JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY)

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ZHANG Qing-quan,SONG Xi-cheng,ZHANG Hua,SUN Yana,WANG Qiang,WANG Yong-fu,ZHANG Tian-zhen,ZHU Yu-hong,WANG Xi-wen   

  • Received:2006-04-22 Revised:1900-01-01 Online:2006-06-24 Published:2006-06-24
  • Contact: ZHANG Qing-quan

Abstract: Objective: To discuss the method and therapeutic effect of hyoid suspension in association with uvolopalatopharyngoplasty (UPPP) in treatment of severe obstructive sleep apnea hypopnea syndrome (OSAHS). Methods： Improved hyoid suspension in association with UPPP was performed in 22 patients with severe OSAHS. The gap of glossopharyngeum level and polysomnogram (PSG) were examined pre and postoperatively in 17 patients. Results： The above two PSG indexes of the 6 and 12 months improved significantly (P＜0.01). The telorism of tongue and pharynx was 5～9 mm (mean 7.06 mm) before surgery and reached 9～13 mm (mean 11 mm) after surgery. Snoring and sleep apnea disappeared or lessened, with the disappearance or decrease of lethargy at daytime. According to the assessment guidelines, the response rate was 100% and 70% 6 months and 1 year after the operation, but the curative and response rates varied. Conclusion： Hyoid suspension in association with UPPP has the advantages of simple operation, less hospital stay and cost, and ideal effect.

Key words: Hyoid, Uvolopalatopharyngoplasty , Sleep apnea hypopnea syndrome

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