J Otolaryngol Ophthalmol Shandong Univ ›› 2013, Vol. 27 ›› Issue (4): 14-16.doi: 10.6040/j.issn.1673-3770.0.2012.371

• Articles • Previous Articles     Next Articles

Obstructive planes and therapeutic efficacy in severe obstructive sleeping hypopnea-apnea syndrome

LI Ji-zhou, HAN Li, SONG Jian-jing   

  1. Department of Otolaryngology, Municipal Hospital of Weihai, Weihai 264200, Shandong, China
  • Received:2012-12-16 Published:2013-08-16

PDF (PC)

777

Abstract:

Objective    To explore the obstructive planes and treatment of severe obstructive sleeping hypopnea-apnea syndrome (OSAHS) by evaluating  the efficiacy of H-UPPP, Hyoid suspension plus nasal operation, and compliance of CPAP. Methods     60 cases of patients underwent PSG and were diagnosed as severe OSAHS.  And all the patients received PSG again after the operation or CPAP treatment. Results    60 patients were all multi-level obstructive.  HUPPP, hyoid suspension and nasal operation were performed in 24 cases, while 20 of them presented with hypertension or diabetes. Nasal operations consisted of  inferior turbinectomy, nasal septum reconstructomy or endoscopic surgery. CPAP treatment was applied in the rest 36 elderly patients.  Conclusion    For the severe OSAHS patients, suitable and feasible surgery should be done according to the obstructive planes. As for elderly patients,  CPAP is a good choice.  The good results can be achieved in all the severe OSAHS cases.

Key words: Hyoid suspension, H-uvulopalatopharyngoplasty, Obstructive sleep apnea hypopnea syndrome, Continuous positive airway pressure

CLC Number: 

  • R766.7
[1] LI Ling, WANG Chunling, ZHANG Li, LI Yanzhong.. Predictors of difficult airway in patients with obstructive sleep apnea-hypopnea syndrome during general anesthesia. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 62-67.
[2] LIU Wenjun, YU Xueying, LÜ Dan, CHEN Zhenggang, ZHANG Yanqing, MEI Xubin, YANG Ke. Correlation between obstructive sleep apnea hypopnea syndrome and upper airway measurements of different genders. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 54-59.
[3] SHANG Wei. Interpretation of “The Third Edition of the International Classification of Sleep Disorders(ICSD)”. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 18-20.
[4] ZHU Yue, HUANG Zhichun, YANG Ming, ZHU Xin. The study of cognitive disorderin patients with obstructive sleep apnea hypopnea syndrome. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 68-74.
[5] YU Qingqing, TANG Jun, WANG Yuejian. A systemic review system to evaluate the effects of different tonsil and adenoid surgical methods on children with obstructive sleep apnea-hypopnea syndrome. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 42-48.
[6] LI Yanzhong. Obesity and obstructive sleep apnea. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 1-4.
[7] LIANG Xiaohong, LI Yan, LI Chong. Obstructive sleep apnea hypopnea syndrome and Fibroblast growth factor 21. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 81-84.
[8] WANG Yan. Progress in the classification and treatment of sleep respiratory diseases in children. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 5-8.
[9] XU Meijie, SU Mei, XUE Rong, ZHANG Xilong. Correlation between neutrophil / lymphocyte ratio and severity of obstructive sleep apnea syndrome. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 33-37.
[10] LI Jun-zheng, GAO Xiang, WU Gai-zhen, CHEN Sha, WANG Jie, TIAN Wen-dong, LI Xiang-ping. Application of harmonic scalpel in children with obstructive sleep apnea and hyponea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 1-4.
[11] SU Yue, WANG Zhong-liang, ZENG Zhen. Three different operative methods in H-UPPP [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 5-7.
[12] LIANG Song-min1, GUO Yong-wei2, ZHAO Xia1. The diagnostic effectiveness of  portable monitors device  in obstructive sleep apnea hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(2): 22-25.
[13] LUO Wei, WANG Xu-ping, CHEN Zhen-yu, ZHANG Jia, WU Lin, HE Fei, WANG Pei-jie, WANG Gan, HAO Hong. Oxymetazoline nasal spray improved nCPAP compliance in obstructive sleep apnea-hypopnea syndrome patients with nasal obstruction [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(2): 26-28.
[14] LI Yong-qiang, ZHANG Wen-shan. Uvula-preserving uvulopalatopharyngoplasty  with two incisions under local anesthesia to treat moderate OSAHS caused by large tonsils [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 67-69.
[15] MA Guo-wei1, ZHANG Qing-quan2, ZHOU Wen-liang1. Correlation of hyoid position, minimal retroglossal cross-section area and severity of obstructive sleep apnea hypopnea syndrome [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(6): 66-68.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd