Palatopharyngoglossoplasty in the Treatment of Patients with Obstructive Sleep Apnea Syndrome

Djupesland, G; Schrader, Harald; Lyberg, Torstein; Refsum, H. E.; Lilleås, Finn; Godtlibsen, O. B.

doi:10.3109/00016489209136809

Cited by 37 publications

(23 citation statements)

References 8 publications

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“…DJUPESLAND et al [290] ) in 20 OSA patients 8.7 months after palatopharyngoglossoplasty [291]. The AHI improved .50% in 50% of the patients (n510).…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

European Respiratory Journal

305

179

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“…DJUPESLAND et al [290] ) in 20 OSA patients 8.7 months after palatopharyngoglossoplasty [291]. The AHI improved .50% in 50% of the patients (n510).…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

European Respiratory Journal

305

179

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“…2 Adjunctive nonpharyngeal procedures (e.g., septoplasty, turbinate reduction, removal of sinus polyps and mandibular lingual tori, cervicofacial lipectomy) may also be performed concomitantly with MMA as a safe single-staged surgical treatment of OSAS. 2 In general, pharyngeal soft tissue surgery (e.g., T/A, UPPP, laserassisted uvuloplasty, 10 palatopharyngoglossoplasty, 15 uvulopalatopharyngoglossoplasty, 16 somnoplasty or radiofrequency volumetric tissue reduction of the tongue 17 and palate, 18 cautery-assisted palatal stiffening operation, 19 uvulopalatal flap, 20 laser midline glossectomy 21 with epiglottidectomy, 22 lingualplasty 23 ) may not be necessary and should probably not be performed concomitantly with MMA unless immediate tracheostomy, prolonged ETT intubation, or auto-titrating CPAP were to be employed for several days during the resolution of the postoperative pharyngeal edema, which-particularly if compounded with pre-existant hypopharyngeal narrowing-may be life-threatening. 2…”

Section: Indications For Mmamentioning

confidence: 99%

Maxillomandibular Advancement (MMA) in a Site-Specific Treatment Approach for Obstructive Sleep Apnea: A Surgical Algorithm

Prinsell

2000

Sleep Breath

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Maxillomandibular advancement (MMA) is the most successful acceptable surgical treatment, excluding tracheostomy, for obstructive sleep apnea syndrome (OSAS). Nevertheless, the indications for and staging of MMA, with respect to the many procedures available, are unsettled and often limited to severe OSAS, dentocraniofacial deformities, and when other surgeries have failed. An algorithm is presented that defines the indications for MMA in an expanded role, based on a site-specific approach, according to proposed principles that include general goals and guidelines for governing the surgical treatment of OSAS.

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“…Cephalometric roentgenograms demonstrate the skeletal and soft tissue structures of the upper airway. Using this technique, mandibular deficiency, elongation of the soft palate (and uvula), narrowed posterior airway space and an inferiorly positioned hyoid bone have been shown to be frequent in patients with OSA [3][4][5][6][7][8]. Snorers with and without OSA may have a narrower pharynx during sleep as well as during wakefulness, although the results of previous studies of upper airway size are conflicting [9][10][11][12][13][14][15][16][17][18].…”

mentioning

confidence: 93%

Upper airway size and collapsibility in snorers: evaluation with digital fluoroscopy

Tsushima

Antila²,

Svedström³

et al. 1996

Eur Respir J

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This study addressed the question of whether there are any differences in the size and collapsibility of the upper airway measured by digital fluoroscopy, between snorers and controls whilst they were awake and breathing normally; and whether there are any correlations between these measurements and other clinical data.The dynamic changes of the upper airway size were evaluated using digital fluoroscopy in 33 patients and 16 normal controls. The measurements were compared with findings in an overnight sleep study, including a static-charge-sensitive bed (SCSB) and oximeter recordings.The minimum anteroposterior dimension at the velopharyngeal level was smaller in patients with partial upper airway obstruction than in controls (p<0.005); patients with complete obstruction did not differ from the controls. The velopharyngeal airways were also more collapsible in patients with severe partial obstruction (p<0.01) than in controls. At the oropharyngeal and hypopharyngeal levels, the dimensions and the collapsibilities were similar in patients and controls. The velopharyngeal collapsibility correlated with body mass index (p<0.001), whereas the airway size did not. The velopharyngeal collapsibility was more pronounced in patients with frequent episodes of arterial oxyhaemoglobin desaturation during sleep.Velopharyngeal collapsibility associated with high body mass index was the important determinant of nocturnal breathing disturbances. Digital fluoroscopy displays the dynamic changes of the upper airways throughout the respiratory cycle.

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Palatopharyngoglossoplasty in the Treatment of Patients with Obstructive Sleep Apnea Syndrome

Cited by 37 publications

References 8 publications

Non-CPAP therapies in obstructive sleep apnoea

Non-CPAP therapies in obstructive sleep apnoea

Maxillomandibular Advancement (MMA) in a Site-Specific Treatment Approach for Obstructive Sleep Apnea: A Surgical Algorithm

Upper airway size and collapsibility in snorers: evaluation with digital fluoroscopy

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