Comparison between short-term and long-term post-operative evaluation of sleep apnoea after uvulopalatopharyngoplasty

Lu, Shao-Jung; Chang, Shun‐Hsyung; Shiao, Guang-Ming

doi:10.1017/s0022215100129998

Cited by 40 publications

(46 citation statements)

References 21 publications

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“…This may indicate that better selection of cases using intraluminal upper airway pressure recording results in a better success rate among OSAS patients. The lower success rate among the second group can be due to the presence of multisegmental resistance of the upper airway (14), persistence of the central element in some patients with mixed sleep apnea; some uncooperative patients did not follow the diet regime and others may be in need of adjuvant maxillofacial corrective surgery.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of Uvulopalatopharyngoplasty in Treatment of Obstructive Sleep Apnea Syndrome

Elasfour

Miyazaki²,

Itasaka³

et al. 1998

Acta Oto-Laryngologica

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E6aluation of u6ulopalatopharyngoplasty in treatment of obstructi6e sleep apnea syndrome. Acta Otolaryngol (Stockh) 1998; Suppl 537: 52 -56.Many methods have been reported to select the proper candidates for uvulopalatopharyngoplasty (UPPP) among obstructive sleep apnea patients. Polysomnography with intraluminal pressure recordings in the upper airway was found useful to predict obstructive site(s) and hence the success of surgery. According to the pressure analysis, 11 cases with high negative pressure at the mesopharynx were selected for UPPP, while UPPP combined with midline partial glossectomy (UPPP-MLG) was done in 18 cases proved to have high negative pressure difference between the mesopharynx and esophagus. A reduction of the apnea/hypopnea index (AHI) of more than 50% after UPPP was found in 8 cases (72.7%) and in 11 cases (61.1%) after UPPP-MLG. It was found that the response rate was lower among the second group if compared to that of the first because of other aggravating factors rather than simple obstruction at the level of the soft palate and/or tonsils-tongue base level. Key words: obstructi6e sleep apnea, upper airway pressure analysis, obstructi6e site, midline partial glossectomy.

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Section: Resultsmentioning

confidence: 99%

Evaluation of Uvulopalatopharyngoplasty in Treatment of Obstructive Sleep Apnea Syndrome

Elasfour

Miyazaki²,

Itasaka³

et al. 1998

Acta Oto-Laryngologica

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“…Conflicting data were reported concerning the effect of UPPP on daytime sleepiness in OSA. Whereas Janson et al [27] and Lu et al [28] reported an improvement in daytime sleepiness of 68 and 80%, respectively, persistence of daytime somnolence was found in 75% of the patients reported by Hagert et al [29]. However, these studies are difficult to compare, because different scoring systems were used to measure hypersomnolence.…”

Section: Discussionmentioning

confidence: 98%

Short- and Long-Term Outcomes of Uvulopalatopharyngoplasty in Nonapneic Snorers and Obstructive Sleep Apnea Patients

Boudewyns¹,

Mariën²,

Wuyts³

et al. 2000

Otorhinolaryngol Nova

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Objectives: The aim of this study was to investigate the short- and long-term effects of uvulopalatopharyngoplasty (UPPP) on the major outcome parameters in nonapneic snorers and obstructive sleep apnea (OSA) patients. In addition, we investigated which factors affect the long-term subjective benefit perceived by the patient. Methods: A questionnaire on snoring, daytime sleepiness, habits and subjective benefit was mailed to 48 patients treated by UPPP because of nonapneic snoring or OSA. The results of this long-term (28 months) follow-up were compared with pre- and postoperative scores for snoring and daytime sleepiness. Each patient had undergone a polysomnography before and 3.5 months after UPPP (short-term follow-up). Results: Thirty-nine patients (27 nonapneic snorers and 12 OSA patients) returned the questionnaire and were eligible for statistical analysis. A significant improvement in snoring and daytime sleepiness was documented both in short- and long-term outcomes for nonapneic snorers as well as OSA patients without a significant improvement of polysomnography variables. Smoking after surgery was found to adversely affect subjective benefit. Conclusions: UPPP results in long-term improvement of clinical symptoms. This improvement is not necessarily accompanied by a decrease in respiratory disturbance index or an amelioration of sleep quality. Persistent smoking decreases the subjective benefit of surgery.

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“…Three research groups included selected patients [7,31,62], while the other three treated unselected patients [36,43,46]. -There were differences in surgical method.…”

Section: Adenotonsillectomy In Childhoodmentioning

confidence: 99%

Long-term results in the treatment of obstructive sleep apnea

Pirsig¹,

Verse²

2000

European Archives of Oto-Rhino-Laryngology

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No recent update is available on long-term results of the various types of treatment of obstructive sleep apnea (OSA) which can help the physician in evaluating the individually tailored treatment for patients with OSA in the long term. We arbitrarily defined "long-term" results as those after at least 3 years and reviewed the literature from the past 25 years for reports on conservative, apparative, and surgical therapy of OSA in children and adults. Another inclusion criterion was that the diagnosis was also confirmed by polysomnography before treatment and at follow-up. Only relatively few long-term studies meeting the criteria of 'evidence based medicine' were found, comparing the findings of these was difficult or impossible due to varying criteria for success. Long-term data were available about the effect of weight reduction, nasal ventilation therapy, oral devices, tonsillectomy, uvulopalatopharyngoplasty, maxillomandibular advancement osteotomies, and tracheotomy. After approx. 25 years many treatment modalities in sleep medicine are still experimental concerning the long-term use for the individual. In particular, randomized controlled trials in surgery are lacking. Late results show that at least 50% of patients with OSA can be treated effectively by one or a combination of treatments. Nasal continuous positive airway pressure, tracheotomy, maxillomandibular advancement osteotomy, and tonsillectomy are the most effective treatments of OSA.

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Comparison between short-term and long-term post-operative evaluation of sleep apnoea after uvulopalatopharyngoplasty

Cited by 40 publications

References 21 publications

Evaluation of Uvulopalatopharyngoplasty in Treatment of Obstructive Sleep Apnea Syndrome

Evaluation of Uvulopalatopharyngoplasty in Treatment of Obstructive Sleep Apnea Syndrome

Short- and Long-Term Outcomes of Uvulopalatopharyngoplasty in Nonapneic Snorers and Obstructive Sleep Apnea Patients

Long-term results in the treatment of obstructive sleep apnea

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