Abstract:

To study the necessity of peri-operative observation and management after hyoid bone suspension and uvulopalatopharyngoplasty(UPPP) surgery in treating obstructive sleep apnea hypopnea syndrome (OSAHS). MethodsAll patients were subjected to polysomnography(PSG) and necessary preoperative examinations before the operations, and after being treated for related diseases, were subjected to CPAP for 3-7 days, and were subjected to electrocardio-monitoring after being transferred from the ICU department to the normal wards. ResultsOne patient suffered from secondary bleeding by coughing and was subjected to a second operation. 2 cases suffered from cervical cut effusion and were healed after changing dressings. 6 suffered from bucking when eating at the beginning and were relieved after 3-day practicing. And the rest suffered a mild difficulty in moving their tongue and recovered 5 to 7 days later. ConclusionsThere are potential dangers after hyoid bone suspension and UPPP surgery, which can be decreased by intensive nursing.

Key words: Sleep apnea, obstructive;  Uvulopalatopharyngoplasty; Peri-operative period