The surgical treatment of snoring: A patient's perspective

Katsantonis, George P.; Friedman, William H.; Rosenblum, Barry N.; Walsh, James K.

doi:10.1288/00005537-199002000-00005

Cited by 43 publications

(32 citation statements)

References 5 publications

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“…In the literature, we found reference to the best results of UPFP in patients with mild and moderate OSAHS, even though only surgery may not be curative [25][26][27] . IDR < 30 is a predictive positive factor for better results in UPFP 28 .…”

Section: Discussionmentioning

confidence: 99%

Indicação inicial de tratamento em 60 pacientes com distúrbios ventilatórios obstrutivos do sono

Borges

Paschoal

2005

Rev. Bras. Otorrinolaringol.

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Aim:The author present a retrospective descriptive study of 60 patients with sleep obstructive ventilatory disturbance who have taken medical advice at the Centro Campinas de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço during a period of three years. All the patients have been examined after standardized protocol and decisions related to the treatment have been taken after systematic multidisciplinary discussion. Study design: clinical retrospective. Material and method: The patients were distributed into two groups according to the proposal of surgical and non-surgical treatment. After so, they were studied according to the model of treatment proposed and the main propaedeutic findings: respiratory disturbance index (RDI), body mass index (BMI), cephalometric analysis and Müller maneuver. The main features were compared -isolated or in association -with the model of treatment proposed. Conclusion: Amongst several conclusions obtained, the most important were: surgical and non-surgical treatment were indicated almost in the same proportion for of snoring; surgical treatments were most indicated for snoring and Apnoea-Hipopnoea Syndrome, despite of its modality; RDI, BMI and cephalometric analysis and Müller maneuver had no influence at any therapeutic modality; the therapeutic decision was taken after standardized protocol and systematic multidisciplinary discussion, where each case was discussed individually.

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Section: Discussionmentioning

confidence: 99%

Indicação inicial de tratamento em 60 pacientes com distúrbios ventilatórios obstrutivos do sono

Borges

Paschoal

2005

Rev. Bras. Otorrinolaringol.

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“…Concerning snoring, several studies have shown excellent results between 6 months and 1 year, with disappearance of snoring in between 80 and 90% of the cases [34,37,38]. However, recurrences occur with time, probably related to a gain of weight or an increased floppiness of tissues with age.…”

Section: Treatment Of Snoring and Uarsmentioning

confidence: 99%

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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“…Of the 9 studies reviewed, all but 2 were performed outside the United States. [1][2][3][4][5][6][7][8][9] Jones et al, 2 from the United Kingdom, found that of 193 patients surveyed after UPPP, only 37% perceived a postoperative improvement in sleep quality. Further, only 47% stated that in hindsight would they have undergone surgery.…”

Section: Introductionmentioning

confidence: 99%