Laser-assisted uvulopalatoplasty has been introduced as an alternative to uvulopalatopharyngoplasty for treatment of
snoring and potentially of
obstructive sleep apnea syndrome. Between July 1994 and June 1996, 192 patients underwent 227
laser-assisted uvulopalatoplasty procedures. Loud habitual
snoring was evaluated in 42 women (21.8%) and 150 men (78.2%), who were then treated with
laser-assisted uvulopalatoplasty. Among the 192 patients (227 procedures), with ages from 18 to 81 years (mean 42.6 years), 15.6% (30 patients) had more than one
laser-assisted uvulopalatoplasty treatment. In our series, 80 patients (42.1%) had a history of
obstructive sleep apnea syndrome in addition to
snoring.
Laser-assisted uvulopalatoplasty treatment in patients with loud
snoring resulted in elimination of
snoring in 61%, partial improvement of
snoring in 26%, and no improvement in 13%. The overall success rate was 87%. The mean body mass index was significantly higher in the patients with no response after the operation (27.9 kg/m2) compared with that in the patients with a good response (25.9 kg/m2). Obese (body mass index >30 kg/m2) patients were more likely to have no response to
laser-assisted uvulopalatoplasty treatment of
snoring than patients with an ideal body weight (body mass index <25 kg/m2) (p < 0.01). We conclude that the body mass index may be of significant value in the postoperative success rate of
laser-assisted uvulopalatoplasty for the treatment of
snoring.