Beyond uvulopalatopharyngoplasty for obstructive sleep apnoea: single surgeon case series of contemporary airway reconstruction.
In: Journal of Laryngology & Otology, Jg. 127 (2013-12-01), Heft 12, S. 1184-1189
Online
academicJournal
Zugriff:
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. [ABSTRACT FROM PUBLISHER]
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Titel: |
Beyond uvulopalatopharyngoplasty for obstructive sleep apnoea: single surgeon case series of contemporary airway reconstruction.
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Autor/in / Beteiligte Person: | MacKay, S G ; Jefferson, N ; Marshall, N S |
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Zeitschrift: | Journal of Laryngology & Otology, Jg. 127 (2013-12-01), Heft 12, S. 1184-1189 |
Veröffentlichung: | 2013 |
Medientyp: | academicJournal |
ISSN: | 0022-2151 (print) |
DOI: | 10.1017/S0022215113003009 |
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