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Diagnosis and Treatment of Obstructive Sleep Apnea in Adults

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Adverse Events: Surgery and Weight Loss

Postsurgical complications after obstructive sleep apnea (OSA) surgical interventions can include infection, hemorrhage, nerve palsies, emergency surgical treatments, cardiovascular events, respiratory failure, rehospitalization, and death. Long-term adverse events resulting from OSA surgical interventions can include speech or voice changes, difficulties swallowing, and airway stenosis. There were no reported long-term adverse events associated with weight-loss programs. Note that adverse-event reporting in the evaluated studies was sparse. The adverse events listed here are evaluated based on cohorts of patients who received specific treatments within each randomized controlled trial, rather than by intertrial comparisons. Furthermore, many studies included short-term outcomes and provided little evidence regarding long-term adverse events.