Beyond uvulopalatopharyngoplasty for obstructive sleep apnoea: single surgeon case series of contemporary airway reconstruction.
J Laryngol Otol
; 127(12): 1184-9, 2013 Dec.
Article
in En
| MEDLINE
| ID: mdl-24331640
ABSTRACT
OBJECTIVE:
Adult patients with obstructive sleep apnoea can be a therapeutic surgical challenge if other treatments fail or are rejected. We report the outcomes of a series of 17 patients for whom standard device-based treatments failed or could not be used. These patients were considered unsuitable for a lesser operation and therefore underwent multilevel upper airway reconstruction.METHOD:
Data from 17 consecutive patients were collected prospectively. This included pre- and post-surgery findings for clinical assessments, body mass index, sleep questionnaires, and laboratory polysomnograms. Patients underwent a combination of modified uvulopalatopharyngoplasty, transpalatal advancement and various tongue reduction procedures.RESULTS:
Analyses revealed statistically and clinically significant reductions in mean apnoea-hypopnoea index scores (from 36.3 pre-operatively to 14.5 post-operatively, p < 0.001), mean Epworth sleepiness scale scores (from 11.3 to 5.3, p < 0.001) and mean snoring severity scores (from 6.9 to 1.3, p < 0.001). Body mass index remained unchanged.CONCLUSION:
Multilevel upper airway reconstructive surgery was associated with large reductions in both objective and patient-centred subjective measures of obstructive sleep apnoea severity.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Palate, Soft
/
Pharynx
/
Otorhinolaryngologic Surgical Procedures
/
Tongue
/
Uvula
/
Plastic Surgery Procedures
/
Sleep Apnea, Obstructive
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Laryngol Otol
Journal subject:
OTORRINOLARINGOLOGIA
Year:
2013
Document type:
Article
Affiliation country:
Australia