COMPARACIÓN ENTRE EL TRATAMIENTO CONSERVADOR Y QUIRÚRGICO EN EL SÍNDROME DE APNEA OBSTRUCTIVA DEL SUEÑO EN ADULTOS

Autores/as

  • 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

Palabras clave:

apnea obstructiva del sueño, tratamiento conservador, procedimientos quirúrgicos, adultos, revisión sistemática, calidad del sueño

Resumen

El síndrome de apnea obstructiva del sueño (SAOS) es una condición altamente prevalente y subdiagnosticada en adultos, asociada a importantes repercusiones clínicas y funcionales, así como a una disminución de la calidad de vida, lo que hace fundamental una adecuada elección terapéutica. Ante la diversidad de enfoques disponibles, este estudio tuvo como objetivo comparar los resultados del tratamiento conservador y quirúrgico del SAOS en adultos, de acuerdo con evidencias recientes de la literatura. Se trata de una revisión sistemática realizada conforme a las directrices PRISMA, con búsquedas efectuadas en las bases de datos Web of Science, PubMed, Embase y ScienceDirect, en el período comprendido entre 2021 y 2025. Se incluyeron ensayos clínicos que evaluaron la efectividad de intervenciones conservadoras y quirúrgicas en pacientes adultos con SAOS. Al finalizar el proceso de selección, se incluyeron 28 estudios, que totalizaron 2.473 participantes. Los resultados indican que los tratamientos conservadores presentan beneficios consistentes en la mejora de la somnolencia diurna, la calidad del sueño y la calidad de vida, aunque con un impacto heterogéneo en la reducción del índice de apnea-hipopnea. En contraste, las intervenciones quirúrgicas demostraron mayor eficacia en la reducción objetiva de la gravedad del SAOS y mayores tasas de éxito clínico, especialmente en pacientes con alteraciones anatómicas específicas. Se concluye que ambas estrategias son eficaces y complementarias, y que la elección terapéutica debe ser individualizada, considerando la gravedad de la enfermedad, las características anatómicas, la adherencia al tratamiento y las preferencias del paciente.

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Biografía del autor/a

  • 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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Publicado

27/01/2026

Cómo citar

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). COMPARACIÓN ENTRE EL TRATAMIENTO CONSERVADOR Y QUIRÚRGICO EN EL SÍNDROME DE APNEA OBSTRUCTIVA DEL SUEÑO EN ADULTOS. RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 7(1), e717188. https://doi.org/10.47820/recima21.v7i1.7188