Objective benefit of laser palatoplasty for non-apnoeic snoring

Drinnan, Michael; Richardson, Hugh H.; Close, P. R.; Smithson, A. J.; White, John; Griffiths, Clive; Marshall, H. F.; Gibson, G J

doi:10.1046/j.1365-2273.1999.00268.x

Cited by 11 publications

(11 citation statements)

References 14 publications

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“…In the few other objective studies of snoring surgery of which we are aware, 19,25 – 27 the snoring recording was done as part of a hospital‐based sleep study. However, it has been proved before that the patient's unfamiliarity with the surroundings and physical connection to monitors may significantly reduce the duration of snoring in the hospital.…”

Section: Discussionmentioning

confidence: 99%

Uvulopalatopharyngoplasty versus laser assisted uvulopalatoplasty for the treatment of snoring: an objective randomised clinical trial

Osman¹,

Osborne²,

Hill

et al. 2000

Clin Otolaryngol

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This study was designed to evaluate objectively the clinical effectiveness of surgery for snoring and to compare the results of conventional uvulopalatopharyngoplasty (UPPP) and laser assisted uvulopalatoplasty (LAUP) in the treatment of snoring. Patients who had been referred for investigation and treatment of their snoring were randomly allocated to receive either UPPP or LAUP. Forty-seven patients with confirmed palatal flutter had surgery and all of them had a preoperative and postoperative objective assessment of their snoring loudness and duration in the home. The recording device (Snore Box) is simple for the patient to operate, portable with a built in microphone, and able to produce objective results, which can be automatically analysed. Of the 38 patients, who had technically valid recordings, 22 underwent LAUP and 16 UPPP. Overall the mean postoperative Snore Index (SI) was less than the preoperative SI (P < 0.0001), the average difference being 78.2 snores/h. There was no significant difference between the LAUP and UPPP regarding the fall in the SI. This study is the first objective comparative study to demonstrate the effectiveness of snoring surgery.

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Section: Discussionmentioning

confidence: 99%

Uvulopalatopharyngoplasty versus laser assisted uvulopalatoplasty for the treatment of snoring: an objective randomised clinical trial

Osman¹,

Osborne²,

Hill

et al. 2000

Clin Otolaryngol

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“…Studies report subjective short-term success rates for the elimination or near elimination of snoring in the range of 60-92% [24,42,45,49,50]. As observed with UPPP, objective evaluation shows a reduced snoring volume after LAUP, but this does not correlate highly with subjective assessment [51]. Studies comparing LAUP and UPPP demonstrate a similar shortterm success rate for correction of snoring [40,52].…”

Section: Treatment Of Snoringmentioning

confidence: 84%

Obstructive Sleep Apnea Syndrome and Snoring: What Is the Role of Surgery?

Pelletier¹,

Pellanda²,

Jaques³

2000

Otorhinolaryngol Nova

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This paper evaluates the different surgical treatments used in obstructive sleep apnea syndrome and snoring. This critical analysis is based on an extensive review of the literature and the authors’ experience. In snoring patients, the success rate of surgery focusing on the soft palate does not exceed 50–60%, and the risk of pharyngeal narrowing is high. Therefore, this treatment should be selectively performed. More conservative approaches are now under development. The surgical treatment of the obstructive sleep apnea syndrome is controversial. Surgery of the soft palate is associated with a high rate of complications and, therefore, is restricted to a limited number of cases. The compliance with continuous positive airway pressure is low, especially among young patients. Therefore, maxillofacial surgery has regained interest with two opposite concepts. Some authors favor a step-by-step approach, while others proceed in a one-stage surgery. The latter is more aggressive, but its success rate is superior (90%). Results and indications of hyoid myotomy and suspension associated with genioplasty (phase 1) and maxillomandibular osteotomy and advancement (phase 2) are reviewed in detail.

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“…The recruitment of the 20 subjects (18 men, two women), the morphometric details of these subjects and their sleep investigations are described in the companion paper .11 All subjects underwent laser palatoplasty (LPP) for non‐apnoeic snoring, the objective results of which are described in the companion paper.…”

Section: Methodsmentioning

confidence: 99%

Psychometric performance before and after laser palatoplasty for non-apnoeic snoring

Richardson¹,

Drinnan

et al. 1999

Clin Otolaryngol

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Psychometric tests are an objective way of examining cognitive functioning, and have shown impairment in patients with obstructive sleep apnoea. Non-apnoeic snoring may cause reduced concentration, but psychometric tests have been used rarely in this population. We investigate whether their use can demonstrate an improvement in cognitive performance in 20 non-apnoeic snorers following Laser Palatoplasty (LPP). The subjects completed psychometric tests, Beck Anxiety and Depression Inventories and an Epworth Sleepiness Scale on two occasions before LPP and once postoperatively. The only index to show any significant change with LPP was the Beck Depression Inventory (P < 0.005), which was reduced by a mean of 1.6 units following surgery. There was also a highly significant improvement in information processing between the preoperative tests, for which no explanation could be found. Our results suggest that commonly applied psychometric tests are unable to demonstrate significant improvements following surgery for non-apnoeic snoring. However, we have demonstrated for the first time a significant reduction in depression following surgery, which is evidence that snoring is more than a social nuisance.

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Objective benefit of laser palatoplasty for non-apnoeic snoring

Cited by 11 publications

References 14 publications

Uvulopalatopharyngoplasty versus laser assisted uvulopalatoplasty for the treatment of snoring: an objective randomised clinical trial

Uvulopalatopharyngoplasty versus laser assisted uvulopalatoplasty for the treatment of snoring: an objective randomised clinical trial

Obstructive Sleep Apnea Syndrome and Snoring: What Is the Role of Surgery?

Psychometric performance before and after laser palatoplasty for non-apnoeic snoring

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