Laser Uvulopalatoplasty in Treatment of Habitual Snoring

Carenfelt, Christer

doi:10.1177/000348949110000604

Cited by 75 publications

(48 citation statements)

References 14 publications

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“…Ryan and Love developed a study on 44 patients that underwent LAUP surgery and the polysomnographic results review an important decrease in AHI with an average of 27 percent 6 months postoperatively 27 . In literature we also found a series of side effects reported after this type of surgery -for example, Carenfelt reported that, from a total of 100 patients, 2 developed velopharyngeal insufficiency 28 .…”

Section: Olsen and Kernmentioning

confidence: 98%

Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep

Tanase

Manea

Sarafoleanu

2017

Romanian Journal of Rhinology

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Usually, patients with sleep disorders may complain of tiredness, fatigue, daytime sleepiness, difficulty in concentrating, and can reach up to falling asleep in inappropriate situations – condition known as the Pickwick syndrome. To avoid these unpleasant symptoms, a series of surgical procedures regarding the anatomical structures involved in sleep apnea were developed.The article is a general review regarding the sleep disorders and the influence of upper airways permeability on the quality of sleep and the sleep staging distribution. Also, we present some preliminary data obtained in a clinical study underwent in CESITO Centre “Sfanta Maria” Hospital, Bucharest, involving patients with sleep pathology that had polysomnographic evaluations before and after various surgical procedures of nasal and pharyngeal permeabilization.AIMS.To determine that permeabilization surgery of the upper airway tract may be used successfully in order to decrease the sleep fragmentation and increase the time of slow-wave sleep.CONCLUSION.6 months after the permeabilization surgery of the upper airway tract, the polysomnography reveals that the arousals index decreased and the sleep architecture undergoes changes that consist in decreasing the Stage 1 and Stage 2 sleep, therefore REM sleep reaches a better score.

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Section: Olsen and Kernmentioning

confidence: 98%

Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep

Tanase

Manea

Sarafoleanu

2017

Romanian Journal of Rhinology

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“…Several procedures are available, each with advantages and disadvantages. The cure rates of laser uvulopalatoplasty (LAUP), cautery-assisted palatal stiffening surgery (CAPSO), and uvulopalatopharyngoplasty (UPPP) are 80-90% in patients with habitual snoring [3][4][5] . However, long-term results with these techniques Gomez Angel /Rodríguez-Diaz show a drop in the initial success rate [6] , and they have been associated with significant pain caused by extensive mucosal injury and in some patients may lead to velopharyngeal incompetence [7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Bipolar Radiofrequency Uvulopalatoplasty Combined with Injection Snoreplasty: A Reasonable Option for the Problem of Snoring

O’Connor-Reina

Garcia-Iriarte²,

Ángel³

et al. 2009

ORL

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Objectives: The aim of this study was to assess the effectiveness and morbidity of the combined use of bipolar radiofrequency uvulopalatoplasty and a sclerosing agent applied to the soft palate in patients with snoring and apnea during a 1-year follow-up period. Methods: This was a prospective, nonrandomized study. Twenty-eight patients with primary snoring due to palatal flutter who fulfilled the inclusion criteria were enrolled. Under local anesthesia, a single procedure uvulopalatoplasty using bipolar radiofrequency applied with sterilized forceps was undertaken in combination with a sclerosing agent. Results: Four patients required a repeat procedure 6 weeks after the initial operation. The postoperative Epworth Sleepiness Scale score improved significantly 360 days after surgery. Snoring, measured on the Visual Analogue Scale, decreased from 8.9 ± 0.7 to 4.1 ± 1.4 (p < 0.005). No complications were reported. The average reduction on the apnea-hypopnea index was from 24.2 ± 7.1 to 12.8 ± 4.4 (p < 0.005). Conclusion: Bipolar radiofrequency uvulopalatoplasty combined with injection snoreplasty is an ambulatory, cost-effective, simple, and safe method to reduce the occurrence and effects of snoring and apnea.

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“…The advantage of laser techniques is that they are office procedures not requiring general anesthesia. Laser was probably used for the treatment of snoring for the first time in Sweden [4], but the currently most popular operation for snoring -laser-assisted uvuloplasty (LAUP) -was described by Kamami [5] a few years later. Other methods used for reduction of snoring include the submucous radiofrequency volumetric thermal reduction of the palate [6] , injections of a sclerosing agent to the palate [7] , and recently described soft palate implant procedures [8] .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and Side Effects of One-Stage Laser-Assisted Uvuloplasty in Primary Rhonchopathy

Klozar

Plzák²,

Zábrodský³

et al. 2007

ORL

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The aim of this study is to evaluate the results of laser-assisted uvuloplasty (LAUP) in terms of effect on snoring and side effects. The case report study is based on the analysis of questionnaires with a visual analog scale (VAS) describing the severity of snoring before and 6–26 months after operation and questions regarding postoperative course. The group of patients consisted of 73 patients with primary rhonchopathy. The average preoperative VAS score was 8.36; it decreased to an average of 3.98 postoperatively (p = 0.001). No improvement was reported by 12% of patients, improvement of 4 and more of the VAS scale was reported by 67% of patients. The majority (58%) of patients reported postoperative pain for up to 10 days. Bothersome sensations persisted in 15% of patients. No predictive factors for the success of treatment were found. LAUP diminished snoring in 88% of patients. A major drawback was the postoperative pain. Further studies looking for predictive factors are needed.

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Laser Uvulopalatoplasty in Treatment of Habitual Snoring

Cited by 75 publications

References 14 publications

Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep

Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep

Bipolar Radiofrequency Uvulopalatoplasty Combined with Injection Snoreplasty: A Reasonable Option for the Problem of Snoring

Effectiveness and Side Effects of One-Stage Laser-Assisted Uvuloplasty in Primary Rhonchopathy

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