COMPARISON BETWEEN CONSERVATIVE AND SURGICAL TREATMENT IN ADULT OBSTRUCTIVE SLEEP APNEA SYNDROME

Authors

  • Antonio Carlos Oliveira de Sousa Universidade Federal do Delta do Parnaíba
  • João Vitor de Oliveira Campos Universidade Federal do Delta do Parnaíba https://orcid.org/0000-0002-0307-0560
  • Polyana Araújo Torres Universidade Federal do Piauí (UFPI)
  • Eric Kenzo Maruyama Universidade Santo Amaro (UNISA)
  • Daniel Vinicius Costa Rocha https://orcid.org/0009-0009-6487-5192
  • Marinalva Andrade Carvalho
  • Camila da Silva Chelles Universidade de Vassouras (UNIVASSOURAS)
  • Gustavo Coachman Hollenstein (EMESCAM)
  • Raissa Sartório Silva Rangel (EMESCAM)
  • Gabriela Gallo Faculdade de Ciências Médicas do Pará
  • Carla Grossi Marrola Centro Universitário Integrado de Campo Mourão
  • Maria Eduarda Martins Vigilato Universidade Paulista Júlio de Mesquita Filho
  • Amanda Moreira de Andrade Pereira Universidad de Buenos Aires
  • Marcia Vitória Gomes Santana Universidade Federal do Maranhão (CCIM)
  • Karla Juliana de Araújo Teles Centro Universitário Fametro
  • Anderson Leonardo Sousa Cardoso Unidade de Ensino Superior Dom Bosco

DOI:

https://doi.org/10.47820/recima21.v7i1.7188

Keywords:

obstructive sleep apnea, conservative treatment, surgical procedures, adults, systematic review, sleep quality.

Abstract

Obstructive sleep apnea syndrome (OSAS) is a highly prevalent and underdiagnosed condition in adults, associated with significant clinical and functional consequences and impaired quality of life, making appropriate therapeutic decision-making essential. Given the diversity of available approaches, this study aimed to compare the outcomes of conservative and surgical treatments for OSAS in adults, based on recent evidence from the literature. This systematic review was conducted in accordance with the PRISMA guidelines, with searches performed in the Web of Science, PubMed, Embase, and ScienceDirect databases, covering the period from 2021 to 2025. Clinical trials evaluating the effectiveness of conservative and surgical interventions in adult patients with OSAS were included. After the selection process, 28 studies were included, comprising a total of 2,473 participants. The results indicate that conservative treatments provide consistent benefits in improving daytime sleepiness, sleep quality, and quality of life, although their impact on reducing the apnea–hypopnea index was heterogeneous. In contrast, surgical interventions demonstrated greater effectiveness in objectively reducing OSAS severity and higher clinical success rates, particularly in patients with specific anatomical alterations. It is concluded that both approaches are effective and complementary, and therapeutic decisions should be individualized, taking into account disease severity, anatomical characteristics, treatment adherence, and patient preferences.

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Author Biographies

  • Antonio Carlos Oliveira de Sousa , Universidade Federal do Delta do Parnaíba

    Residente Em Oncologia pela Universidade Federal do Delta do Parnaíba (UFDPAR).

  • João Vitor de Oliveira Campos , Universidade Federal do Delta do Parnaíba

     Graduado Em Fisioterapia
     Universidade Federal do Delta do Parnaíba (UFDPAR).

  • Polyana Araújo Torres, Universidade Federal do Piauí (UFPI)

    Graduanda em Farmácia pela Universidade Federal do Piauí (UFPI).

  • Eric Kenzo Maruyama, Universidade Santo Amaro (UNISA)

    Graduado em Medicina pela Universidade Santo Amaro (UNISA).

  • Daniel Vinicius Costa Rocha

    Graduando em Enfermagem
    Centro Universitário Santa Terezinha (CEST).

  • Marinalva Andrade Carvalho

    Graduada em Enfermagem pela Faculdade São Francisco de Barreiras.

  • Camila da Silva Chelles , Universidade de Vassouras (UNIVASSOURAS)

    Graduanda em Nutrição
    Universidade de Vassouras (UNIVASSOURAS).

  • Gustavo Coachman Hollenstein, (EMESCAM)

    Graduando em Medicina pela Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM).

  • Raissa Sartório Silva Rangel, (EMESCAM)

     Graduanda em Medicina pela Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM).

  • Gabriela Gallo, Faculdade de Ciências Médicas do Pará

    Graduanda em Medicina pela Faculdade de Ciências Médicas do Pará.

  • Carla Grossi Marrola, Centro Universitário Integrado de Campo Mourão

    Graduanda em Medicina pelo Centro Universitário Integrado de Campo Mourão.

  • Maria Eduarda Martins Vigilato, Universidade Paulista Júlio de Mesquita Filho

    Graduanda em Fisioterapia pela Universidade Paulista Júlio de Mesquita Filho (UNESP).

  • Amanda Moreira de Andrade Pereira, Universidad de Buenos Aires

    Graduada em Medicina pela Universidad de Buenos Aires.

  • Marcia Vitória Gomes Santana, Universidade Federal do Maranhão (CCIM)

    Graduanda em Enfermagem pela Universidade Federal do Maranhão (CCIM).

  • Karla Juliana de Araújo Teles, Centro Universitário Fametro

    Graduada em Enfermagem pelo Centro Universitário Fametro (UNIFAMETRO).

  • Anderson Leonardo Sousa Cardoso, Unidade de Ensino Superior Dom Bosco

    Graduado em Fisioterapia pela Unidade de Ensino Superior Dom Bosco (UNDB).

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How to Cite

Oliveira de Sousa , . A. C., de Oliveira Campos , J. V., Araújo Torres, P. ., Maruyama, E. K. ., Costa Rocha, D. V., Andrade Carvalho, M., da Silva Chelles , C., Coachman Hollenstein, G., Sartório Silva Rangel, R., Gallo, . G., Grossi Marrola, C., Martins Vigilato, M. E. ., Moreira de Andrade Pereira, A. ., Gomes Santana, M. V. ., de Araújo Teles, K. J. ., & Sousa Cardoso, A. L. . (2026). COMPARISON BETWEEN CONSERVATIVE AND SURGICAL TREATMENT IN ADULT OBSTRUCTIVE SLEEP APNEA SYNDROME. RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 7(1), e717188. https://doi.org/10.47820/recima21.v7i1.7188