Beyond uvulopalatopharyngoplasty for obstructive sleep apnoea: single surgeon case series of contemporary airway reconstruction

Abstract

Multilevel upper airway reconstructive surgery was associated with large reductions in both objective and patient-centred subjective measures of obstructive sleep apnoea severity.

Long‐term quality‐of‐life outcomes following treatment for adult obstructive sleep apnoea: comparison of upper airway surgery, continuous positive airway pressure and mandibular advancement splints

“…Other authors have achieved good results with UAS in patients with OSA who have failed CPAP. A large Canadian series achieved an 85.7% success rate, dropping the ESS from 13.7 to 4.1 and a consecutive series of 17 Australian patients from another centre to ours achieved a reduction in AHI from 36.3 to 14.5 …”

Coblation-assisted Lewis and MacKay operation (CobLAMO): new technique for tongue reduction in sleep apnoea surgery

“…(Statistical analysis of these data is described in another paper.) 6 No significant complications were noted in the four patients. One patient (patient 2) underwent successful repeat coblation channelling of the tongue (using three midline channels and a repeat with four lateral channels as described above).…”

“…Clinical outcomes for this group of patients are discussed in another of our articles. 6 We believe that the coblationassisted Lewis and MacKay operation reduced the potential complications of aggressive tongue surgery, such as submucosal lingualplasty. 5 The contours of the tongue were maintained, but significant reduction was still achieved.…”

“…6 Within that cohort, four patients underwent a coblation-assisted Lewis and MacKay operation ('CobLAMO'). This is a new technique for tongue reduction, involving midline glossectomy combined with lateral coblation channelling of the tongue.…”

Reaching a wider audience

“…This article adds to information on the management and presentation of OSA recently published in The Journal. 7,8 …”