Laser assisted uvulopalatoplasty: six and eighteen month results

Wareing, Michael J.; Callanan, Vincent; Mitchell, David B.

doi:10.1017/s0022215100141313

Cited by 50 publications

(49 citation statements)

References 13 publications

(18 reference statements)

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“…In another series, a recurrence rate of 50% was recorded at 13 months 9 . Similar trends have been documented following LAUP 18,19 . It therefore could be argued that partner satisfaction also could similarly decline.…”

Section: Discussionsupporting

confidence: 62%

“…In one study, subsequent to a follow‐up of between 18 and 24 months after LAUP, it was found that 55% of the partners were happy with the results of operation. This had declined from 71% at 6 months 18 . In another series of 20 patients evaluated after more than 5 years, 18 had total or near‐total resolution of their snoring but still had occasional loud breathing during sleep.…”

Section: Discussionmentioning

confidence: 97%

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Surgery for snoring: are partners satisfied in the long run?

et al. 2003

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Patients seek surgery for snoring, essentially for the sake of their partners. Few studies have looked into the long-term results from this angle. We herein report the findings of a study of partner satisfaction, following laser-assisted uvulopalatoplasty (LAUP) and uvulopalatopharyngoplasty (UVPP). This was a questionnaire-based survey, with a minimum follow-up of 1 year. A total of 91 procedures (LAUP = 50 and UVPP = 41) were evaluated. Response rate was 65.93%. Both groups were matched for age, gender and duration of the follow-up. Residual snoring was even more frequently following LAUP than it was following UVPP (Mann-Whitney U = 244, P = 0.012). After UVPP, partners were less likely to have trouble falling asleep (Mann-Whitney U = 255, P = 0.041). There was a highly significant reduction in the disturbance of sleep and need to wake up after both types of surgery (McNemar test, chi2 = 25.037, P < 0.001). Both groups reported improvements in quality of life. We propose a grading system to record partner satisfaction. The long-term results show that surgery for snoring is justified in the National Health Service (NHS) in the new millennium.

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 97%

Surgery for snoring: are partners satisfied in the long run?

et al. 2003

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“…4 Postoperative pain appears to be a major factor in patient satisfaction after UPPP or LAUP in that only 70% to 75% of the patients stated that in retrospect they would have the procedure again. 3,4 Postoperative pain also influences the initial treatment success of LAUP because some patients refuse additional treatments because of pain intolerance. Cheng et al 11 reported that only 15.6% of their patients underwent more than 1 treatment session partly because of severe postoperative pain and sore throat.…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency volumetric reduction of the palate: An extended follow‐up study

Powell

Riley

et al. 2000

Otolaryngol.--head neck surg.

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“…[10][11][12] In the longer term however, results are less favourable. [13][14][15] Both procedures have the signi cant associated side-effects of post-operative pain and odynophagia, with the potential for various complications including haemorrhage, infection, nasal re ux/regurgitation and altered gustation. 16,17 The search for simple, effective, inexpensive and well-tolerated surgical treatment in snoring is therefore on.…”

Section: Introductionmentioning

confidence: 99%

Celon^® radiofrequency thermo-ablative palatoplasty for snoring - a pilot study

et al. 2003

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A prospective non-randomized study was designed to investigate the effects of Celon radio-frequency thermo-ablation (RFTA) of the soft palate in patients with snoring/mild obstructive sleep apnoea. Ten patients, fulfilling various inclusion/exclusion criteria, underwent single operator sub-mucosal RFTA palatoplasty as an office procedure. Two separate procedures six weeks apart involved each patient receiving six distinct sub-mucosal lesions on each visit. Questionnaires including visual analogue scales (VAS) were used to evaluate post-operative pain and subjective snoring (scored by patient/partner). Polysomnography (PSG) was performed pre-operation and three months following the second procedure. Using non-parametric statistical analysis, a significant reduction in VAS snoring was noted from initial levels to those scored at six and 16 weeks in nine of 10 patients (p = 0.013 and p = 0.007 respectively). (Five of these nine showed a greater than 50 per cent reduction in score). Objectively, six of 10 patients had a reduction in the apnoea-hypopnea Index between the two PSGs, (four of these six showed a greater than 50 per cent reduction) however, this was not statistically significant. Subjective assessment of the PSG snoring signal by the senior author showed eight of 10 patients had either a reduced or much reduced signal at four months. VAS pain confirmed both procedures are well tolerated with minimal analgesia requirements. Minor complaints of transient mild palatal swelling, dry throat, catarrh and referred otalgia were noted and one patient developed mucosal ulceration following both procedures that healed within three weeks. Swallowing and speech were unaffected. These results confirm similar findings using the Somnus Unit, although the Celon device provides additional advantages including inherent safety in a bipolar electrode tip, auto-stop energy application and reduced procedure time.

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Laser assisted uvulopalatoplasty: six and eighteen month results

Cited by 50 publications

References 13 publications

Surgery for snoring: are partners satisfied in the long run?

Surgery for snoring: are partners satisfied in the long run?

Radiofrequency volumetric reduction of the palate: An extended follow‐up study

Celon^® radiofrequency thermo-ablative palatoplasty for snoring - a pilot study

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Laser assisted uvulopalatoplasty: six and eighteen month results

Cited by 50 publications

References 13 publications

Surgery for snoring: are partners satisfied in the long run?

Surgery for snoring: are partners satisfied in the long run?

Radiofrequency volumetric reduction of the palate: An extended follow‐up study

Celon® radiofrequency thermo-ablative palatoplasty for snoring - a pilot study

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Product

Resources

About

Celon^® radiofrequency thermo-ablative palatoplasty for snoring - a pilot study