Uvulopalatopharyngoplasty in the Sleep Apnea Syndrome: Predictors of Results

Gíslason, Þórarinn; Lindholm, Carl‐Eric; Almqvist, Magnus; Birring, Eva; Boman, Gunnar; Eriksson, Gunilla; Larsson, Sven; Lidell, Christer; Svanholm, H

doi:10.1001/archotol.1988.01860130049013

Cited by 136 publications

(77 citation statements)

References 14 publications

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“…Moreover, interindividual variability was great, so that two groups could not be distinguished. The level of obstruction is important for the first se lection of patients for UPPP [14,18,19], However, in our patients with only oropharyngeal obstruction, the degree of narrowing was not a sensitive predictor of the outcome of UPPP. Polysomnographic data had a better predictive value, but the fact that all patients in this series were referred by an otolaryngologist may have resulted in selection of subjects with moderate SAS.…”

Section: Discussioncontrasting

confidence: 59%

Uvulopalatopharyngoplasty in Snorers with Sleep Apneas: Predictive Value of Presurgical Polysomnography

Philip-Joët

Rey²,

Triglia³

et al. 1991

Respiration

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To determine its predictive value, polysomnography was performed on 14 snorers with sleep apnea syndrome (SAS) before and 3 months after uvulopalatopharyngoplasty (UPPP). In the 8 patients considered as cured (less than 10 apneas per hour after UPPP), total apnea index (TAI) decreased from 29.7 ± 22.6 to 4.9 ± 3.5. Rapid eye movement sleep (REM) increased from 10.9 ± 3.6 to 14 ± 5.7% of the total sleep period (TSP). In the 6 uncured patients, TAI decreased from 59.7 ± 15.7 to 32 ± 15.7 and REM increased from 7.7 ± 5.6 to 15.8 ± 7.2% of TSP. Snoring and drowsiness decreased in both cured and uncured patients. A presurgical apnea index < 40 seems to be a reliable predictor of sucessful UPPP. The association of obstructive apnea with either central apnea or mixed apnea was not a factor of poor prognosis. Better sleeping could explain in part the clinical improvement in both cured and uncured patients, but postoperative polysomnography is needed to detect asymptomatic SAS

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Section: Discussioncontrasting

confidence: 59%

Uvulopalatopharyngoplasty in Snorers with Sleep Apneas: Predictive Value of Presurgical Polysomnography

Philip-Joët

Rey²,

Triglia³

et al. 1991

Respiration

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“…Three of 15 patients did not improve clinically according to the questionnaire (table 1). Two were heavily overweight and the other later admitted alcohol abuse at the current period of time, circumstances that may have impaired the outcome of surgery [21,22], Sleep apnea is one of the most common causes of excessive daytime sleepiness and sleep spells whilst driv ing [6]. During recent years demand for treatment of sleep apnea patients has increased, as the relationship between their disability and traffic hazard has become more apparent [23,24] Hypersomnia at the wheel is a common and danger ous complaint in drivers with the SAS [1,5].…”

Section: Discussionmentioning

confidence: 99%

Simulated Long-Term Driving Performance before and after Uvulopalatopharyngoplasty

Haraldsson

Carenfelt²,

Persson³

et al. 1991

ORL

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To investigate whether automobile drivers with the clinical features of sleep apnea syndrome (SAS) perform worse than controls in a simulated long-term test drive, and to see if their driving improves after uvulopalatopharyngoplasty (UPPP), 15 male drivers with SAS, suffering from sleep spells whilst driving, and 10 matched controls without a history of SAS or hypersomnia at the wheel were tested in an advanced driving simulator. Brake reaction time, lateral position deviation and off-road episodes were measured during a 90-min rural drive at twilight conditions. The clinical evaluation was made by a questionnaire scoring symptoms of snoring, sleep disturbances and diurnal sleepiness before and after surgery. Before UPPP the patient group showed impaired performance in all three effect measures compared to controls. UPPP resulted in improved reaction time performance (average mean improvement: 0.5 s, average 90th percentile improvement 0.8 s). Furthermore, 12 of the 15 patients reported a marked improvement regarding sleepiness whilst driving. For these clinically successful cases the number of off-road episodes decreased substantially. We conclude that most patients improve their long-term driving performance as a result of UPPP.

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“…Patients undergoing UPPP frequently experienced hypernasality to some degree postoperatively. Fortunately, most studies 7,8,14,16,17 investigating changes of resonance after UPPP using perceptual evaluation showed only transient hypernasality or no difference in nasality. Assessing nasal sound through the four nasality tests within the present study demonstrated that no change of nasality reached a statistical significance (all P > .05).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of velopharyngeal function after relocation pharyngoplasty for obstructive sleep apnea

Lee

Fang

et al. 2010

The Laryngoscope

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Uvulopalatopharyngoplasty in the Sleep Apnea Syndrome: Predictors of Results

Cited by 136 publications

References 14 publications

Uvulopalatopharyngoplasty in Snorers with Sleep Apneas: Predictive Value of Presurgical Polysomnography

Uvulopalatopharyngoplasty in Snorers with Sleep Apneas: Predictive Value of Presurgical Polysomnography

Simulated Long-Term Driving Performance before and after Uvulopalatopharyngoplasty

Evaluation of velopharyngeal function after relocation pharyngoplasty for obstructive sleep apnea

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