JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY)

• Articles • Previous Articles     Next Articles

Modified uvulopalatopharyngoplasty for obstructive sleep apnea hypopnea syndrome

WANG Yan-wei1,XIN Lu2, YUAN Yong2   

  1. 1. Department of Surgery, Qingdao Changshan Hospital, Qingdao 266011, Shandong;2. Department of Otolaryngology, Qingdao Municipal Hospital, Qingdao 266011
  • Received:1900-01-01 Revised:1900-01-01 Online:2007-10-24 Published:2007-10-24
  • Contact: WANG Yan-wei

Abstract: Objective To modify uvulopalatopharyngoplasty(UPPP). Methods 263 patients with obstructive sleep apnea hypopnea syndrome(OSAHS) were treated with modified UPPP. In the operations, the uvula was reserved, the fat tissues of the palatine velar cleft were dissected and palatoplasty and pharyngoplasty were carried out. All patients was determined by polysomnography(PSG) before the operations and 6 months after the operations to assess the surgical outcome statistically. Results All patients were involved in this analysis. (1) 197(74.9%) patients did not need painkillers after the operations and 66(25.1%) needed painkillers. The lateral pharyngeal wall was smooth in 168(63.9%)cases and was partly split in 95(36.1%) cases. There were no complications such as breath holding or backstreaming in the nasal cavity after the operations. (2) All were followed up for more than 6 months and no deglutitive bucking or open rhinolalia were found. 95(36.1%) patients had pharyngeal foreign body sensation. Syndromes of sleep apnea disappeared in 189 (71.9%) patients and were alleviated in the other 74(28.1%) patients. In 252(95.8%)patients, the postoperative morphous of the oral cavity was content. (3) The PSG results were statistically significant between the pre-operative and post-operative for 263 patients(P<0.05). Conclusions The modified UPPP not only extends the nasopharynx cavity but also avoids postoperative complications and improves the effects of UPPP. 

Key words: Sleep apnea, obstructive, Uvula, Palatoplasty, Pharyngoplasty

CLC Number: 

  • R766.7
[1] LIU Dawei, ZHANG Yu, LI Chenglin, CHEN Xiumei, SONG Xicheng. Use of enhanced recovery after surgery in children with obstructive sleep apnea syndrome during the perioperative period [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 19-22.
[2] LÜ Xuqin, WAN Wenjin. Perioperative blood glucose management in patients with obstructive sleep apnea hypopnea syndrome and hyperglycemia [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 100-104.
[3] SHEN Ling, LIN Zongtong, LIN Xing, YANG Zhongjie. Risk factors associated with obstructive sleep apnea-hypopnea syndrome in children: a retrospective case-control study [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 25-29.
[4] LI Yanzhong, ZHANG Tai. Problems we face in children with obstructive sleep apnea hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 1-5.
[5] ZHANG Huifang,YANG Hongzhen. Effects of nasal continuous positive airway pressure on glucose and lipid metabolism, hs-CRP, and [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 48-51.
[6] XU Zhifei, NI Xin. Post-surgery management in children with obstructive sleep apnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 9-13.
[7] WANG Yan, SHI Xiaoli. The relationship between allergic reaction and children obstructive sleep apnea hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 14-18.
[8] YANG Wei, ZHENG Li, XU Zhifei. Long-term follow-up study on non-invasive ventilation in children with moderate to severe [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 19-24.
[9] QIU Shuyao, LIU Dabo, ZHONG Jianwen, YANG Liqiang. Analysis of coblation complications in children with obstructive sleep apnea-hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 34-37.
[10] ZHONG Jianwen, LIU Dabo, LUO Xiangqian, HUANG Zhenyun, QIU Shuyao, CHENG Chao, YANG Liqiang, YI Xinhua, ZENG Jinhong. The application of wearable devices in the diagnosis of children obstructive sleep apnea [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 30-33.
[11] LI Hao, LI Yanzhong, WANG Yan. Hypoxia inducible factor-1 alpha and vascular endothelial growth factor expression in the soft palate of [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 43-47.
[12] GONG Qi, ZHANG Jie, ZHAO Pingping. Effect of nasal dilation on quality of sleep in adult patients with chronic rhinosinusitis and [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 52-55.
[13] WANG Hongmei, LI Lianhe. The evaluation on mild cognitive impairment in patients with moderate-severe obstructive sleep apnea and [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 56-61.
[14] LIU Dabo. Evaluation of sleep structure disorder in children with obstructive sleep apnea hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 6-8.
[15] ZHANG Jianwei, NI Ze, TANG Dongliang, XU Jin. Nasotracheal intubation guided by fiberoptic laryngoscopy in 35 patients with obstructive sleep apnea hypopnea syndrome undergoing surgeries under general anesthesia [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 61-64.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!