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Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS.

AbstractOBJECTIVE:
To establish the efficacy of uvulopalatopharyngoplasty with tonsillectomy for treating selected patients with severe obstructive sleep apnea syndrome.
METHODOLOGY:
Retrospective study of patients who underwent clinical/instrumental evaluation and surgical treatment.
SETTING:
University ENT division with a tertiary snoring referral center.
PARTICIPANTS:
Twenty-two patients with normal body mass index affected by severe obstructive sleep apnea syndrome.
MAIN OUTCOME MEASURES:
Pre- and post-operative cardiopulmonary monitoring during sleep, daytime sleepiness evaluation, post-treatment complication recording.
RESULTS:
Complete response to therapy was obtained in 78% of patients. Four patients had relief of symptoms but retained apnea/hypopnea index scores greater than 5.
CONCLUSIONS:
Uvulopalatopharyngoplasty associated with tonsillectomy can beemployed safely to treat patients with normal body mass index who suffer from severe obstructive sleep apnea.
AuthorsS Gallina, F Dispenza, G Kulamarva, A Ballacchino, Riccardo Speciale
JournalB-ENT (B-ENT) Vol. 5 Issue 4 Pg. 245-50 ( 2009) ISSN: 1781-782X [Print] Belgium
PMID20163051 (Publication Type: Journal Article)
Topics
  • Adult
  • Cohort Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mouth Mucosa (surgery)
  • Palate (surgery)
  • Pharynx (surgery)
  • Retrospective Studies
  • Severity of Illness Index
  • Sleep Apnea, Obstructive (pathology, surgery)
  • Surgical Flaps
  • Suture Techniques
  • Tonsillectomy
  • Treatment Outcome
  • Young Adult

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