关键词: 睡眠呼吸暂停, 阻塞性, 悬雍垂腭咽成形术, 鼻中隔偏曲矫正术, 下鼻甲部分切除术

Abstract: To investigate the therapeutic effect of nostril surgeries combined with other plan surgeries for obstructive sleep hypopnea syndromes (OSAHS). MethodsOf 32 patients with OSAHS, 18 received sub-mucous resection of the nasal septum, 10 received sub-mucous resection of the nasal septum and unilateral sub-mucous inferior turbinectomy, 2 received sub-mucous resection of the nasal septum and bilateral submucous inferior turbinectomy, and 2 received sub-mucous resection of the nasal septum and unilateral polypectomy and ethmoidotomy. Also 26 patients receivedｕｖｕｌｏｐａｌａｔｏｐｈａｒｙｎｇｏｐｌａｓｔｙ(UPPP). And 4 patients received combination therapies including nostril surgeries, UPPP, partial resection of the lingual root and suspension of the lingual bone, and 2 received combination therapies including nostril surgeries, partial resection of the lingual root and suspension of the lingual bone. Among 32 patients, 2 severe patients received combination therapies under general anaesthesia, 2 received a tracheotomy at the end of the operations and the other 28 received the operations under general anaesthesia. All patients received guardianship therapies for 12-24 hours in the ICU after the operations and a follow-up for one year. ResultsAccording to the standard of the Hangzhou conference， 10 cases were cured, 12 cases were improved, 9 cases were relieved and 1 case was invalid. No complications occurred. ConclusionsNostril surgeries combined with other plan surgeries can obtain favorable effect for OSAHS. For severe patients, tracheotomy should be performed before or after the operations to prevent complications.

Key words: obstructive, Uｖｕｌｏｐａｌａｔｏｐｈａｒｙｎｇｏｐｌａｓｔｙ, Sleep apnea, Submucous resection of nasal septum, Partial inferior turbinectomy