The International Journal of Medical Science and Health Research
Vol. 31 No. 1 (2026): The International Journal of Medical Science and Health Research

Predictive Efficacy of the STOP-BANG Scoring System in Obstructive Sleep Apnea After Multilevel Airway Reconstructive Surgery: A Comprehensive Clinical Case Study Analysis

Fierda Ovita Azhari (Unknown)
Gustav Syukrinto (Unknown)



Article Info

Publish Date
17 Jan 2026

Abstract

Obstructive Sleep Apnea (OSA) is a sleep disorder characterized by recurrent collapse of the upper airway. The STOP-BANG questionnaire has been validated as a highly sensitive screening tool to identify surgical patients at high risk for OSA. This report aims to evaluate multilevel surgical management in a patient with a high STOP-BANG score and review the literature regarding its clinical efficacy. A 55-year-old male presented with chronic snoring, daytime fatigue, and witnessed apnea episodes over the last six months. Physical examination revealed a Body Mass Index (BMI) of 28.4 Kg/m2, a neck circumference of 45 cm, tonsillar hypertrophy, an elongated uvula, and turbinate hypertrophy. The patient's STOP-BANG score was 6, indicating a high risk for moderate-to-severe OSA. A STOP-BANG score ≥ 5 has a strong correlation with OSA severity and an increased risk of postoperative respiratory complications. Multilevel surgery is more effective than single-level procedures because it targets multiple collapse sites simultaneously (nasal and oropharyngeal). Integrating the STOP-BANG score into preoperative evaluations allows for accurate risk stratification. Multilevel surgery in well-selected patients can provide significant symptomatic improvement and reduce the long-term morbidity burden of OSA.

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Journal Info

Abbrev

ijmhsr

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Description

The International Journal of Medical Science and Health Research, published by International Medical Journal Corp. Ltd. is dedicated to providing physicians with the best research and important information in the world of medical research and science and to present the information in a format that ...