flap reconstruction of the oral tongue
Article first published online: 10 APR 2013
Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.
Volume 123, Issue 12, pages 3223–3226, December 2013
How to Cite
Gilat, H., Shpitzer, T., Guttman, D., Soudry, E., Feinmesser, R. and Bachar, G. (2013), Obstructive sleep apnea after radial forearm free flap reconstruction of the oral tongue. The Laryngoscope, 123: 3223–3226. doi: 10.1002/lary.24125
- Issue published online: 25 NOV 2013
- Article first published online: 10 APR 2013
- Manuscript Accepted: 5 MAR 2013
- Manuscript Revised: 21 FEB 2013
- Manuscript Received: 17 SEP 2012
- Sleep apnea;
- tongue cancer;
- forearm free flap;
- quality of life
To determine whether radial forearm free flap reconstruction of the tongue after partial glossectomy is associated with obstructive sleep apnea.
Retrospective case series.
Fifteen patients (5 men, 10 women) treated for tongue cancer in 2006–2010 by partial glossectomy and immediate radial forearm free flap reconstruction completed the Epworth Sleepiness Scale and underwent polysomnographic studies. Background, clinical, and pathologic data were collected from the medical files.
Mean ± SD age of the study group was 57 ± 19 years; body mass index, 24 ± 4; follow-up, 5.6 ± 2.8 years. Mean ± SD Epworth scale score was 8.18 ± 6.18 (normal, <8). Disordered sleep was documented in 11 patients, of whom 8 (53.3% of the cohort) had OSA (5 mild, 2 moderate, 1 severe). The OSA rate was significantly higher than reported in the general population (P = 0.001).
Patients after partial glossectomy and radial forearm free flap reconstruction appear to be at high risk of obstructive sleep apnea. Testing for OSA should be considered in these patients.
Level of Evidence
Level IV. Laryngoscope, 123:3223–3226, 2013