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Long-term Follow-up Experience

Christian Guilleminault, MD; F. Blair Simmons, MD; Jorge Motta, MD; Joseph Cummiskey, MD; Mark Rosekind; John S. Schroeder, MD; William C. Dement, MD, PhD

Arch Intern Med. 1981;141(8):985-988.

Abstract
• Obstructive sleep apnea syndrome (OSAS), a disabling disorder that leads to life-threatening cardiorespiratory events during sleep, has been treated by tracheostomy. This article reports long-term follow-up data of 50 patients who have undergone this procedure, and the indications for surgery are summarized. Surgery may result in secondary local and general acute and subacute complications, but, on a long-term basis, patients were completely relieved of clinical symptoms, returned to full activity, and adapted normally to social and familial life. Temporary closure of the tracheostomy during sleep led to recurrence of obstructive sleep apnea.

(Arch Intern Med 1981;141:985-988)

Author Affiliations
From the Sleep Disorders Clinic (Drs Guilleminault and Dement and Mr Rosekind), the Division of Otolaryngology (Dr Simmons), the Division of Cardiology (Drs Motta and Schroeder), and the Division of Respiratory Medicine (Dr Cummiskey), Stanford University School of Medicine, Stanford, Calif.

Footnotes
Accepted for publication July 9, 1980.

Reprint requests to Sleep Disorders Clinic, Stanford University School of Medicine, Stanford, CA 94305 (Dr Guilleminault).

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