JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY)

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Hard palate shortening in combination with lateral pharyngoplasty in treatment of recrudescent OSAHS patients following uvulopalatopharyngoplasty

YUAN Ying, YANG Shu-juan, WANG Ling-tai, LIU Fu-xing, SUN Xin-zhong   

  1. Department of Otolaryngology & Head and Neck Surgery, Liaocheng People′s Hospital, Liaocheng 252000, Shandong, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2008-10-16 Published:2008-10-16
  • Contact: YUAN Ying

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Abstract: To investigate the feasibility and clinical value of hard palate shortening in combination with lateral pharyngoplasty(HPS-LPP) in treatment of OSAHS with recurrence after uvulopalatopharyngoplasty(UPPP). MethodsHPS-LPP was performed on 8 patients. The pre-and post-operative scores of polysomnography(PSG), Muller test and cephalometric data were compared. ResultsNo apparent complications occurred, and the clinical symptoms were alleviated. Both the apnea hyponea index(AHI) and the lowest SaO2 (LSaO2) were improved in 7 cases. ConclusionThe volopharyngeal cavity can be effectively enlarged by HPS-LPP, which may be a revision surgery for recrudescent cases after UPPP.

Key words: obstructive, Hard palate, Sleep apnea hypopnea syndrome, Uvulopalatopharyngoplasty, Recurrence

CLC Number: 

  • R766.7
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