Modified Uvulopalatopharyngoplasty and Coblation Channeling of the Tongue for Obstructive Sleep Apnea: A Multi-Centre Australian Trial

MacKay, Stuart; Carney, A. Simon; Woods, Charmaine M.; Antic, Nick A.; McEvoy, R. Doug; Chia, Michael; Sands, Terry; Jones, Andrew; Hobson, Jonathan; Robinson, Simon

doi:10.5664/jcsm.2402

Cited by 80 publications

(69 citation statements)

References 17 publications

(14 reference statements)

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“…5 In addition, a recent publication supports a lesser operation (modified uvulopalatopharyngoplasty and coblation tongue channelling) when clinical assessment dictates. 22 The procedures utilised in the 22 airway reconstruction operations reported here (for 17 patients) have been described elsewhere. These included a modified Robinson type uvulopalatopharyngoplasty, 22 transpalatal advancement, 23 coblation channelling of the tongue, 24 endoscopic lingual tonsillectomy or lingual tonsil reduction, submucosal lingualplasty, 25 and a new procedure referred to as a coblation-assisted Lewis and MacKay operation ('CobLAMO') 26 .…”

Section: Discussionmentioning

confidence: 99%

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

2013

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Section: Discussionmentioning

confidence: 99%

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

2013

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“…He compared surgical outcomes of efficacy of modified UPPP with coblation channeling of tongue. 21 Patients were followed up for 3 months. At the end of 3 months PSG was taken.…”

Section: Discussionmentioning

confidence: 99%

A study on evaluation of pre and postoperative polysomnography for obstructive sleep apnea patients

Mohankumar

Rajasekar

Veerasigamani

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Obstructive sleep apnea is the most common form of sleep-disordered breathing. However, obstructive sleep apnea has been associated with much more insidious conditions, including hypertension, diabetes, heart disease, stroke, and daytime somnolence can lead to a dramatically increased risk of motor vehicle accidents.Methods: This study was conducted in our institution in 34 OSA patients. After thorough evaluation with PSG, dynamic MRI, DISE patients were treated with various surgeries depending on the level of obstruction. Commonly UPPP, ESP, zetaplasty, tonsillectomy, tongue base reduction were done either alone or in combination. Results: Pre and postoperative polysomnograhpy for obstructive sleep apnea was evaluated and statistically analyzed. Significant proportion of patients improved both subjectively and objectively as determined by reduction in AHI from 41.73±13.94 to 15.77±9.13, reduction in ESS from 16.41+3.09 to 5.14±3.41 and reduction in snoring.Conclusions: OSA can be easily treated with proper preoperative investigations, appropriate surgery, prevention of complications and continued lifestyle modifications.

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“…A transcervical technique to access the retrolingual space and perform radiofrequency ablation of hypertrophic lingual tonsils under sedation and local anesthesia has been reported and its effectiveness remains to be established 57. Other newly developed surgical approaches include modified uvulopalatopharyngoplasty and coblation channeling of the tongue, a coblation-assisted Lewis and MacKay operation, and transpalatal advancement 58,59. An investigational technique, typically used within a staged surgical approach, is transoral robotic surgery for tongue base reduction 60…”

Section: Surgical Treatment Approachesmentioning

confidence: 99%

Innovative treatments for adults with obstructive sleep apnea

Weaver¹,

Calik²,

Farabi³

et al. 2014

NSS

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Obstructive sleep apnea (OSA) affects one in five adult males and is associated with significant comorbidity, cognitive impairment, excessive daytime sleepiness, and reduced quality of life. For over 25 years, the primary treatment has been continuous positive airway pressure, which introduces a column of air that serves as a pneumatic splint for the upper airway, preventing the airway collapse that is the physiologic definition of this syndrome. However, issues with patient tolerance and unacceptable levels of treatment adherence motivated the exploration of other potential treatments. With greater understanding of the physiologic mechanisms associated with OSA, novel interventions have emerged in the last 5 years. The purpose of this article is to describe new treatments for OSA and associated complex sleep apnea. New approaches to complex sleep apnea have included adaptive servoventilation. There is increased literature on the contribution of behavioral interventions to improve adherence with continuous positive airway pressure that have proven quite effective. New non-surgical treatments include oral pressure devices, improved mandibular advancement devices, nasal expiratory positive airway pressure, and newer approaches to positional therapy. Recent innovations in surgical interventions have included laser-assisted uvulopalatoplasty, radiofrequency ablation, palatal implants, and electrical stimulation of the upper airway muscles. No drugs have been approved to treat OSA, but potential drug therapies have centered on increasing ventilatory drive, altering the arousal threshold, modifying loop gain (a dimensionless value quantifying the stability of the ventilatory control system), or preventing airway collapse by affecting the surface tension. An emerging approach is the application of cannabinoids to increase upper airway tone.

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Modified Uvulopalatopharyngoplasty and Coblation Channeling of the Tongue for Obstructive Sleep Apnea: A Multi-Centre Australian Trial

Cited by 80 publications

References 17 publications

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

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

A study on evaluation of pre and postoperative polysomnography for obstructive sleep apnea patients

Innovative treatments for adults with obstructive sleep apnea

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