Obstructive Sleep Apnea Syndrome - Effectivity of Different Surgical Approaches
Authors:
J. Betka; J. Klozar
; M. Kuchař
; J. Kastner; J. Plzák
Authors‘ workplace:
1. lékařská fakulta, Univerzita Karlova v Praze a Fakultní nemocnice v Motole, Praha
; Klinika otorinolaryngologie a chirurgie hlavy a krku
Published in:
Otorinolaryngol Foniatr, 63, 2014, No. 1, pp. 3-9.
Category:
Original Article
Overview
The aim of this retrospective study is to evaluate the effectivity of several surgical procedures for the treatment of obstructive sleep apnea syndrome (OSAS): bilateral tonsillectomy, uvulopalatopharyngoplasty (UPPP), uvulopalatopharyngoplasty combined with radiofrequency induced thermotherapy (RFITT) of the base of the tongue and UPPP + RFITT of the base of the tongue with septoplasty. The study included 133 patients, who underwent one-time surgical procedure. Basic criteria of success were changes in apnea-hypopnea index measured by whole night polygraphy before and 6 months after the surgery. Also the subjective benefit for the patient and the number of complications were measured. Based on previous criteria overall success of surgical treatment was 51%, patients with mild degree of OSAS achieved slightly better results. In comparison of different surgical methods the effectivity was 45-71% with better results of multilevel surgery than UPPP alone. 84% of patients described decrease of subjective disorders. Complication of surgery appeared at 4 patients.
Keywords:
rhonchopathy, obstructive sleep apnea syndrome, uvulopalatopharyngoplasty, radiofrequency thermotherapy
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Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
2014 Issue 1
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