JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (4): 16-19.doi: 10.6040/j.issn.1673-3770.0.2013.327

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Influence of nasal expansion surgery in combination with H-UPPP on blood pressure for OSAHS patients

LI Jing-hui1, WU Hong-min2   

  1. 1. Department of Otolaryngology, JinXi Sinopec Hospital, Huludao, 125001, Liaoning, China;
    2. Department of Otolaryngology, Shanghai Sixth People's Hospital affiliated to Shanghai Jiao Tong University, Shanghai 200233, China
  • Received:2013-11-19 Online:2014-08-16 Published:2014-08-16

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Abstract: Objective To observe the changes of blood pressure in the patients with obstructive sleep apnea hypopnea syndrome (OSAHS) and hypertension after nasal expansion surgery, modified uvulopalatopharyngoplasty or both. Methods 158 OSAHS patients with hypertension diagnosed by polysomnography were enrolled. With upper airway CT scan and fiber laryngoscopy, the obstructive levels were determined in nasal cavity and pharynx. 53 cases (group A) underwent nasal cavity expansion surgery, while 52 cases (group B) underwent modified uvulopalatopharyngoplasty. Another 53 cases (group C) underwent the both procedures. The followed up was set for 1 year. Curative effectiveness and the change of blood pressure were compared among the three groups. Results 124 patients were successfully followed up. The total effective rate was 12.2%, 62.8% and 77.5% in group A, B, C, respectively. Significant changes of blood pressure were noted in the latter two groups. Conclusion H-UPPP alone or combined with nasal expansion surgery demonstrate good therapeutic results in the treatment of OSAHS, and can effectively decrease the patient's blood pressure.

Key words: Sleep apnea, obstructive, Uvulopalatopharyngoplasty, Hypertension, Nasal expansion surgery

CLC Number: 

  • R766.7
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